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Sexual Role dan Riwayat Infeksi Menular Seksual Sebagai Risiko Serokonversi HIV pada Laki Seks dengan Laki yang Berkunjung di Klinik Bali Medika Badung, Bali

Ni Putu Diwyami , Anak Agung Sagung Sawitri, Dewa Nyoman Wirawan

Ni Putu Diwyami
Program Studi Magister Ilmu Kesehatan Masyarakat Universitas Udayana. Email: amie.amuro@gmail.com

Anak Agung Sagung Sawitri
Udayana University

Dewa Nyoman Wirawan
Udayana University
Online First: July 01, 2016 | Cite this Article
Diwyami, N., Sawitri, A., Wirawan, D. 2016. Sexual Role dan Riwayat Infeksi Menular Seksual Sebagai Risiko Serokonversi HIV pada Laki Seks dengan Laki yang Berkunjung di Klinik Bali Medika Badung, Bali. Public Health and Preventive Medicine Archive 4(1): 10-16. DOI:10.15562/phpma.v4i1.50


Latar belakang dan tujuan: Di Indonesia terjadi peningkatan prevalensi HIV pada laki-laki yang berhubungan seks dengan laki-laki (LSL) dari 5% di tahun 2007 menjadi 12% di tahun 2011. Perilaku seksual berisiko dilaporkan meningkatkan risiko terjadinya serokonversi HIV, namun informasi tersebut belum banyak tersedia pada LSL di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor risiko serokonversi HIV pada LSL.

Metode: Penelitian case control dilakukan menggunakan data kohor LSL yang melakukan tes HIV berulang di Klinik Bali Medika, Kuta, Kabupetan Badung, Provinsi Bali tahun 2011-2015. Serokonversi HIV didefinisikan pada LSL yang masih memiliki status HIV negatif di awal pengamatan dan mengalami perubahan status menjadi positif pada kunjungan tes berikutnya. Analisis data dilakukan dengan Kaplan Meier dan metode regresi logistik.

Hasil: Sebanyak 50% kohor LSL mengalami serokonversi setelah 458 hari atau 1,2 tahun (IQR=224-699). Analisis multivariat menunjukkan bahwa faktor risiko terjadinya serokonversi HIV adalah riwayat IMS berulang dalam 6 bulan terakhir dengan AOR=8,33 (95%CI: 77-89,81); pernah 1 kali mengalami IMS dalam 6 bulan terakhir dengan AOR=1,91 (95%CI: 1,15-3,83); perilaku peran seks reseptif dalam 6 bulan terakhir dengan AOR=3,45 (95%CI: 1,68-7,11); dan perilaku peran seks versatil dalam 6 bulan terakhir dengan AOR=2,37 (95%CI: 1,09-5,13).

Simpulan: Riwayat IMS serta perilaku sexual role reseptif dan versatil dijumpai sebagai faktor risiko terjadinya serokonversi HIV pada LSL.

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