HIV Risk Behaviors and Psychological Well-Being Among Men Who Have Sex With Men (MSM) in Kuala Lumpur, Malaysia.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Aids Education and Prevention Pub Date : 2022-10-01 DOI:10.1521/aeap.2022.34.5.427

Tooru Nemoto, Hui Xie, Mariko Iwamoto, Kirsten Piroth, Mohammad Hazratzai, Yik Koon Teh

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引用次数: 2

Abstract

HIV risk behaviors and psychological well-being among men who have sex with men (MSM) in Kuala Lumpur, Malaysia (n = 140), were quantitatively described in relation to demographic and psychosocial factors. Most participants were tested for HIV and 41.4% reported living with HIV. Malay participants had significantly higher levels of depression (p < .05), homophobia (p < .01), and needs for social support (p < .01) than Chinese. More Chinese participants reported suicidal thoughts than Malaysians (p < .05). A multivariate analysis revealed that participants with gay/MSM-identified or had lower levels of self-esteem showed significantly higher levels of depression. Future intervention projects should address depression and mental health issues among MSM and strengthen self-esteem and social support through culturally competent support and individual counseling programs (e.g., addressing MSM's conflicts with religious beliefs and norms). Structural changes must be made incrementally to reduce homophobia against MSM in Malaysia while advocating human rights.

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马来西亚吉隆坡男男性行为者的艾滋病毒风险行为和心理健康。

对马来西亚吉隆坡男男性行为者(MSM)的艾滋病毒风险行为和心理健康状况(n = 140)与人口统计学和社会心理因素的关系进行了定量描述。大多数参与者接受了艾滋病毒检测，41.4%的人报告感染了艾滋病毒。马来人的抑郁水平(p < 0.05)、同性恋恐惧症(p < 0.01)和社会支持需求(p < 0.01)显著高于华人。有自杀念头的中国人多于马来西亚人(p < 0.05)。一项多变量分析显示，被认定为同性恋/男同性恋者或自尊心较低的参与者明显表现出较高的抑郁水平。未来的干预项目应该解决男同性恋者的抑郁和心理健康问题，并通过有文化能力的支持和个人咨询方案(例如，解决男同性恋者与宗教信仰和规范的冲突)加强自尊和社会支持。在倡导人权的同时，必须逐步进行结构性改革，以减少马来西亚对男同性恋者的同性恋恐惧症。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.