Current Research Involving LGBTQ People in Malaysia: A Scoping Review Informed by a Health Equity Lens

Main Article Content

Kyle Kar Hou Tan
Kai Wei Lee
Zien Wei Cheong

Abstract

In Malaysia, lesbian, gay, bisexual, transgender, and queer people (collectively known as LGBTQ) are subjected to cisheterosexism that criminalizes, pathologizes, and marginalizes their identities. Given the relative cisheterosexist nature of Malaysian society, it is important to scrutinize the current trend of research studies that have recruited LGBTQ people as subjects. The present study comprises a scoping review of existing Malaysian studies involving LGBTQ people, as we set out to provide an overview of study characteristics, research methods, and literature gaps. Through systematic searches in the Malaysian Citation Index, PsycINFO, and PubMed databases, as well as additional hand searches, we included forty-four studies in this review. Our review noted many Malaysian LGBTQ studies explicitly focused on related topics of sexually transmitted infections (STIs) (41%), men who have sex with men (39%), trans women (30%), and people from Kuala Lumpur (25%). Our review also uncovered STI risks, living experiences in relation to cisheterosexism, and barriers to access safe-sex measures, healthcare, and social support among Malaysian LGBTQ people. Drawing from the health equity framework, we provided recommendations for future LGBTQ research in Malaysia to avoid utilizing a pathological lens that stands in contrast with LGBTQ-affirming approaches, as well as to engage LGBTQ members throughout all research phases.

Article Details

How to Cite
Tan, K. K. H., Lee, K. W., & Cheong, Z. W. (2021). Current Research Involving LGBTQ People in Malaysia: A Scoping Review Informed by a Health Equity Lens. Journal of Population and Social Studies [JPSS], 29(-), 622–643. Retrieved from https://so03.tci-thaijo.org/index.php/jpss/article/view/254633
Section
Research Articles
Author Biography

Kyle Kar Hou Tan, Trans Health Research Lab, School of Psychology, University of Waikato, Hamilton, New Zealand

Corresponding author

References

• Adams, N., Pearce, R., Veale, J., Radix, A., Castro, D., Sarkar, A., & Thom, K. C. (2017). Guidance and ethical considerations for undertaking transgender health research and Institutional Review Boards adjudicating this research. Transgender Health, 2(1), 165-175. https://doi.org/10.1089/trgh.2017.0012
• Ahmad, M. I., Adnan, H. A., Abd Satar, J., Sulaiman, W. S. W., Wan Azreena, J., Zainal Abidin, J., & Wan Mohd Zain, W. M. S. (2015). Faktor dan cara gaya hidup serta kemungkinan kembali pulih dalam kalangan lesbian: Satu kajian kes. [(Lifestyle Factors and Possible Recovery among Lesbians: A Case Study]. e-Bangi : Journal of Social Sciences and Humanities, 10(1), 1-15. https://ejournal.ukm.my/ebangi/article/view/11032
• Akhir, N. M., Abdullah, F., & Kamaluddin, M. R. (2019). Faktor pengaruhi mahasiswa terlibat dalam LGBT di institusi pengajian tinggi awam di Lembah Klang [Factor that influence students to be involved in LGBT Activities at public higher education institutions in Klang Valley]. Perdana: International Journal of Academic Research, 6(2), 50-62. https://perdanajournal.com/index.php/perdanajournal/article/view/65
