Determinants of Condom Use Status among Men Who Have Sex with Men (MSM) Group in 5 Indonesian Cities in 2015

Ni Wayan Putri Larassita Parwangsa, K. Bantas
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Abstract

Backgorund : Significant increase in HIV cases among men who have sex with men (hereafter MSM) group during the 2015-2016 period confirmed that sexual behavior is a major risk factor in exposure to HIV&AIDS with unprotected sexual intercourse as the dominant risk factor. Aims : This study aims to identify the determinants of condom use status  among MSM group in 5 cities in Indonesia. Method : This study used a cross sectional design, carried out in 5 cities in Indonesia: Jakarta, Bandung, Semarang, Surabaya, and Denpasar using secondary data from the Integrated Biological and Behavioural Survey (IBBS) in 2015. Results : Variables that are significantly related to the condom use status were marital status, exposure to information on HIV&AIDS, and knowledge about condoms. The marital status variable has a POR value of 1.351 (95% CI OR 0.709 – 2.576), whilst exposure to HIV&AIDS information has 1.668 (95% CI OR 1.148 – 2.422) POR value, and knowledge about condoms has POR value as much as 1.925 (95% CI OR 1.274 – 2.907). Conclusion : The number of respondents who used condoms consistently for the past one month were 76.1% and those who did not were 23.9%. Variables that are significantly related to the behaviour of not using condoms are marital status, exposure to HIV&AIDS information, and knowledge of condoms.Keywords:Determinants, Behavior, Condom, MSM, HIV&AIDS
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2015年印度尼西亚5个城市男男性行为者(MSM)群体使用安全套状况的决定因素
背景:2015-2016年期间男男性接触者(以下简称男男性接触者)群体中HIV病例显著增加,证实性行为是HIV& aids暴露的主要危险因素,无保护的性交是主要危险因素。目的:本研究旨在确定印度尼西亚5个城市MSM群体中避孕套使用状况的决定因素。方法:本研究采用横断面设计,在印度尼西亚5个城市:雅加达、万隆、三宝垄、泗水和登巴萨进行,使用2015年综合生物和行为调查(IBBS)的二次数据。结果:与安全套使用状况显著相关的变量为婚姻状况、艾滋病信息暴露情况和安全套知识。婚姻状况变量的POR值为1.351 (95% CI OR 0.709 - 2.576),而接触艾滋病毒和艾滋病信息的POR值为1.668 (95% CI OR 1.148 - 2.422),了解避孕套的POR值高达1.925 (95% CI OR 1.274 - 2.907)。结论:近一个月持续使用安全套者占76.1%,未使用安全套者占23.9%。与不使用避孕套行为显著相关的变量是婚姻状况、接触艾滋病毒和艾滋病信息以及对避孕套的了解。关键词:决定因素,行为,安全套,男同性恋者,艾滋病
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