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Understanding and Challenging Stigma toward ... - Pact Cambodia

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Naming<br />

<strong>Stigma</strong><br />

<strong>toward</strong><br />

MSM<br />

The main causes of stigma are:<br />

Moral judgments – Because MSM are viewed as practicing sex (male to<br />

male sex, oral sex, anal sex) which breaks social norms <strong>and</strong> which is seen as<br />

immoral.<br />

Fear <strong>and</strong> ignorance – people have little underst<strong>and</strong>ing about the lives <strong>and</strong><br />

sexuality of MSM so out of ignorance they judge MSM unfairly. They are<br />

prejudiced <strong>toward</strong> people who behave differently.<br />

Appearance – MSM who are effeminate in their behavior (e.g., MSM long<br />

hair) are judged harshly because their appearance differs from what is<br />

considered normal or appropriate for men.<br />

Long hair MSM are visible to the public so they are stigmatized largely for their<br />

gender expression (dress <strong>and</strong> body language). Short hair MSM, on the other<br />

h<strong>and</strong>, are less visible, are often married to women, so they can hide the fact<br />

that they are MSM <strong>and</strong> are sometimes less stigmatized. MSM short hair, for<br />

example, can often use clinics without being hassled, except where they have<br />

to reveal their sexual orientation.<br />

<strong>Stigma</strong> <strong>toward</strong> MSM makes them feel despised <strong>and</strong> rejected, like outcasts. As a<br />

result MSM often avoid using health services <strong>and</strong> may take less care about<br />

their sexual health, e.g., not using condoms regularly <strong>and</strong> consistently with all<br />

sexual partners.This may put MSM at higher risk of contracting HIV <strong>and</strong> as a<br />

result MSM may pass HIV to their male <strong>and</strong> female partners, as MSM often<br />

have sex with both men <strong>and</strong> women, <strong>and</strong> are often married. In this way stigma<br />

<strong>toward</strong> MSM helps to fuel the general HIV epidemic.<br />

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