Experiences of Sexuality of Bisexual HIV/AIDS Patients (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 has a significant impact on their mental health and sexual behavior. Exploring the sexuality experience of MSL who are HIV/AIDS patients in Madiun Regency with a phenomenological approach. Qualitative phenomenological research with 7 main informants of MSL of HIV/AIDS patients and 2 key informants. Data was collected through in-depth interviews, observations, and documentation, then analyzed using data reduction, data presentation, and conclusion drawn. The experience of LSL is divided into open and closed behavior. Overt behavior includes stigma/discrimination (5 out of 7 informants), fear of rejection, and feelings of guilt (all informants). Covert behavior includes disclosure of identities that vary from childhood to adulthood, participation in the LSL community (all informants), and sexual activity that some informants still engage in despite knowing their HIV positive status. The social stigma attached to the MSM of HIV/AIDS patients has an impact on their mental health and sexual behavior. Interventions in the form of health education, routine check-ups, psychological counseling, and strengthening community support are needed to reduce HIV transmission rates.