Prevention of STI Transmission among Men Who Have Sex with Men in Indonesia through Circumcision Behavior

https://doi.org/10.33860/jbc.v5i3.2744

Authors

Keywords:

Circumcision, Sexually Transmited Diseases, Men who have Sex with Men, MSM, STIs Preventive

Abstract

Introduction: The proportion of Sexually Transmitted Infections (STIs) among MSM has increased by around 0,2% from the first quarter and second quarter of 2023, for this reason, prevention efforts are needed in the form of implementing circumcision behavior among men. Objective: to understand the relationship between circumcision and transmission of STIs through MSM in Indonesia. Method: This research has a cross-sectional design with the population being men who have sex with men (MSM) across 24 provinces in Indonesia totaling 6,000 people, while the research sample is mostly MSM totaling 4,290 people with inclusion criteria being: men who are at least 15 years old, have ever had sex with men at least once in the past year, and have lived in the survey city for around one month. Samples were taken using the Respondent Driven Sampling (RDS) technique. The data used is secondary data in the form of 2018-2019 Biological Behavior Survey (STBP) data. Data in the study were analyzed using logistic regression analysis of risk factor models using STATA 14 software. Results: MSM who were circumcised had a 3.0 times greater chance of not having STI symptoms compared to MSM who were not circumcised (95% CI: 2.5- 3.7) after controlling for sex-buying and selling behavior. Conclusion: circumcision behavior is one of the efforts to prevent the spread of STI among MSM, recommending the need to create regulations regarding the importance of circumcision behavior in Indonesia.

Downloads

Download data is not yet available.

References

Afshar, K., Kazemi, B., & MacNeily, A. E. (2018). The Role of Circumcision in Preventing Sexually Transmitted Infections. In Diagnostics to Pathogenomics of Sexually Transmitted Infections. https://doi.org/10.1002/9781119380924

Amusa, L., Zewotir, T., North, D., Kharsany, A. B. M., & Lewis, L. (2021). Association of Medical Male Circumcision and Sexually Transmitted Infections in a Population-Based Study using Targeted Maximum Likelihood Estimation. BMC Public Health, 21(1), 1–10. https://doi.org/10.1186/S12889-021-11705-9/TABLES/3

Anderson, D., Politch, J. A., & Pudney, J. (2011). HIV infection of the penis. American Journal of Reproductive Immunology (New York, N.Y. : 1989), 65(3). https://doi.org/10.1111/J.1600-0897.2010.00941.X

Asa, G. A., Fauk, N. K., & Ward, P. R. (2023). Traditional male circumcision and the risk for HIV transmission among men: a systematic review. BMJ Open, 13(5), e072118. https://doi.org/10.1136/BMJOPEN-2023-072118

Australian Government, Bappenas, Dinkes Provinsi Papua, Dinkes Provinsi Papua Barat, KOMPAK, & BaKTI. (2017). Buku Kader Pemberdayaan Kampung Informasi Dasar HIV dan AIDS. https://batukarinfo.com/system/files/Informasi Dasar HIV %26 AIDS.pdf

CDC. (2022a). Sexually Transmitted Infections Prevalence, Incidence, and Cost Estimates in the United States. Division of STD Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. https://www.cdc.gov/std/statistics/images/FullSTI-Cost-Estimates-8.png

CDC. (2022b). STD Facts – What Gay, Bisexual and Other Men Who Have Sex with Men Need to Know About Sexually Transmitted Diseases. CDC. https://www.cdc.gov/std/life-stages-populations/stdfact-msm.htm#print

Chigorimbo-Murefu, N. T. L., Potgieter, M., Dzanibe, S., Gabazana, Z., Buri, G., Chawla, A., Nleya, B., Olivier, A. J., Harryparsad, R., Calder, B., Garnett, S., Maziya, L., Lewis, D. A., Jaspan, H., Wilson, D., Passmore, J. A. S., Mulder, N., Blackburn, J., Bekker, L. G., & Gray, C. M. (2022). A Pilot Study to Show that Asymptomatic Sexually Transmitted Infections alter the Foreskin Epithelial Proteome. Frontiers in Microbiology, 13, 3536. https://doi.org/10.3389/FMICB.2022.928317/BIBTEX

Davis, S., Toledo, C., Lewis, L., Maughan-Brown, B., Ayalew, K., & Kharsany, A. B. M. (2019). Does Voluntary Medical Male Circumcision Protect against Sexually Transmitted Infections among Men and Women in Real-world Ccale-up Settings? Findings of a household survey in KwaZulu-Natal, South Africa. BMJ Global Health, 4(3), e001389. https://doi.org/10.1136/BMJGH-2019-001389

