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Pengaruh homofobia dalaman terhadap perkahwinan lelaki gay

Subhi N, Mohd Radzi Tarmizi AH, Nen S, Zakaria E

Jurnal Psikologi Malaysia, 2014;olume 28:18-38.

Homofobia dalaman dikaitkan dengan perasan negatif yang dirasai oleh seseorang lelaki gay dan menjadi konflik dalaman di dalam dirinya. Homofobia dalaman yang dialami oleh lelaki gay merupakan salah satu petunjuk mengapa mereka mencari sebab untuk berkahwin dengan wanita. Oleh itu, kajian ini bertujuan untuk mengkaji tahap homofobia yang dialami oleh lelaki gay di Malaysia serta melihat pengaruhnya di dalam menentukan alasan lelaki gay memilih untuk berkahwin atau tidak berkahwin dengan seorang wanita. Responden yang terlibat di dalam kajian ini adalah seramai 29 orang yang dipilih daripada laman sosial Facebook, e-mel, kampus UKM Bangi serta sekitar Kuala Lumpur dan Selangor. Satu set borang soal selidik mengandungi item latar belakang demografi, Internalized Homophobia Scale, serta soalan terbuka tentang alasan lelaki gay berkahwin dan tidak berkahwin dengan wanita telah diedarkan kepada responden. Hasil kajian mendapati bahawa tahap homophobia dalaman lelaki gay bagi sampel ini adalah tinggi iaitu sebanyak 72.7 %. Alasan utama lelaki gay berkahwin adalah untuk mendapatkan zuriat (51.72%), kesedaran merubah identiti seksual (31.03%), desakan keluarga (24.14%) dan damba cinta wanita (24.14%) . Manakala tema utama bagi alasan untuk tidak berkahwin pula adalah tidak yakin melakukan hubungan seks dengan wanita (20.70%), risau terhadap kemampuan mencintai wanita (17.24%), tidak mahu mengecewakan wanita tersebut (10.34%) dan sukar mencari jodoh (10.34%). Sokongan sosial yang padu berupaya mengurangkan diskriminasi serta tahap homofobia yang dialami oleh lelaki gay di Malaysia.

Matched MeSH terms: Homophobia
"You Have to Keep Yourself Hidden": Perspectives From Malaysian Malay-Muslim Men Who Have Sex With Men on Policy, Network, Community, and Individual Influences on HIV Risk

Lim SH, Brown SE, Shaw SA, Kamarulzaman A, Altice FL, Beyrer C

J Homosex, 2020;67(1):104-126.
PMID: 30307803 DOI: 10.1080/00918369.2018.1525946

Malay-Muslim men who have sex with men (MSM) are marginalized and hidden in Malaysia, a predominantly Muslim country in southeast Asia. We explored the policy, network, community, and individual factors related to HIV infection among Malay-Muslim MSM through 26 in-depth interviews and one focus group discussion (n = 5) conducted in Kuala Lumpur and Kota Bharu between October 2013 and January 2014. As religion plays an important role in their lives, participants viewed homosexuality as a sin. Low risk perception and misconceptions about HIV/AIDS were common, and most participants expressed reluctance to consult a doctor unless they had symptoms. Additionally, buying condoms was embarrassing and anxiety-producing. Fear of discrimination by health care providers and community hindered participants from disclosing sexual behaviors and accessing health services. Homophobic comments and policies by the government and religious leaders were concerns of participants. A safe and enabling environment is needed to reduce HIV risks among Malay-Muslim MSM.

Matched MeSH terms: Homophobia*
Reliability and validity of the Malay version of Attitudes toward Lesbians and Gay Men (MVATL/MVATG): a study on a group of medical students in Malaysia

Ng CG, Tan LK, Gill JS, Koh OH, Jambunathan S, Pillai SK, et al.

Asia Pac Psychiatry, 2013 Apr;5 Suppl 1:118-22.
PMID: 23857847 DOI: 10.1111/appy.12056

INTRODUCTION: This study aims to examine the validity and reliability of the Malay version of Attitudes toward Lesbians and Gay Men (MVATL/MVATG) among a group of medical students in Malaysia.
METHODS: It is a cross-sectional study of 173 medical students in the Faculty of Medicine, University of Kuala Lumpur, Malaysia. The participants were given the MVATL/MVATG, Index of Attitudes toward Homosexuals (IATH), Homosexuality Attitude Scale (HAS) and the English version of Attitude toward Lesbians and Gay Men. Two weeks later, these students were given the MVATLG again.
RESULTS: Significant correlation was found between the individual scores of MVATL and MVATG with IATH and HAS in the results. The scale was able to differentiate Muslim and Non-Muslim subjects. The internal consistency (Cronbach's alpha) of both the MVATL and MVATG were good, at 0.76 and 0.82, respectively. The parallel form reliability (Pearson's correlation) of MVATL was 0.0.73 and 0.74 for MVATG. The test-retest reliability of MVATL/MVATG was good (Intraclass correlation coefficient, ICC = 0.67 for MVATL and 0.60 for MVATG).
DISCUSSION: The MVATLG demonstrated good psychometric properties in measuring attitudes toward homosexuality among a group of medical students in Malaysia and it could be used as a simple instrument on young educated Malaysian adults.
KEYWORDS: Malaysia; attitude; gay men; homosexuality; lesbians; validation

Matched MeSH terms: Homophobia/psychology; Homophobia/statistics & numerical data
Fulltext Association between sexual orientation acceptance and suicidal ideation, substance use, and internalised homophobia amongst the pink carpet Y cohort study of young gay, bisexual, and queer men in Singapore

Ong C, Tan RKJ, Le D, Tan A, Tyler A, Tan C, et al.

