The trouble with "MSM" and "WSW": erasure of the sexual-minority person in public health discourse
- PMID: 15961753
- PMCID: PMC1449332
- DOI: 10.2105/AJPH.2004.046714
The trouble with "MSM" and "WSW": erasure of the sexual-minority person in public health discourse
Abstract
Men who have sex with men (MSM) and women who have sex with women (WSW) are purportedly neutral terms commonly used in public health discourse. However, they are problematic because they obscure social dimensions of sexuality; undermine the self-labeling of lesbian, gay, and bisexual people; and do not sufficiently describe variations in sexual behavior.MSM and WSW often imply a lack of lesbian or gay identity and an absence of community, networks, and relationships in which same-gender pairings mean more than merely sexual behavior. Overuse of the terms MSM and WSW adds to a history of scientific labeling of sexual minorities that reflects, and inadvertently advances, heterosexist notions. Public health professionals should adopt more nuanced and culturally relevant language in discussing members of sexual-minority groups.
Comment in
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Usage of "MSM" and "WSW" and the broader context of public health research.Am J Public Health. 2006 Jan;96(1):9. doi: 10.2105/AJPH.2005.077321. Epub 2005 Nov 29. Am J Public Health. 2006. PMID: 16317194 Free PMC article. No abstract available.
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The trouble with MSM.Am J Public Health. 2006 May;96(5):765-6; author reply 766. doi: 10.2105/AJPH.2005.084665. Epub 2006 Mar 29. Am J Public Health. 2006. PMID: 16571685 Free PMC article. No abstract available.
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The importance of both sexual behavior and identity.Am J Public Health. 2006 May;96(5):765; author reply 766. doi: 10.2105/AJPH.2005.079186. Epub 2006 Mar 29. Am J Public Health. 2006. PMID: 16571688 Free PMC article. No abstract available.
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References
-
- Glick M, Muzyka BC, Salkin LM, Lurie D. Necrotizing ulcerative periodontitis: a marker for immune deterioration and a predictor for the diagnosis of AIDS. J Periodontol. 1994;65:393–397. - PubMed
-
- Dowsett GW. Reaching men who have sex with men in Australia—an overview of AIDS education, community intervention and community attachment strategies. Aust J Soc Issues. 1980; 25:186–198.
-
- Young RM, Friedman SR, Case P, Asencio MW, Clatts M. Women injection drug users who have sex with women exhibit increased HIV infection and risk behaviors. J Drug Issues. 2000; 30:499–524.
-
- Treichler P. How to Have Theory in an Epidemic: Cultural Chronicles of AIDS. Durham, NC: Duke University Press; 1999.
-
- Herek GM, Glunt EK. An epidemic of stigma—public reactions to AIDS. Am Psychol. 1988;43:886–891. - PubMed
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