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Clinics as spaces of costly disclosure

HIV/STI testing and anticipated stigma among gay, bisexual and queer men

Bibliographic Data

ID15099780
AuthorsRayner Kay Jin Tan (0000-0002-9188-3368, Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, corresponding author), Nashwinder Kaur (National Centre for Infectious Diseases), Pratap Kumar (0000-0002-3778-3518, National Centre for Infectious Diseases), P Arun Kumar (National Centre for Infectious Diseases), Evonne Tay (0000-0002-6235-466X, Saw Swee Hock School of Public Health, National University of Singapore and National University Health System), Amanda Leong (0000-0002-5064-8855, National Centre for Infectious Diseases), Mark I-Cheng Chen (0000-0001-9369-5830, Saw Swee Hock School of Public Health, National University of Singapore and National University Health System), Chen Seong Wong (0000-0003-3127-2853, National Centre for Infectious Diseases)
Year2020
Volume22
Issue3
Pages307-320
Publication date2020-03-03
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2019.1596313
PMID30975036
OpenAlexW2940252196
LanguageEN
Citations received15
References cited23

Gay, bisexual and queer men in Singapore are disproportionately represented in prevalent HIV infections, relative to the general population. While anticipated stigma has been found to be a barrier to HIV/STI testing among gay, bisexual and queer men, little effort has been made to contextualise such stigma within the broader sociocultural milieu. We conducted 35 in-depth interviews with a purposively recruited sample of men in Singapore with a focus on topics such as sexual identity development, formative sexual experiences and HIV/STI testing experience. Interviews were analysed through thematic analysis using techniques borrowed from a grounded theory approach. Participants drew on their past interactions with family, friends, religion, the gay, bisexual and queer men's community and the wider society to construct meanings of deviance in the context of their sexuality. Participants articulated how anticipated stigma was rooted in such deviance, and how clinics or other HIV/STI-related health services served as physical spaces of costly disclosure by exposing or imposing 'deviant' identities on individuals who access these physical spaces, which were otherwise concealed. Findings from the study provide a framework for actions and interventions to address the roots of anticipated stigma in the context of HIV/STI testing among gay, bisexual and queer men

Developmental psychology · Family medicine · Homosexuality · Human sexuality · Men who have sex with men · Population · Psychiatry · Psychological intervention · Qualitative research · Queer · Sexual identity · Sexual orientation · Sociology · Syphilis · Thematic analysis · Demography · Gender Studies · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology

  • Exploring the role of trauma in underpinning sexualised drug use (‘chemsex’) among gay, bisexual and other men who have sex with men in Singapore

    Open Access•Rayner Kay Jin Tan, Krish Phua et al.•International Journal of Drug…•2021

  • 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

    Open Access•Clarence Ong, Rayner Kay Jin Tan et al.•BMC Public Health•2021

  • Delineating patterns of sexualized substance use and its association with sexual and mental health outcomes among young gay, bisexual and other men who have sex with men in Singapore

    Open Access•Rayner Kay Jin Tan, Caitlin Alsandria O’Hara et al.•BMC Public Health•2021

  • Sexual Orientation, Gender, and HIV-Related Stigma or Discrimination Among Gay and Bisexual Men and Non-Binary People in Australia

    Open Access•Simin Yu, James Macgibbon et al.•Sexuality Research and Social…•2026

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    Sophie B To, Jaz Gray et al.•Health Communication•2024

  • Minority statuses and mental health outcomes among young gay, bisexual and queer men in Singapore

    Rayner Kay Jin Tan, Daryl W J Yang et al.•Journal of LGBT Youth•2021

  • Belonging, Citizenship and Ambivalence among Young Gay, Bisexual and Queer Indian Singaporean Men

    Sujith Kumar Prankumar, Peter Aggleton et al.•Asian Studies Review•2020

  • Body image dissatisfaction and its association with homophobia, outness, depression severity, and suicide among young gay, bisexual, queer, and transgender men in Singapore

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  • The Role of PrEP Initiation on Depression Severity, HIV-Related Anxiety, HIV Stigma, and PrEP Stigma Among Sexual Minority Men in Singapore

    Open Access•Kuhanesan N C Naidu, Clarence Ong et al.•AIDS and Behavior•2025

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  • Individual, interpersonal, and situational factors influencing HIV and other STI risk perception among gay, bisexual, and other men who have sex with men

    Rayner Kay Jin Tan, Nashwinder Kaur et al.•AIDS Care•2020

  • I miss being honest’

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  • Experiences of conflict, non-acceptance and discrimination are associated with poor mental well-being amongst LGBTQ-identified individuals in Singapore

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  • Developing a Typology of HIV/STI Testing Patterns Among Gay, Bisexual, and Queer Men

    Open Access•Rayner Kay Jin Tan, Nashwinder Kaur et al.•Qualitative Health Research•2020

  • Out of DSM

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  • Is HIV/Aids Stigma Dividing the Gay Community? Perceptions of HIV–positive Men Who Have Sex With Men

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Citations per year2.5
Citation span2020 - 2026 (7)
Highly citedNo

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