BMC Public Health, 2021 05 22;21(1):971.
PMID: 34022843 DOI: 10.1186/s12889-021-10992-6

BACKGROUND: Gay, bisexual and queer (GBQ) men are frequently subjected to minority stressors that have negative impacts on their health. Milestones that include the acceptance and disclosure of sexual identity amongst GBQ men are hence key instruments in understanding the prevalence of internalised homophobia and predicting health outcomes. As such, this work takes a novel approach to deduce the correlates of delayed acceptance of sexual orientation in young GBQ men as a measure of internalised homophobia through retrospective self-reporting and age-based analysis.
METHODS: Participants were recruited as part of a cohort study exploring the syndemic risks associated with HIV acquisition among young GBQ men in Singapore. We examined their levels of internalised, perceived, experienced homophobia, as well as their health behaviours and suicidal tendencies. Two separate variables were also self-reported by the participants - the age of questioning of sexual orientation and the age of acceptance of sexual orientation. We subsequently recoded a new variable, delayed acceptance of sexual orientation, by taking the difference between these two variables, regressing it as an independent and dependent variable to deduce its psychosocial correlates, as well as its association with other measured instruments of health.
RESULTS: As a dependent variable, delayed acceptance of sexual orientation is positively associated with an increase of age and internalised homophobia, while being negatively associated with reporting as being gay, compared to being bisexual or queer. As an independent variable, delayed acceptance of sexual orientation was associated with a delayed age of coming out to siblings and parents, suicide ideation, historical use of substances including smoking tobacco cigarettes and consuming marijuana, as well as reporting higher levels of experienced, internalised and perceived homophobia.
CONCLUSION: Greater levels of early intervention and efforts are required to reduce the heightened experience of minority stress resulting from communal and institutional hostilities. Areas of improvement may include community-based counselling and psychological support for GBQ men, while not forsaking greater education of the social and healthcare sectors. Most importantly, disrupting the stigma narrative of a GBQ 'lifestyle' is paramount in establishing an accepting social environment that reduces the health disparity faced by GBQ men.

Matched MeSH terms: Homophobia
Fulltext Stigma toward men who have sex with men among future healthcare providers in Malaysia: would more interpersonal contact reduce prejudice?

Earnshaw VA, Jin H, Wickersham JA, Kamarulzaman A, John J, Lim SH, et al.

AIDS Behav, 2016 Jan;20(1):98-106.
PMID: 26324078 DOI: 10.1007/s10461-015-1168-x

Men who have sex with men (MSM) living in countries with strong stigma toward MSM are vulnerable to HIV and experience significant barriers to HIV care. Research is needed to inform interventions to reduce stigma toward MSM in these countries, particularly among healthcare providers. A cross-sectional survey of 1158 medical and dental students was conducted at seven Malaysian universities in 2012. Multivariate analyses of variance suggest that students who had interpersonal contact with MSM were less prejudiced toward and had lower intentions to discriminate against MSM. Path analyses with bootstrapping suggest stereotypes and fear mediate associations between contact with prejudice and discrimination. Intervention strategies to reduce MSM stigma among healthcare providers in Malaysia and other countries with strong stigma toward MSM may include facilitating opportunities for direct, in-person or indirect, media-based prosocial contact between medical and dental students with MSM.

Matched MeSH terms: Homophobia
A Qualitative Study of Young Men Who Have Sex With Men and Multilevel Factors Related to HIV Risks in Malaysia

Burch WJ, Hart GJ, Lim SH

AIDS Educ Prev, 2018 04;30(2):85-95.
PMID: 29688771 DOI: 10.1521/aeap.2018.30.2.85

Young men who have sex with men (YMSM) are a group at high risk for HIV infection, yet no research has been conducted to understand this population in Malaysia. Semistructured interviews from a combination of YMSM aged 18-25 (n = 20) and local service providers of sexual health services (n = 4) were conducted from May to June 2015. Thematic analysis was used to identify common themes in participant responses from transcripts. Participants reported societal and internalized homophobia, an absence of sex education and difficulty accessing confidential HIV testing. This study provides insights into how homophobia in Malaysian society influences individual risk behavior for HIV in Malaysian YMSM, and makes practical suggestions for more effective HIV prevention in this population.

Matched MeSH terms: Homophobia