• Ansara, Y. G., & Hegarty, P. (2012). Cisgenderism in psychology: Pathologising and misgendering children from 1999 to 2008. Psychology & Sexuality, 3(2), 137-160. https://doi.org/10.1080/19419899.2011.576696
• Anton, B. S. (2010). Proceedings of the American Psychological Association for the legislative year 2009: Minutes of the annual meeting of the Council of Representatives and minutes of the meetings of the Board of Directors. American Psychologist, 65(5), 385-475. https://doi.org/10.1037/a0019553
• Baba, I. (2001). Gay and lesbian couples in Malaysia. Journal of Homosexuality, 40(3-4), 143-163. https://doi.org/10.1300/J082v40n03_08
• Bartholomaeus, C., & Riggs, D. W. (2017). Transgender people and education. Palgrave Macmillan. https://doi.org/10.1057/978-1-349-95309-7
• Bourne, A., Cassolato, M., Thuan Wei, C. K., Wang, B., Pang, J., Lim, S. H., Azwa, I., Yee, I., & Mburu, G. (2017). Willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia: Findings from a qualitative study. Journal of the International AIDS Society, 20(1), 21899. https://doi.org/10.7448/ias.20.1.21899
• Brown, J., Low, W. Y., Tai, R., & Tong, W. T. (2016). Shame, internalized homonegativity, and religiosity: A comparison of the stigmatization associated with minority stress with gay men in Australia and Malaysia. International Journal of Sexual Health, 28(1), 28-36. https://doi.org/10.1080/19317611.2015.1068902
• Burch, W. J., Hart, G. J., & Lim, S. H. (2018). A qualitative study of young men who have sex with men and multilevel factors related to HIV risks in Malaysia. AIDS Education and Prevention, 30(2), 85-95. https://doi.org/10.1521/aeap.2018.30.2.85
• Cheah, W. H., & Singaravelu, H. (2017). The coming-out process of gay and lesbian individuals from Islamic Malaysia: Communication strategies and motivations. Journal of Intercultural Communication Research, 46(5), 401-423. https://doi.org/10.1080/17475759.2017.1362460
• Dangerfield, D. T., II., Gravitt, P., Rompalo, A. M., Tai, R., & Lim, S. H. (2016). Correlates of anal sex roles among Malay and Chinese MSM in Kuala Lumpur, Malaysia. International Journal of STD & AIDS, 27(4), 313-320. https://doi.org/10.1177/0956462415581125
• Department of Statistics Malaysia. (2020). Current population estimates, Malaysia, 2020. https://www.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=155&bul_id=OVByWjg5YkQ3MWFZRTN5bDJiaEVhZz09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhUUT09
• Draman, S., Maliya, S., Farhan, A., Syazwan, S., Nur’Atikah, A., & Abd Aziz, K. H. (2018). Hormone consumption among mak nyahs in Kuantan town: A preliminary survey. IMJM Medical Journal Malaysia, 17(1), 63-70. https://doi.org/10.31436/imjm.v17i1.301
• Draman, S., Maliya, S., Liyana, A., Farhani, S., Jannah, R., & Razman, M. R. (2016). Psycho-social and spiritual backgrounds, experiences, and needs as a transsexual: A qualitative study within Persatuan Insaf Pahang. IMJM Medical Journal Malaysia, 15(2), 27-36. https://doi.org/10.31436/imjm.v15i2.381
• Draman, S., Maliya, S., Syaffiq, M., Hamizah, Z., Abdul, H. A., & Razman, M. R. (2019). Mak nyahs and sex reassignment surgery – A qualitative study from Pahang, Malaysia. IMJM Medical Journal Malaysia, 18(1), 21-33. https://doi.org/10.31436/imjm.v18i1.223
• Draman, S., Suofeiya, M., Anuar, M. S. L. M., Hussin, M. S. M., Hisham, M. F., Rus, R. M., & Musa, R. (2016). Transgenders in Kuantan, Pahang: Knowledge and attitude towards HIV/AIDS. Revelation and Science, 6(1), 7-16. https://journals.iium.edu.my/revival/index.php/revival/article/view/166
