Health behaviors in the development and maintenance process of homosexual identity

Thaidharmarose Patthum1, Pattapong Kessomboon, Narumon Sinsuphan

  • 1Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Abstract

Insights

Health behaviors of men who have sex with men (MSM) vary across homosexual identity development stages. Understanding these behaviors is crucial for targeted health promotion and policy development for MSM.

Area of Science:

  • Sociology
  • Psychology
  • Public Health

Background:

  • Men who have sex with men (MSM) exhibit diverse health behaviors impacting their overall health status.
  • Significant HIV infection rates (15.4%) and mental health concerns (30% of youth suicides) are noted within this population.
  • Understanding the nuances of MSM health behaviors is critical for effective public health interventions.

Purpose of the Study:

  • To explore the health behaviors of men who have sex with men (MSM) within the context of their identity development and maintenance.
  • To identify factors influencing the health behaviors of MSM throughout their lives.

Main Methods:

  • Qualitative study employing in-depth interviews and participant observation over 17 months.
  • Snowball sampling used for participant recruitment in Mukdahan province, Thailand.
  • Data analysis involved content analysis and triangulation, compared against Troiden's stages of homosexual identity.

Main Results:

  • Eleven Thai MSM participated, revealing varied health behaviors aligned with Troiden's identity development stages.
  • Physical, psychological, social, and sexual health behaviors were identified across different stages.
  • Both health-promoting and health-undermining factors were found to influence MSM health behaviors.

Conclusions:

  • MSM health behaviors are dynamic and stage-dependent in relation to homosexual identity.
  • Health promotion strategies and policies for MSM must be tailored to these developmental stages.
  • Further research into specific behavioral patterns at each stage is warranted.

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