Sexual behaviours and sexual networks of men who have sex with men in Bali
DOI:
https://doi.org/10.53638/phpma.2017.v5.i1.p15Keywords:
sexual behaviours, sexual networks, MSM, BaliAbstract
Background and purpose: Transmission of HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) in Bali Province is increasing. This increased transmission is due to their sexual networks and behaviours. This study aims to examine sexual behaviours and sexual networks among MSM population in Bali Province.
Methods: A descriptive cross-sectional study was conducted in Denpasar City and Badung District. A total of 130 MSM were recruited from Denpasar II Public Health Centre and Bali Medica Clinic – Badung District. Data were collected through interviews among MSM who visited both providers for STIs services from August to October 2015. Variables of this study included sociodemographic, sexual network (pattern and density), sexual activities in the last month, sexual role, condom/lubricant use, and history of previous STIs. Data were descriptively analysed.
Results: As many as 53.1% respondents were aged <25 years, 90.8% were senior high school or higher degree graduates, 6.2% were married, 91.5% were employed, and 59.2% were having a regular partner. In the last month, as many as 70.8% respondents reported to have sex with first sexual partner, 52.3% with second sexual partners, and 45.6% with third sexual partners. Younger respondents tended to seek for younger sexual partners. The majority of respondents had had insertive sex, as many as 40.0% with their first partner, 44.6% with their second partner, and 43.2% with their third partner. About 20% of respondents were having high density sexual network and 71.5% of respondents were having concurrent sexual partnership. The consistent condom use within six months was 67.6% with the first partner, 72.8% with the second and the third partners. As many as 23% of respondents were diagnosed to have STIs.
Conclusion: MSM population in Bali Province seem to have high risk sexual behaviours with great sexual network density, high concurrent sexual partnership, and selective mixing between older and younger MSM population.
References
Ministry of Health of Indonesia. 2012 Size Estimation of Key Affected Populations (KAPs). Jakarta; 2013.
Ministry of Health of Indonesia. Fact Sheet Survei Terpadu Biologis dan Perilaku LSL tahun 2007 dan 2011. Jakarta; 2011. [Fact Sheet, Integrated Biological and Behaviour Survey among MSM in 2007 and 2011. Jakarta; 2011].
Kerti Praja Foundation. Laporan Bulanan Klinik Amerta Yayasan Kerti Praja-Implementing Unit SSR [Monthly report Amerta Clinic Kerti Praja Foundation - Implementing Unit SSR]. Denpasar: YKP; 2017.
Ma Q, Zeng S, Xia S, et al. Risky sexual networks and concentrated HIV epidemics among men who have sex with men in Wenzhou, China: a respondent-driven sampling study. BMC Public Health;2015; 15: 1246.
Tucker JS, Hu J, Golinelli D, Kennedy DP, Green HD, Wenzel SL. Social Network and Individual Correlates of Sexual Risk Behavior Among Homeless MSM Youth; 2012; 51: 386–392.
Praptoraharjo I, Subronto YW, Nanwani ST. Sexual Network of Young MSM in Indonesia; 2013; 2013: 1–8.
Grierson J, Mcnally S, Hidayana I. Networks of MSM in Indonesia : A 2-mode study of MSM and sites of engagement Networks of MSM in Indonesia : A 2-mode study of MSM and sites of engagement; 2013; 1–180.
Peterson JL, Rothenberg R, Kraft JM, et al. Perceived condom norms and HIV risks among social and sexual networks of young African American men who have sex with men. Health Educ Res; 2009; 24: 119–127.
Zhang D, Bi P, Lv F, et al. Changes in HIV prevalence and sexual behavior among men who have sex with men in a northern Chinese city: 2002-2006. J Infect; 2007; 55: 456–463.
Tieu HV, Liu TY, Hussen S, et al. Sexual networks and HIV risk Among Black men who have sex with men in 6 U.S. cities. PLoS One; 2015; 10: 1–18.
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