Tan Kyle
Faculty of Māori and Indigenous Studies, University of Waikato, Hamilton, New Zealand.
Community Health Equity Res Policy. 2025 Jul;45(4):405-409. doi: 10.1177/2752535X241273831. Epub 2024 Aug 9.
Internationally, there is a growing acceptance of gender and sexuality diversity and acknowledgment of LGBT + identities as health determinants. However, caution is warranted when applying research and intervention priorities from Global North countries to regions where LGBT + identities remain criminalized. In 2024, Malaysia maintains legal stances persecuting LGBT + individuals and shows no intent to address this human rights issue. This study offers an overview of pivotal issues identified by LGBT + communities in Malaysia that urgently require attention and resolution. Data were employed from a large-scale community-based survey: the KAMI Survey that recruited LGBT + participants in Malaysia in late 2023 and descriptive analyses were conducted on the responses of 637 participants (mean age = 27.75). Results revealed key issues deemed 'very important' to address by participants comprised HIV/AIDS, training for healthcare providers, police mistreatment, and discrimination, with more than 80% reporting each of these. When prompted to select a single issue for urgent resolution, three-fifths (61.0%) prioritized 'criminalizing laws affecting LGBT + individuals'. Echoing prolonged advocacy by local LGBT + community organizations, the author emphasizes the need for collective allyship across stakeholders to develop evidence-based practices and policies to address the concerns articulated in this paper.
在国际上,性别和性取向多样性越来越被接受,LGBT+身份也被视为健康的决定因素而得到认可。然而,将来自全球北方国家的研究和干预重点应用于LGBT+身份仍被定罪的地区时,需要谨慎。2024年,马来西亚维持迫害LGBT+群体的法律立场,且无意解决这一人权问题。本研究概述了马来西亚LGBT+群体确定的迫切需要关注和解决的关键问题。数据来自一项大规模的社区调查:2023年末在马来西亚招募LGBT+参与者的KAMI调查,并对637名参与者(平均年龄=27.75岁)的回答进行了描述性分析。结果显示,参与者认为“非常重要”需要解决的关键问题包括艾滋病毒/艾滋病、医疗服务提供者培训、警察虐待和歧视,超过80%的人报告了上述每一个问题。当被要求选择一个亟待解决的问题时,五分之三(61.0%)的人将“影响LGBT+群体的定罪法律”列为优先事项。作者呼应了当地LGBT+社区组织长期以来的倡导,强调各利益相关方需要集体支持,以制定基于证据的做法和政策,来解决本文所述的问题。