Sexual Identity Visibility and Compounding Stigma in the Familial Context: Life Histories Among Filipino MSMs Living with HIV

Abstract

Stigma remains to be a major barrier to addressing the sustained rise of human immunodeficiency virus (HIV) infections in the Philippines. Gay, bisexual, and other men who have sex with other men (MSMs) (G/B/MSM) living with HIV experience compounded stigma due to their sexual identity and HIV seropositive status. The family has been identified as one of the main sources of homonegativity and HIV-related discrimination. Drawing from the family life histories of 31 Filipino MSMs living with HIV, the authors demonstrate the concept of compounding stigma, which posits that the extent and nature of gender- and sexuality-based stigma experienced in early life may potentiate or mitigate the experience of HIV stigma in later life in the context of the family. Narrative analysis of the family life histories reveals a central factor that shaped the sexual development and stigma experiences of MSMs living with HIV: sexual identity visibility in the family (SIVF) – the family’s extent of knowledge and/or acceptance of their sexuality. Three core narratives emerged from the data that categorize informants based on the type of SIVF present in their family life viz. full, partial, and invisible. Results also trace the resultant life trajectories for each core narrative and reveal three forms of compounding stigma: low compounding stigma or compounding acceptance, compounding enacted stigma, and compounding internalized stigma.

Citation

Cleofas, J.V. and Erasga, D. (2023), "Sexual Identity Visibility and Compounding Stigma in the Familial Context: Life Histories Among Filipino MSMs Living with HIV", Gregorio, V.L., Batan, C.M. and Blair, S.L. (Ed.) Resilience and Familism: The Dynamic Nature of Families in the Philippines (Contemporary Perspectives in Family Research, Vol. 23), Emerald Publishing Limited, Leeds, pp. 145-161. https://doi.org/10.1108/S1530-353520230000023009