• Felix, M. S. (2014). Stigma as part of identity development of gay men in Penang – A qualitative study. Pertanika Journal of Social Sciences & Humanities, 22(3), 365-377. http://www.pertanika.upm.edu.my/resources/files/Pertanika%20PAPERS/JSSH%20Vol.%2022%20(1)%20Mar.%202014/23%20Page%20365-378%20(JSSH%200648-2012).pdf
• Felix, M. S. (2016). Nature or nurture? A qualitative study of the source of homosexuality. Pertanika Journal of Social Sciences & Humanities, 24(4), 1445-1463. http://www.pertanika.upm.edu.my/resources/files/Pertanika%20PAPERS/JSSH%20Vol.%2024%20(4)%20Dec.%202016/12%20JSSH-1431-2015.pdf
• Felix, M. S. (2017). Disjoint between intention and implementation: The safer sex conundrum of gay men in Penang, Malaysia. Pertanika Journal of Social Sciences & Humanities, 25(1), 221-238. http://www.pertanika.upm.edu.my/resources/files/Pertanika%20PAPERS/JSSH%20Vol.%2025%20(1)%20Mar.%202017/14%20JSSH%20Vol%2025%20(1)%20Mar%202017_1442-2015_pg221-238.pdf
• Fredriksen-Goldsen, K. I., Simoni, J. M., Kim, H. J., Lehavot, K., Walters, K. L., Yang, J., Hoy-Ellis, C. P., & Muraco, A. (2014). The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities. American Journal of Orthopsychiatry, 84(6), 653-663. https://doi.org/10.1037/ort0000030
• Galka, J. M., Wang, M., Azwa, I., Gibson, B., Lim, S. H., Shrestha, R., & Wickersham, J. A. (2020). Willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention and PrEP implementation preferences among transgender women in Malaysia. Transgender Health, 5(4), 258-266. https://doi.org/10.1089/trgh.2020.0003
• Gates, G. J. (2011). How many people are lesbian, gay, bisexual and transgender? UCLA: The Williams Institute. https://escholarship.org/uc/item/09h684X2
• Gibson, B. A., Brown, S. E., Rutledge, R., Wickersham, J. A., Kamarulzaman, A., & Altice, F. L. (2016). Gender identity, healthcare access, and risk reduction among Malaysia's mak nyah community. Global Public Health, 11(7-8), 1010-1025. https://doi.org/10.1080/17441692.2015.1134614
• Hassan, A., & Ghazali, S. (2013). Sexual abuse and childhood traumatic experience: A case study on the psychological health of transsexuals in Malaysia. International Journal of Environment, Society & Space, 1(1), 33-42. http://www.myjurnal.my/filebank/published_article/35984/2.pdf
• Hieu, S. P., & Ng, J. A. (2015). The intersecting ethnic identity on LGB with internalized homophobia and coming out in Malaysia [Honours dissertation] Universiti Tunku Abdul Rahman. http://eprints.utar.edu.my/2320/
• Higbee, M., Wright, E. R., & Roemerman, R. M. (2020). Conversion therapy in the Southern United States: Prevalence and experiences of the survivors. Journal of Homosexuality. https://doi.org/10.1080/00918369.2020.1840213
• Higgins, A., Doyle, L., Downes, C., Murphy, R., Sharek, D., DeVries, J., Begley, T., McCann, E., Sheerin, F., & Smyth, S. (2016). The LGBTIreland Report: National study of the mental health and wellbeing of lesbian, gay, bisexual, transgender and intersex people in Ireland. GLEN and BeLonG To. https://belongto.org/wp-content/uploads/2018/05/LGBT-Ireland-Full-Reportpdf.pdf
• Jain, S. (2018, April 18). Theresa May ‘deeply regrets’ colonial anti-LGBT laws. Human Rights Watch. https://www.hrw.org/news/2018/04/18/theresa-may-deeply-regrets-colonial-anti-lgbt-laws
