Concurrent partnership and density of the sexual network among Men having Sex with Men (MSM) in Kuta, Bali, Indonesia.

Concurrent partnership and density of the sexual network among Men having Sex with Men (MSM) in Kuta, Bali, Indonesia.

2015-06-01 00:00:00

Methods: Cross sectional study was conducted with 350 MSM in Kuta, Bali. Questionnaire comprising questions on sexual partnership and sexual behavior was used in the survey. Respondents were asked to identify their five current sexual partners and if they know that those sexual partners knew each other and had sexual relationship to each other. Furthermore, they were also asked about the condom use behaviors with each partner that they have identified.

It is estimated that MSM in Indonesia will make up the largest portion of new HIV infection in Indonesia. The result of Integrated Biological and Behavioral Surveillance in 2011 revealed that HIV prevalence among this group in Indonesia is between 2.5%-45.6%. The aim of the study was to identify the density and the concurrent sexual partnership among men having sex with men in Bali.

Results: Only data from 297 respondents can be included in the analysis, comprising of 623 dyad data. It was revealed that at least 156 (53%) respondents have at least two concurrent sexual partnerships with those sexual partners. In at least 184 (62%) of the respondents, at least two of their sexual partners knew each other. Additionally, in at least 106 (35.7%) of the respondents, at least two of their sexual partners had a sexual relationship to each other. It was also revealed that condom usage with different partner types varied, with 60.3% of consistent condom use with casual partners compared with 38.7% with regular partners.

Conclusion: There is a concerning high level of concurrent partnership with high density of the sexual network among MSM in Bali. Condom use consistency was lower with regular partners compared to that of casual partners. Interventions are urgently needed with regards to promote sexual partner reduction and consistent condom use, particularly with regular partners.

Areas of Interest / Categories: Australian Society for HIV 2015
Play
My List

Australian Society for HIV 2015

HIV and Hodgkin's lymphoma - a medical dilemma

HIV and Hodgkin's lymphoma - a medical dilemma

The case is of a 30 year-old HIV positive Zimbabwean woman (UK resident) who arrived in Australia in January 2011 on a one-year working visa. She was diagnosed with HIV in 2003 in the UK and commenced on Atripla® in 2005. She was first seen in Adelaide in May 2011, requesting a script for Atripla.®.

High Resolution Anoscopy - Practice makes perfect

High Resolution Anoscopy - Practice makes perfect

Background: Liquid based anal Papanicolaou smears, followed by High Resolution Anoscopy (HRA) guided biopsies are increasingly being advocated to identify areas of High Grade Anal Intraepithelial Neoplasia (HGAIN). We hypothesized that the ability to identify HGAIN would increase with experience of the anoscopist, and that comparison with contemporary Papanicolaou smears might yield insights into technical abilities.

An Indigenous cultural appropriateness audit piloted in a sexual health clinic in NSW: making Aboriginal and Torres Strait Islander peoples a priority.

An Indigenous cultural appropriateness audit piloted in a sexual health clinic in NSW: making Aboriginal and Torres Strait Islander peoples a priority.

Indigenous Australians experience a greater burden of sexually transmitted infections, however are less likely than the general population to access sexual health services. We examined the effectiveness of an Indigenous cultural appropriateness audit in assessing a sexual health clinic with low rates of Indigenous clients.

Chlamydia and the Urban Aboriginal Medical Service

Chlamydia and the Urban Aboriginal Medical Service

Despite the high proportion of young people annually accessing general practices, including Aboriginal Medical Services (AMS), testing for Chlamydia trachomatis remains relatively low in urban areas. A project officer was employed within the Institute of Urban Indigenous Health (IUIH) to serve a mentoring and facilitation role for the SE Queensland network of AMS and their sexual health workers, with a view to improving testing, management and follow-up of chlamydia and other STIs by community controlled medical services.

An optimised eight-colour flow cytometry protocol for the analysis of monocyte heterogeneity and monocyte activation markers during HIV infection.

An optimised eight-colour flow cytometry protocol for the analysis of monocyte heterogeneity and monocyte activation markers during HIV infection.

Monocytes are a heterogeneous cell population having specialised functions and differing phenotype. They are a link between innate immune system and adaptive immune system therefore, to identify if immune activation exists in HIV-1 individuals with controlled virema and recovered CD4 T cell counts, we assessed cell surface monocyte activation markers (MAM) within the monocyte subsets.

The Ask Share Know Project: a research translation study of three consumer questions to enhance treatment decision making

The Ask Share Know Project: a research translation study of three consumer questions to enhance treatment decision making

Involving consumers in healthcare decisions is important for high quality care. We previously tested a brief, consumer-led intervention consisting of three questions in a trial employing trained, standardized patients. The intervention enhanced discussion of evidence and increased patient involvement. We now report a research translation study which tested implementation with real patients at a reproductive and sexual health clinic.

Combination prevention with confidence?: A review of where community HIV health promotion evaluation is most, moderately and least developed

Combination prevention with confidence?: A review of where community HIV health promotion evaluation is most, moderately and least developed