Yudhi Setiawan
Palembang City Health Office

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Non-Disclosure of Sexual Orientation of Men Having Sex With Men (MSM): A Hidden Threat of HIV Transmission in Palembang, Indonesia Namirah Adelliani; Najmah Najmah; Zico Ariesandi; Fenty Aprina; Yudhi Setiawan; Misnaniarti Misnaniarti; Yulyana Kusuma Dewi; Adeleine Silva Vanessa; Sari Andajani
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 2 (2023): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2023.14.2.147-161

Abstract

Men who engage in sexual relationships with other men (MSM) are consider a high-risk group for HIV transmission, with MSM in Indonesia accounting for 17.9% cases of HIV in 2020. This qualitative study aimed to understand better the factors determining MSMs' motivation to disclose their sexual orientation. This research employed a phenomenological approach to explore the disclosure experiences of MSM in Palembang City. In-depth interviews and observations were conducted with 11 purposively recruited MSM informants and five MSM outreach workers to ensure data triangulation. Documentation and observations of the participants were conducted during various activities at the Intan Maharani Foundation (IMF). MSM participants observed extreme caution when disclosing their sexual orientation and only chose to reveal their sexual orientation to a very limited network, such as close friends, who areĀ  MSM, and at risk of HIV transmission. The hesitation to disclosing sexual orientation may be linked to the fact that only a few MSM had ever undergone an HIV test. MSMs, if they choose to, could share their status with Field Outreach (FO) during routine health check-ups. Findings of this study call for further research on barriers that hinder MSM from openly discussing their sexual orientation. Such research can inform policy and program developers on how to improve services, promote health literacy, foster confidence and trust among MSMs, hence facilitating their access to HIV services, enabling them to disclose their HIV status confidentially, safely, and in a respectful environment.