• Jamal, S. H., Subhi, N., & Amat, S. (2020). Kompetensi kesungguhan dan nilai kaunselor dalam mengendali kaunseling gay dan lesbian [Counsellor’s diligence and value competencies in managing gay and lesbian counseling]. Jurnal Psikologi Malaysia, 34(3), 53-64. http://spaj.ukm.my/ppppm/jpm/article/view/608
• Justice for Sisters. (2021). Justiceforsisters. https://justiceforsisters.wordpress.com/
• Kanter, J., Koh, C., Razali, K., Tai, R., Izenberg, J., Rajan, L., Van Griensven, F., & Kamarulzaman, A. (2011). Risk behaviour and HIV prevalence among men who have sex with men in a multiethnic society: A venue-based study in Kuala Lumpur, Malaysia. International Journal of STD & AIDS, 22(1), 30-37. https://doi.org/10.1258/ijsa.2010.010277
• Koh, K. C., & Kamarulzaman, A. (2011). Profiles of men-who-have-sex-with-men seeking anonymous voluntary HIV counseling and testing at a community-based centre in Malaysia. Medical Journal of Malaysia, 66(5), 491-494. http://www.e-mjm.org/2011/v66n5/HIV.pdf
• Koh, K. C., & Yong, L. S. (2014). HIV risk perception, sexual behavior, and HIV prevalence among men-who-have-sex-with-men at a community-based voluntary counseling and testing center in Kuala Lumpur, Malaysia. Interdisciplinary Perspectives on Infectious Diseases, 2014, 236240. https://doi.org/10.1155/2014/236240
• Lim, S. H., Akbar, M., Wickersham, J. A., Kamarulzaman, A., & Altice, F. L. (2018). The management of methamphetamine use in sexual settings among men who have sex with men in Malaysia. International Journal of Drug Policy, 55, 256-262. https://doi.org/10.1016/j.drugpo.2018.02.019
• Lim, S. H., Alias, H., Kien, J. K. W., Akbar, M., Kamarulzaman, A., & Wong, L. P. (2019). A qualitative study of HIV “test-and-treat” experience among men who have sex with men in Malaysia. AIDS Education and Prevention, 31(3), 193-205. https://doi.org/10.1521/aeap.2019.31.3.193
• Lim, S. H., Bazazi, A. R., Sim, C., Choo, M., Altice, F. L., & Kamarulzaman, A. (2013). High rates of unprotected anal intercourse with regular and casual partners and associated risk factors in a sample of ethnic Malay men who have sex with men (MSM) in Penang, Malaysia. Sexually Transmitted Infections, 89(8), 642-649. https://doi.org/10.1136/sextrans-2012-050995
• Lim, S. H., Brown, S. E., Shaw, S. A., Kamarulzaman, A., Altice, F. L., & Beyrer, C. (2020). “You have to keep yourself hidden”: Perspectives from Malaysian Malay-Muslim men who have sex with men on policy, network, community, and individual influences on HIV risk. Journal of Homosexuality, 67(1), 104-126. https://doi.org/10.1080/00918369.2018.1525946
• Lim, S. H., Cheung, D. H., Guadamuz, T. E., Wei, C., Koe, S., & Altice, F. L. (2015). Latent class analysis of substance use among men who have sex with men in Malaysia: Findings from the Asian Internet MSM Sex Survey. Drug and Alcohol Dependence, 151, 31-37. https://doi.org/10.1016/j.drugalcdep.2015.02.040
• Lim, S. H., Daghar, L., Bullen, C., Faiz, H. M., Akbar, M., Amer Nordin, A. S., & Yee, A. (2020). Tobacco use and cessation among a national online sample of men who have sex with men in Malaysia. Asia Pacific Journal of Public Health, 32(8), 414-417. https://doi.org/10.1177/1010539520965370
