Sexual Experiences of Men who have Sex with Men (MSM) with HIV/AIDS (A Phenomenological Study in Madiun Regency)

Male Sex Workers (MSM) are a population at high risk of contracting HIV/AIDS, with an increasing prevalence. The stigma and discrimination experienced by LSL have a significant impact on their mental health and sexual behavior. This research aims to explore the sexual experiences of MSL who HIV/AIDS patients in Madiun Regency are, using a phenomenological approach. The qualitative phenomenological study involved 7 main informants who are MSL living with HIV/AIDS patients and 2 key informants. Data were collected through in-depth interviews, observations, and documentation, then analyzed using data reduction, data presentation, and conclusions drawn. The experiences of LSL are divided into open and closed behaviors. Overt behaviors include stigma/discrimination (reported by 5 out of 7 informants), fear of rejection, and feelings of guilt (reported by all informants). Covert behaviors include disclosure of identities that vary from childhood to adulthood, participation in the LSL community (all informants), and sexual activity, which some informants continue to engage in despite knowing their HIV-positive status. The social stigma attached to MSM living with HIV/AIDS affects their mental health and sexual behavior. Interventions such as health education, routine check-ups, psychological counseling, and strengthening community support are needed to reduce HIV transmission rates.