The association between minority stress and oppression in the
men who have sex with men in Cape Town, South Africa
By Ayesha McAdams-Mahmoud
Objectives: The objectives of this study were to determine the extent to which a sample of men who have sex with men (MSM) in Cape Town, South Africa have experienced factors related to minority stress and explore how those experiences were associated with their identity formations, relationships and coping strategies.
Methods: Twenty-two MSM ages 18 to 55 who lived or worked in Cape Town participated in semi-structured in-depth interviews and completed questionnaires about their experiences with prejudicial events, internalized homophobia, perceived discrimination, and coping strategies. Descriptive statistics and phenomenological thematic analysis were used to summarize findings.
Findings: MSM in Cape Town are affected by societal oppression, which has external and internal manifestations resulting in minority stress. Survey results revealed that internalized homophobia, violence and trauma levels were low while concealment behaviors and perceived stigma and discrimination levels were high among study participants. Interview results demonstrated that race, culture, religion, economic status, and environmental setting may determine the degree to which minority stress is experienced. Participants with low socioeconomic status, black Xhosas, white Afrikaners, and coloured Muslims reported having more experiences with incidents of direct prejudicial events and hiding their sexual preference in public settings when compared to other participants. Minority stress impacts aspects of respondents' sexual relationships, identity formations, coping strategies, mental wellness, and overall comfort in navigating the city. Coping strategies for managing these stressful experiences were diverse. The work of existent and emerging MSM support networks is promising, but is insufficient for meeting the mental health needs of these growing, diverse communities.
Conclusions: This study suggests that inclusive policy changes, like gay marriage rights, have had limited impact on discriminatory attitudes and behaviors toward sexual minorities at institutional and individual levels in Cape Town. The lack of research on this topic and the diversity within South African MSM communities demand further exploration of these experiences to develop tailored, successful, and comprehensive mental health promotion, stigma reduction, risk prevention, and sexual minority support interventions.
Table of Contents
TABLE OF CONTENTS
LIST OF FIGURES
GLOSSARY OF TERMS & ACRONYMS
CHAPTER ONE: INTRODUCTION
OBJECTIVES AND AIMS
CHAPTER TWO: LITERATURE REVIEW
SOCIOPOLITICAL REALITIES FOR MSM
MSM, STIGMA, AND MENTAL HEALTH OUTCOMES
MSM AND COPING STRATEGIES
CHAPTER THREE: METHODS
RECRUITMENT & DATA COLLECTION
ETHICS & CONSENT
CHAPTER FOUR: RESULTS
FINDINGS BY RESEARCH QUESTION
CHAPTER FIVE: DISCUSSION
ESTABLISHING FINDINGS IN THEORETICAL CONTEXT
RECOMMENDATIONS FOR FUTURE RESEARCH
APPENDIX A: QUESTIONNAIRE
APPENDIX B: IN-DEPTH INTERVIEW QUESTION GUIDE
About this Master's Thesis
|Committee Chair / Thesis Advisor|
|The association between minority stress and oppression in the lives of men who have sex with men in Cape Town, South Africa ()||2018-08-28||