• Lim, S. H., Mburu, G., Bourne, A., Pang, J., Wickersham, J. A., Wei, C. K. T., Yee, I. A., Wang, B., Cassolato, M., & Azwa, I. (2017). Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey. PLOS One, 12(9), e0182838. https://doi.org/10.1371/journal.pone.0182838
• Liow, J. W., Fazli Khalaf, Z., Mohammad Ameeruddin, N. A., & Foong, A. (2017). The experience of intimate relationships among homosexual men in Malaysia. Sexuality & Culture, 21(4), 1140-1156. https://doi.org/10.1007/s12119-017-9442-x
• Maliya, S., Zul, A. R., Irwan, M. S., Irwan, M. S., Samsul, D., Zakiah, M. S., & Rafidah, H. M. (2018). Mak nyahs in Malaysia: Does HIV/AIDS knowledge really reduce HIV-related risk behaviours? IMJM Medical Journal Malaysia, 17(3), 29-38. https://doi.org/10.31436/imjm.v17i3.241
• Manalastas, E. J., Ojanen, T. T., Torre, B. A., Ratanashevorn, R., Hong, B. C. C., Kumaresan, V., & Veeramuthu, V. (2017). Homonegativity in Southeast Asia: Attitudes toward lesbians and gay men in Indonesia, Malaysia, the Philippines, Singapore, Thailand, and Vietnam. Asia-Pacific Social Science Review, 17(1), 25-33. http://apssr.com/wp-content/uploads/2018/03/2manalastas-053017-1.pdf
• Mohd, Z. S., & Hashim, I. H. M. (2015). Hubungan interpersonal golongan ‘pengkid’ di Malaysia [Interpersonal Relationships of “Pengkid” in Malaysia]. Jurnal Pembangunan Sosial, 18, 96-116. http://jps.uum.edu.my/index.php/volume-18/51-2015-97-116
• Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18, 143. https://doi.org/10.1186/s12874-018-0611-x
• Ng, C. G., Yee, A., Subramaniam, P., Loh, H. S., & Moreira, P. (2015). Attitudes toward homosexuality among nursing students in a public university in Malaysia: The religious factor. Sexuality Research and Social Policy, 12(3), 182-187. https://doi.org/10.1007/s13178-015-0182-0
• Ng, R. X., Guadamuz, T. E., Akbar, M., Kamarulzaman, A., & Lim, S. H. (2020). Association of co-occurring psychosocial health conditions and HIV infection among MSM in Malaysia: Implication of a syndemic effect. International Journal of STD and AIDS, 31(6), 568-578. https://doi.org/10.1177/0956462420913444
• Ong, S. Y., Tang, M. M., Dalawi, I., Tan, W. C., Yeoh, C. A., Kho, W. M., Muniandy, P., Wong, P. L., Velayuthan, R. D., Kwan, Z., Ch’ng, C. C., Mohd Noor, N. M., Krishnasamy, V., & Johar, A. (2020). Human immunodeficiency virus-infected men who have sex with men with syphilis: A 5-year multicentre study in Malaysia. Medical Journal of Malaysia, 75(4), 349-355. http://www.e-mjm.org/2020/v75n4/sexually-transmitted-infections.pdf
• Queer Lapis. (March 15, 2020). Queer Lapis glossary: A friendly guide to the L, G, B, T, Q, plus plus! https://www.queerlapis.com/glossary/
• Rosenkrantz, D. E., Black, W. W., Abreu, R. L., Aleshire, M. E., & Fallin-Bennett, K. (2017). Health and health care of rural sexual and gender minorities: A systematic review. Stigma and Health, 2(3), 229-243. https://doi.org/10.1037/sah0000055
• Rosnon, M. R., Azam, M. N. D., & Daud, M. N. (2013). Phenomenon of transsexual behaviour among youth in Kuala Lumpur: A case study. Pertanika Journal of Social Sciences & Humanities, 21, 109-122. http://psasir.upm.edu.my/id/eprint/40693/
• Rutledge, R., Morozova, O., Gibson, B. A., Altice, F. L., Kamarulzaman, A., & Wickersham, J. A. (2018). Correlates of recent HIV testing among transgender women in Greater Kuala Lumpur, Malaysia. LGBT Health, 5(8), 484-493. https://doi.org/10.1089/lgbt.2018.0021
