Hasmi Hasmi, Fatiah Mona Safitri, Muttaqin M Zaenul
Specialization in Epidemiology, Faculty of Public Health, Cenderawasih University, Jayapura City, Papua, Indonesia.
Reproductive Health Specialization, Faculty of Public Health, Cenderawasih University, Jayapura City, Papua, Indonesia.
Iran J Public Health. 2025 Mar;54(3):615-623. doi: 10.18502/ijph.v54i3.18255.
The prevalence of sexually transmitted infections in men who have sex with men (MSM) is higher than in other communities. We aimed to Uncovering the risk of sexually transmitted infections in MSM in Indonesia.
We adopted a cross-sectional design carried out in 24 provinces in Indonesia from March-May 2023, using secondary data from the 2018-2019 Integrated Biological Behavior Survey (IBBS). The population consisted of MSM who had sex with men totaling 6,000 people. A total of 4,290 samples were selected using Respondent Driven Sampling (RDS). The data obtained were analyzed with chi-square and logistic regression models of risk factors.
The prevalence of STIs in MSM was 20.9%. Marital status, consistency of condom use (<0.01), how to get condoms (<0.001), and STIs examination (<0.001) had a significant association with the incidence of STIs among MSM from 2018 - 2019. Meanwhile, the use of lubricant during sex association had no significant relationship with the incidence of STIs. Vaginal and anal sexual intercourse had a significant relationship with the incidence of STIs, where MSM who CI95% (had their first anal sex between the ages of 25-49 years (<0.001), AOR=2.26 and vaginal sex at the age of ≥50 years were more at risk of experiencing STIs (<0.017), AOR=1.33.
Marital status, consistency of condom use, how to get condoms, and STIs examination, vaginal and anal sexual intercourse had a significant association with the incidence of STIs among MSM.
男男性行为者（MSM）中性传播感染的患病率高于其他群体。我们旨在揭示印度尼西亚男男性行为者中性传播感染的风险。
我们采用横断面设计，于2023年3月至5月在印度尼西亚的24个省份开展研究，使用2018 - 2019年综合生物行为调查（IBBS）的二手数据。研究人群为与男性发生性行为的男男性行为者，共计6000人。使用应答者驱动抽样（RDS）选取了4290个样本。对获得的数据进行卡方检验和危险因素的逻辑回归模型分析。
男男性行为者中性传播感染的患病率为20.9%。婚姻状况、避孕套使用的一致性（<0.01）、获取避孕套的方式（<0.001）以及性传播感染检查（<0.001）与2018 - 2019年男男性行为者中性传播感染的发生率有显著关联。同时，性行为期间使用润滑剂与性传播感染的发生率无显著关系。阴道性交和肛交与性传播感染的发生率有显著关系，其中男男性行为者中CI95%（25 - 49岁之间首次进行肛交的人（<0.001），AOR = 2.26）以及≥50岁时进行阴道性交的人感染性传播感染的风险更高（<0.017），AOR = 1.33。
婚姻状况、避孕套使用的一致性、获取避孕套的方式、性传播感染检查、阴道性交和肛交与男男性行为者中性传播感染的发生率有显著关联。