Ditjen P2PM. (2022). Laporan Kinerja 2022 Direktorat Pencegahan dan Pengendalian Penyakit Menular. Jakarta: Kementerian Kesehatan R.I. Retreived from https://p2pm.kemkes.go.id/storage/informasi-publik/content/GHwE3BiLbOrvZZPKY1Pm91BIRWqzE4-metaTGFwa2luIFAyUE0gMjAyMi5wZGY=-.pdf

Ditjen P3 Kemenkes. (2022). Laporan Ekslusif Perkembangan HIV AIDS dan PIMS triwulan III Tahun 2022. Jakarta: Kementerian Kesehatan R.I. Retreived from https://siha.kemkes.go.id/portal/files_upload/Laporan_TW_3_2022.pdf

Fatiah, M. S. (2023). Determinan Akses Memperoleh Kondom pada Lelaki Seks Lelaki (LSL) di Indoneisa. Jurnal Kesehatan Reproduksi, 14(1). https://doi.org/10.58185/JKR.V13I1.22

Fatiah, M. S., & Tambing, Y. (2023). Pengaruh Akses Ketersediaan Kondom terhadap Perilaku Unsafe Sex pada Lelaki Seks Lelaki (LSL) di Indonesia. Jurnal Ilmu Kesehatan Masyarakat, 12(6). https://journals.stikim.ac.id/index.php/jikm/article/view/2321

Ganeswari, putu ayu dewita, Maheswari, luh made shanti, & Puspawati, ni made dwi. (2020). Sirkumsisi dan Perannya dalam Pencegahan IMS. Intisari Sains Medis, 11(3), 1157–1164. https://doi.org/10.15562/ism.v11i3.835

Gao, Y., Yuan, T., Zhan, Y., Qian, H. Z., Sun, Y., Zheng, W., Fu, L., Liang, B., Zhu, Z., Ouyang, L., Liu, M., Fitzpatrick, T., Wu, Z., Meng, X., Baeten, J. M., Zhao, J., Vermund, S. H., Yu, M., Wu, G., … Zou, H. (2021). Association between Medical Male Circumcision and HIV Risk Compensation among Heterosexual Men: A Systematic Review and Meta-Analysis. The Lancet Global Health, 9(7), e932–e941. https://doi.org/10.1016/S2214-109X(21)00102-9

Janulis, P., Goodreau, S. M., Morris, M., Birkett, M., Gregory Phillips, I., Risher, K., Mustanski, B., & Jenness, S. M. (2023). Partnership Types and Coital Frequency as Predictors of Gonorrhea and Chlamydia among Young MSM and Young Transgender Women. International Journal of STD & AIDS, 34(10), 694–701. Retreived from https://journals.sagepub.com/doi/abs/10.1177/09564624231173728

Kemenkes. (2016). Pedoman Nasional Penangganan Infeksi Menular Seksual . https://siha.kemkes.go.id/portal/files_upload/buku_pedoman_nasional_tatalaksna_ims_2016_ok.pdf

KPA, Burnet Insitute, & Australian AID. (2012). Modul Kesehatan Seksual Perempuan “Pemenuhan Hak, Kesehatan Seksual dan Reproduksi Perempuan.” Lembaga Penelitian Pendidikan Penerbitan Yogya. https://siha.kemkes.go.id/portal/files_upload/2_1_j__MODUL_KESEHATAN_SEKSUAL_PEREMPUAN__revisi_31_5_2012__copy.pdf

Le Roux, M., Ngwenya, I. K., Nemarude, A. L., De Villiers, B. E., Mathebula, M., & Nchabeleng, M. (2022). Sexually transmitted infections and sexual behaviour among men having sex with men from Tshwane, South Africa, 34(3), 183–190. https://doi.org/10.1177/09564624221146673

Morris, B. J., Krieger, J. N., & Klausner, J. D. (2017). CDC’s Male Circumcision Recommendations Represent a Key Public Health Measure. Global Health Science and Practice, 5(1), 15–27. https://doi.org/10.9745/GHSP-D-16-00390

Nshimirimana, C., Vuylsteke, B., Smekens, T., & Benova, L. (2022). HIV testing uptake and determinants among adolescents and young people in Burundi: a cross-sectional analysis of the Demographic and Health Survey 2016–2017. BMJ Open, 12(10), e064052. https://doi.org/10.1136/BMJOPEN-2022-064052