• Shrestha, R., Alias, H., Wong, L. P., Altice, F. L., & Lim, S. H. (2020). Using individual stated-preferences to optimize HIV self-testing service delivery among men who have sex with men (MSM) in Malaysia: Results from a conjoint-based analysis. BMC Public Health, 20, 1777. https://doi.org/10.1186/s12889-020-09832-w
• Shrestha, R., Galka, J. M., Azwa, I., Lim, S. H., Guadamuz, T. E., Altice, F. L., & Wickersham, J. A. (2020). Willingness to use HIV self-testing and associated factors among transgender women in Malaysia. Transgender Health, 5(3), 182-190. https://doi.org/10.1089/trgh.2019.0085
• Singaravelu, H., & Cheah, W. H. (2020). Being gay and lesbian in Malaysia. In N. Nakamura & C. H. Logie (Eds.), LGBTQ mental health: International perspectives and experiences. (pp. 121-135). American Psychological Association. https://doi.org/10.1037/0000159-009
• Sopitarchasak, S., Kihara, M., Soe, K. M., & Ono-Kihara, M. (2017). Disparities in mental well-being between non-minority and sexual minority male youth in Bangkok, Thailand: Quantitative findings from a mixed method study. Journal of Population and Social Studies, 25(2), 83-98. https://doi.org/10.25133/jpssv25n2.001
• Subhi, N., Halim, M. R. T. A., Zakaria, E., & Nen, S. (2014). Pengaruh homofobia dalaman terhadap perkahwinan lelaki gay [Effect of internalized homophobia towards gay man’s marriage]. Jurnal Psikologi Malaysia, 28(2), 18-38. http://spaj.ukm.my/ppppm/jpm/article/view/134
• Subhi, N., Mohamad, S., & Hamid, L. (2013). Potensi konflik di antara pegangan Islam dan identiti seksual: Simptom psikologikal dalam kalangan Mak Nyah [The potential of conflict between Islamic holdings and sexual identity: Psychological symptoms among Mak Nyah]. Journal of Psychology and Human Development, 1(1), 44-48. http://spaj.ukm.my/ppppm/jppm/article/view/51
• Tan, K. K. H., Ellis, S. J., Schmidt, J. M., Byrne, J. L., & Veale, J. F. (2020). Mental health inequities among transgender people in Aotearoa New Zealand: Findings from the Counting Ourselves survey. International Journal of Environmental Research and Public Health, 17(8), 2862. https://doi.org/10.3390/ijerph17082862
• Teh, Y. K. (1998). Understanding the problems of mak nyahs (male transsexuals) in Malaysia. South East Asia Research, 6(2), 165-180. https://doi.org/10.1177/0967828X9800600204
• Teh, Y. K. (2008). HIV-related needs for safety among male-to-female transsexuals (mak nyah) in Malaysia. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 5(4), 178-185. https://doi.org/10.1080/17290376.2008.9724917
• Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850
• Valentine, J. G., Diane, C., & Chua, Y. W. (2019). Prevalence of HIV among men who have sex with men (MSM) and its associated factors in Sabah. Borneo Journal of Medical Sciences, 27, 27-28. https://doi.org/10.51200/bjms.v0i0.1804
• Woodford, M. R., Weber, G., Nicolazzo, Z., Hunt, R., Kulick, A., Coleman, T., Coulombe, S., & Renn, K. A. (2018). Depression and attempted suicide among LGBTQ college students: Fostering resilience to the effects of heterosexism and cisgenderism on campus. Journal of College Student Development, 59(4), 421-438. https://doi.org/10.1353/csd.2018.0040
• Zulkffli, M. A., & Rashid, R. A. (2019). Discursive strategies employed by homosexual Malaysian Muslim men in talking about homosexuality in Islam. Discourse & Society, 30(3), 307-320. https://doi.org/10.1177/0957926519828032