DOI: https://doi.org/10.14710/jpki.20.4.%25p

Self-disclosure of Men Having Sex with Men (MSM) as an Effort to Prevent HIV and AIDS

Dhea Ninda Putri  -  Faculty of Public Health, University of Jember, Indonesia
Erwin Nur Rif'ah  -  Faculty of Public Health, University of Jember, Indonesia
*Dewi Rokhmah orcid scopus  -  Faculty of Public Health, University of Jember, Indonesia
Open Access Copyright (c) 2025 Authors under http://creativecommons.org/licenses/by-sa/4.0.

Citation Format:
Abstract

Background: The HIV epidemic in Indonesia is still a major health problem, especially among men who have sex with men (MSM). The high prevalence of HIV in MSM is influenced by fear of stigma, discrimination, or negative consequences. Self-disclosure is an important aspect of efforts to prevent HIV and AIDS, but there are still MSM who experience obstacles related to self-disclosure.

Method: This study uses a qualitative approach with a phenomenological method. The main informants consisted of 10 MSM domiciled in the Jember Regency, selected using the snowball technique. Source triangulation was carried out by involving HIV and AIDS NGO companions, peers, partners, and health workers. Data collection was carried out through in-depth interviews, while data analysis used the Interpretative Phenomenological Analysis (IPA) method.

Result: The results of the study showed that self-disclosure in MSM was influenced by several main factors, namely motivation, intensity, accuracy of feedback, time, and depth and breadth of information shared. The majority of informants felt comfortable opening up to peers and MSM friends compared to family or health workers. Negative feedback from the social environment tended to inhibit openness, while positive support could increase motivation to share information. This study emphasizes the importance of a supportive environment, especially in health services, to increase openness in HIV and AIDS prevention efforts. A supportive environment, especially in health services, is essential to increase openness in HIV and AIDS prevention efforts. The suggestion given is to conduct health promotion to increase self-disclosure of MSM in preventing HIV and AIDS, which can be done through education, social support, and increasing access to health services

Note: This article has supplementary file(s).

Fulltext View|Download |  common.other
SERTIFIKAT LAIK ETIK
Subject
Type Other
  Download (180KB)    Indexing metadata
 Research Instrument
Guide Interview
Subject
Type Research Instrument
  Download (65KB)    Indexing metadata
Keywords: health services;MSM;HIV and AIDS;self-disclosure

Article Metrics:

Article Info
Section: Research Article
Language : EN
Recent articles
Level of Knowledge, Mother's Perception, and Family Support with Exclusive Breastfeeding Factors Associated with the Activeness of Posyandu Cadres in Providing Supplementary Food in Banyuasin District Self-disclosure of Men Having Sex with Men (MSM) as an Effort to Prevent HIV and AIDS More recent articles
Most cited articles
Niat Tenaga Kerja Indonesia (TKI) di Jawa Tengah Dalam Upaya Mencegah Tertular HIV dan AIDS Faktor Risiko Kejadian Low Back Pain Pada Operator Tambang Sebuah Perusahaan Tambang Nickel Di Sulawesi Selatan Faktor-faktor yang Mempengaruhi Pemanfaatan Jamban Keluarga di Kecamatan Jatibarang Kabupaten Brebes Non Disclosure Of HIV Positive Status Of Women To Their Partner : Implication For PMTCT Perilaku Kepatuhan Perawat Melaksanakan SOP Terhadap Kejadian Keselamatan Pasien di Rumah Sakit X Kendari More cited articles
  1. Afriana N, Luhukay L, Mulyani PS. Laporan Tahunan HIV AIDS 2022 [Internet]. Available from: http://p2p.kemkes.go.id/wp-content/uploads/2023/06/FINAL_6072023_Layout_HIVAIDS-1.pdf
  2. Wardani EM, Setiawan AH, Bistara DN. Studi Perilaku Seks Menyimpang Terhadap Kejadian Hiv Fase Laten Pada Komunitas Lelaki Seks Lelaki (Lsl) di LSM Kompeda Surabaya. J Keperawatan dan Kesehat Masy Cendekia Utama. 2020;9(1):93
  3. WHO. Men who have sex with men [Internet]. Available from: https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/populations/men-who-have-sex-with-men#:~:text=The estimated median HIV prevalence,compared to the general population
  4. Kementerian Kesehatan RI. Laporan Eksekutif Perkembangan HIV AIDS dan PIMS tahun 2023 [Internet]. Available from: https://hivaids-pimsindonesia.or.id/download?kategori=Laporan Eksekutif
  5. Kementerian Kesehatan RI. Laporan Tahunan HIV dan PIMS [Internet]. Available from: https://hivaids-pimsindonesia.or.id/download?kategori=Laporan Triwulan
  6. Dinas Kesehatan Jember. Analisa Situasi HIV/AIDS di Kabupaten Jember [Internet]. Available from: https://ppid.jemberkab.go.id/storage/dip-dikecualikan/7WhJreTqH3UScJ9DCAqjh8TfsTLgtyfhPKy4Le5U.pdf
  7. Khamid MN, Marchianti ACN, Rokhmah D. Predisposing Characteristic of MSM (Men who Have Sex with Men) in Utilizing of CST (Care Support and Treatment) Services in Jember District. Heal Notions. 2018;2(4):483–6
  8. Sianturi SR, Sianipar T. Tingkat Pengetahuan Siswa Terhadap Stigma Pada Odha. J Keperawatan Widya Gantari Indones. 2023;7(1):18–25
  9. Jaringan Indonesia Positif. People Living with HIV [Internet]. Available from: https://jip.or.id/people-living-with-hiv-stigma-index-2-0-in-indonesia/
  10. UNAIDS. Data Dashboard Men who have sex with men: Avoidance of health care because of stigma and discrimination [Internet]. Available from: https://aphub.unaids.org/
  11. Iott BE, Loveluck J, Benton A, Golson L, Kahle E, Lam J, et al. The impact of stigma on HIV testing decisions for gay, bisexual, queer and other men who have sex with men: a qualitative study. BMC Public Health. 2022;22(1):1–17
  12. Nafisah L, Riono P, Muhaimin T. Do stigma and disclosure of HIV status are associated with adherence to antiretroviral therapy among men who have sex with men? HIV AIDS Rev. 2021;19(4):244–51
  13. Sidjabat FN, Prihartono NA, Syarif S, Damayanti R, Ambarwati S. Experience and Perceptions of Self-disclosure Among People Living With HIV (PLHIV): A Qualitative Study. Malaysian J Med Heal Sci. 2024;20(9):120–7
  14. Saputra MRW, Nasvian MF. Self-Disclosure CA: Pengungkapan Identitas Seksual Seorang Gay. JIIP - J Ilm Ilmu Pendidik. 2022;5(6):2049–59
  15. Carraher E, Smith R, DeLisle P. Johari Window Model [Internet]. Available from: Leading collaborative Architectural Practice. 2017. 320 p. https://www.researchgate.net/publication/319608633_Johari_Window_Mode
  16. Indah K, Andriani P, Akbar T, Yunanto R. Menguak Budaya Curhat : Studi Perbandingan Self-disclosure pada Budaya Individualistik dan Kolektivis Uncovering the Culture of Confiding : A Comparative Stud. Anthropos : Jurnal Antropologi Sosial dan Budaya (Journal of Social and Cultural Anthropology). 2024;10(1):153–65
  17. Durand C. A Comparative Study of Self-Disclosure in Face-to-Face and Email Communication Between Americans and Chinese. Sr Honor Proj [Internet]. Available from: http://digitalcommons.uri.edu/srhonorsprog/197
  18. Sun CJ, Tobin K, Spikes P, Latkin C. Correlates of same-sex behavior disclosure to health care providers among Black MSM in the United States: implications for HIV prevention. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2019;31(8):1011–8
  19. Martiana I, Waluyo A, Yona S, Edianto. A secondary analysis of peer support and family acceptance among homosexual living with HIV and antiretroviral therapy: Quality of life perspectives. J Keperawatan Indones. 2021;24(1):1–8
  20. Rahmayanti AF, Ediati A. Pertemanan Online Dan Pengungkapan Diri Pada Dewasa Awal Pengguna Instagram. J EMPATI. 2022;11(5):325–31
  21. Kusuma R, Pebrianti DK, Yesni M, Yanti RD. Studi Fenomenologi: Pengalaman Adaptasi Penderita Penyakit Menular Seksual. J Akad Baiturrahim Jambi. 2023;12(1):174
  22. Suryaman A, Waluyo A. Faktor-faktor yang berhubungan dengan keterbukaan status hiv pada odha lsl. J Keperawatan. 2020;12(2):161–72
  23. Kusiki J. Self-Disclosure Gay Terhapad Keluarga Mengenai Orientasi Seksualnya. Jurnal E-Komunikasi. 2016;4(2)
  24. Nowell C, Pfeifer J, Enticott P, Silk T, Vijayakumar N. The value of self-disclosure to parents and peers during adolescence Clare Nowell. 2021;1–35
  25. Nasrullah F, Widyastuti D. Dukungan sosial : Faktor penguat self-disclosure pada remaja. Prosiding Seminar Nasional Bimbingan dan Konseling Universitas Ahmad Dahlan. 2022:1257–65
  26. Asmayulia A, Rohmah AN. Pengungkapan Diri (Self-disclosure) Ditinjau dari Teori Communnication Privacy Management Pada Penggunaan Fitur Close Friend di Instagram. eJournal Ilmu Komun. 2023(3):183–97
  27. Wibisono HEG, Pratisti WD. Self-Disclosure of Generation Z. Int Summit Sci Technol Humanit. 2022(1):282–8
  28. Santoso BR. Manajemen Privasi Komunikasi Majlis Sema’an Al-Qur’Ān Jantiko Mantab Dan Dzikrul Ghōfīlīn. Islam Commun J. 2019;4(1):1
  29. Nuraeni N made, Yuliyatni P. Faktor-faktor yang berhubungan dengan perilaku memulai penggunaan pre-exposure prophylaxis pada lelaki seks lelaki di kota Denpasar. J Hari Reg. 2023;10

Last update:

No citation recorded.

Last update: 2025-09-26 18:19:21

No citation recorded.