Peraturan Bupati Tegal tentang Pemberdayaan Masyarakat dalam Upaya Penanggulangan HIV dan AIDs di Tingkat Desa, (2016). https://peraturan.bpk.go.id/Download/244048/16pbkabtegal020.pdf

Purnamawati, D., Nurfadhilah, N., Zam-zam, R., Amalia, K., & Ningsih, R. Z. (2022). Pengalaman Penderita HIV Pada Lelaki Suka Lelaki ( LSL ); Analisis Kualitatif tentang Persepsi Diri, Respon Saat Didiagnosis, Perilaku Pencegahan, dan Dukungan Pendamping Sebaya. Jurnal Kedokteran Dan Kesehatan, June, 155–163. Retreived from https://jurnal.umj.ac.id/index.php/JKK/article/view/13062

Sabilla, M., & Nurfadhilah. (2022). Pengetahuan Komprehensif Remaja tentang HIV di Kota Tangerang Selatan menuju End AIDS by 2030. Jurnal Kesehatan Reproduksi, 13(1), 1–23. https://journaliakmitangsel2.iakmi.or.id/index.php/kespro/article/view/22

Sharma, S. C., Raison, N., Khan, S., Shabbir, M., Dasgupta, P., & Ahmed, K. (2018). Male circumcision for the prevention of human immunodeficiency virus (HIV) acquisition: a meta-analysis. BJU International, 121(4), 515–526. https://doi.org/10.1111/BJU.14102

Spriritia. (2021). Pria yang Tidak Disunat Berisiko Lebih Besar Tularkan HIV - Spirita. Yayasan Spriritia. https://spiritia.or.id/informasi/detail/362

Subdit HIV dan PMS. (2022a). Laporan Triwulan 1 Tahun 2022 tentang Perkembangan HIV, AIDS dan PMS. https://siha.kemkes.go.id/portal/files_upload/Laporan_TW_1_2022.pdf

Subdit HIV dan PMS. (2022b). Perkembangan HIV AIDS dan Penyakit Infeksi Menular Seksual (PIMS) Triwulan II Tahun 2022. https://siha.kemkes.go.id/portal/files_upload/Laporan_TW_2_2022.pdf

UNAIDS. (2021). UNAIDS data 2021. https://www.unaids.org/sites/default/files/media_asset/JC3032_AIDS_Data_book_2021_En.pdf

UNHCR, UNICEF, WFP, UNDP, UNFPA, UNODC, ILO, UNESCO, WHO, & World Bank. (2021). Fast-Track Ending the AIDS Epidemic by 2030. In Nucl. Phys. https://www.unaids.org/sites/default/files/media_asset/JC2686_WAD2014report_en.pdf

WHO. (2018). Male Circumcision for HIV Prevention: Manual for Male Circumcision Under Local Anaesthesia and HIV Prevention Services for Adolescent Boys and Men. In African journal of reproductive health (Vol. 10). WHO. https://doi.org/10.2307/30032467

WHO. (2021a). Assessment of country implementation of the WHO global health sector strategy for sexually transmitted infections (2016–2021): results of a national survey. In World Health Organization. WHO. https://apps.who.int/iris/handle/10665/345086

WHO. (2021b). Global Progress Report on HIV, Viral Hepatitis and Sexually Transmitted Infections, 2021. In WHO (Vol. 53, Issue 9). https://www.who.int/publications/i/item/9789240027077

WHO. (2022a). 2022 – 2030 Action Plans for ending HIV , viral hepatitis and STIs in the WHO European Region Draft for consultation. WHO. https://www.euro.who.int/__data/assets/pdf_file/0007/524059/HIV-Hepatitis-STIs-actions-plans-consult-eng.pdf

WHO. (2022b). Global Health Cector Strategies on, Respectively, HIV, Viral Hepatitis and Sexually Transmitted Infections for the Period 2022-2030. WHO. https://www.who.int/publications-detail-redirect/9789240053779

WHO. (2022c). Sexually Transmitted Infections. WHO. https://www.who.int/southeastasia/health-topics/sexually-transmitted-infections

WHO. (2022d). Sexually Transmitted Infections (STIs). WHO. https://doi.org/10.1201/9781003039235-48

Published

2023-09-30

How to Cite

Fatiah, M. S., & Purba, R. . (2023). Prevention of STI Transmission among Men Who Have Sex with Men in Indonesia through Circumcision Behavior. Jurnal Bidan Cerdas, 5(3), 110–120. https://doi.org/10.33860/jbc.v5i3.2744

Issue

Section

Articles