Public Health and Preventive Medicine Archive
Vol. 4 No. 1 (2016)

Sexual Role and History of Sexual Transmitted Infection as a Risk of HIV Seroconversion among Men who have Sex with Men who Attended Bali Medika Clinic Badung, Bali

Ni Putu Diwyami (Public Health Postgraduate Program Udayana University)
Anak Agung Sagung Sawitri (Public Health Postgraduate Program Udayana University)
Dewa Nyoman Wirawan (Public Health Postgraduate Program Udayana University)



Article Info

Publish Date
01 Jul 2016

Abstract

Background and purpose: HIV prevalence among men who have sex with men (MSM) increased from 5% on 2007 into 12% on 2011 in Indonesia. High risk sex behaviour was reported associated with HIV seroconversion, however reported research publication about risk factors of HIV seroconvertion among MSM is limited in Indonesia. This study aims to investigate risk factors of HIV seroconversion among MSM. Methods: Case control study was conducted based on cohort data of MSM who repeatedly visited Bali Medika Clinic, Kuta, Badung, Bali Province between 2011-2015. HIV Seroconversion was defined as MSM with a negative HIV status at the beginning of the observation and became positive on the next visit. Data were analyzed using Kaplan Meier and logistic regression method. Results: Median time of HIV seroconversion among MSM was 458 days or 1.2 years (IQR=224-699). Multivariate analysis showed that risk factors of HIV seroconversion were repeated STD’s experience in the last 6 months with AOR=8.33 (95%CI: 1.77-89.81); had 1 time STD’s history in last 6 months with AOR=1.91 (95%CI: 1.15-3.83); receptive sexual relationship in the last 6 months with AOR=3,45 (95%CI: 1.68-7.11); and versatile sexual relationship in the last 6 months with AOR=2.37 (95%CI: 1.09-5.13). Conclusion: STD’s experience, receptive and versatile sexual role are risk factors of HIV seroconversion among MSM.

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Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...