Garnering an In-depth Understanding of Men Who Have Sex with Men in Chennai, India: A Qualitative Analysis of Sexual Minority Status and Psychological Distress
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- 作者：Matthew J. Mimiaga ; Elizabeth F. Closson ; Beena Thomas…
- 关键词：HIV ; Men who have sex with men ; Gay men ; Bisexual men ; Sexual orientation ; Stigma
- 刊名：Archives of Sexual Behavior
- 出版年：2015
- 出版时间：October 2015
- 年：2015
- 卷：44
- 期：7
- 页码：2077-2086
- 全文大小：507 KB
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Elizabeth F. Closson (3)
Beena Thomas (4)
Kenneth H. Mayer (3) (5) (6)
Theresa Betancourt (6)
Sunil Menon (7)
Steven A. Safren (1) (3)
1. Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital, Behavioral Medicine, 1 Bowdoin Square, 7th Floor, Boston, MA, 02114, USA
2. Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
3. The Fenway Institute, Fenway Health, Boston, MA, USA
4. National Institute for Research in Tuberculosis, Chennai, India
5. Division of Infectious Diseases, Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA, USA
6. Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA
7. Sahodaran, Chennai, India - 刊物类别：Behavioral Science
- 刊物主题：Psychology
Sexual Behavior
Social Sciences - 出版者：Springer Netherlands
- ISSN：1573-2800
文摘
Men who have sex with men (MSM) in India are a hidden and largely understudied population, and have an HIV prevalence 17 times higher than that of the general Indian population. Experiences of social marginalization and negative psychosocial conditions occur concurrent to HIV risk among Indian MSM. To better understand the contextual variables driving HIV risk and inform intervention development, five focus groups (n = 46) and nine key informant interviews were conducted with 55 MSM in Chennai in 2010. NVivo software was used to code the transcripts, and data were analyzed using qualitative descriptive analysis methodology. Participants described sources of psychological distress and low self-worth related to gender non-conformity and sexual minority status. These included stigma from society, pressure to marry, lack of familial acceptance, childhood sexual abuse, and the imperative to keep sexual minority status a secret. Participants-personal evaluations revealed that self-acceptance may be an important resilience factor that can shield these psychosocial and HIV risk factors. In promoting health-seeking behavioral changes for Indian MSM at an individual level, our findings point to the potential strength of strategies that focus on self-acceptance of one’s sexual minority identity to foster better psychosocial and overall health. Keywords HIV Men who have sex with men Gay men Bisexual men Sexual orientation Stigma