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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.
Background:
Health behaviors of men who have sex with men (MSM) affect their health status in many aspects. Rate of HIV infection among Thai male prostitutes in 2005 was 15.4%. Among these, 28.3% were MSM. Thirty percent of youth suicides were conducted by gays and lesbians.
Objective:
To explore the health behaviors related to the development and maintenance process of men who have sex with men.
Material And Method:
This was a qualitative study. The study population was MSM in Mukdahan province. The subjects were recruited gradually, by snowball sampling, until the required data were saturated. In-depth interviews and participant observations were performed over a period of 17 months. A triangulation technique was applied to check reliability of the data. Data were analyzed by content analysis and compared with the Troiden's stages of development and maintenance process of homosexual identity.
Results:
Eleven Thai MSM were recruited and followed up. Health behaviors of them were different according to the stages of development and maintenance process regarding Troiden's theory. Physical, psychological, social and sexual aspects of health behaviors were identified in various stages. It was found that many factors affect health behaviors of MSM. These include health promoting and undermining factors.
Conclusion:
Health behaviors of MSM varied in each stage of development and maintenance of homosexual identity. Health promotion campaigns and policies for MSM should be designed accordingly.
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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