Alarmingly High HIV Prevalence Among Adolescent and Young Men Who have Sex with Men (MSM) in Urban Indonesia
| Autor: | Tarinanda Adzani Putri, Asti Setiawati Widihastuti, Risky Annisa Nurwandani, Lisa G. Johnston, Fani Fadillah Rakhmat, Nurjannah Sulaiman, Artha Camellia, Shirley Mark Prabhu, Paul Pronyk, Phyu-Mar Soe |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Men-who-have-sex-with-men (MSM) Social Psychology Adolescent Epidemiology Sexual Behavior Population Stigma (botany) HIV Infections Men who have sex with men 03 medical and health sciences Sexual and Gender Minorities Young Adult 0302 clinical medicine medicine Prevalence Humans 030212 general & internal medicine Homosexuality Male education education.field_of_study Sexual identity Original Paper 030505 public health Public health Public Health Environmental and Occupational Health virus diseases HIV Key populations Health psychology Infectious Diseases Indonesia Social exclusion 0305 other medical science Psychology Demography |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | Indonesia’s HIV epidemic is concentrated among key populations. While prevalence among men who have sex with men (MSM) is high, transmission among young MSM (15–24-years-old) remains poorly understood. We conducted a respondent driven sampling survey of 211 young MSM in urban Bandung, Indonesia in 2018–2019 to estimate HIV prevalence and associated risk factors. Thirty percent of young MSM were HIV antibody positive. This is nearly 100-fold greater than Indonesia’s population prevalence and sevenfold higher than average estimates for young MSM across Asia and the Pacific Region. Individual risk factors associated with HIV infection were being 20–24 years old, having a steady partner and preferring the receptive position during sex. Issues of stigma, discrimination and social exclusion were common. Few young MSM who were open with friends and family members about their sexual identity. Among those that were, close to half reported experiencing feelings of aversion from these groups. Wider structural factors that reduce social tolerance, restrict the rights of young MSM and compel concealment of sexual identity are likely to fuel high-risk behaviors and limit access to essential testing care and support services including pre-exposure prophylaxis which is not yet widely available. Urgent health, social, legal and political actions are required to respond to these factors and reduce the disproportionate contribution of young MSM to Indonesia’s HIV epidemic. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-021-03347-0. |
| Databáze: | OpenAIRE |
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