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Kata kunci : HIV, Penasun, sharing needle, pasangan seks, kondom, IMS.
HIV infection cases keep increasing and have been inestmated infecting 36.7 million people in the world and 2 million among them are children below 15 years old. The high prevallence rate of HI among IDUs indiacted IDU is important HIV key population in Indonesia. The aim of this study was to know determinant affecting HIV infection among IDUs in Indonesia in year 2015 by using secondary data of IBBS (STBP) among IDUs in 6 big cities done by Ministry of Health (Kemkes RI). In IBBS/STBP study about 1231 IDUs were interviewed and taken their blood samples. In study we used multivariate analysis using Cox regrssion analiysis and found that the HIV prevalence rate was 28.8%. About 55,2% have shared needles, 90,7% have used already used needles, 35% have been following methadone substitution therapy. From this study we also found that having IDUs sex partner increased risk to get HIV infection for about 2,22 times as compared those did not have (95% CI of PR: 1,152- 4,281, p-value=0,017), Self perception that ones being at risk of HIV increased risk to get HIV infection 1,68 times (95% CI 1,176-2,406, nilai p=0,004), sharing needle increased risk to get infected by HIV 1,90 times (95% CI 0,68-5,35), status of Sifilis infection and STI (sexual transmitted infection) both increased risk 1,2 times and condom use had protective effect and showed signficant association (p-value=0,006). HIV control programs in Indonesia were expected to be more focus on intervention toward key population of IDUs in areas of education to increase knowledge of HIV, therapy and behavior intervention.
Kata kunci : HIV, IDUs, sharing needle, sex partners, condom, STI.
Kata kunci: Status HIV, Pengguna NAPZA Suntik
Number of HIV/AIDS cases has increased every year, and one of factor that cause this rapid increases is the rise prevalence among injecting drug user.That problem encourage this study to observe the factors associated HIV status among Injecting Drug Users at Methadone Maintenance Treatment Program RSKO Jakarta in 2014. This study using cross sectional study with 46 sample of IDUs in methadone maintenance treatment program. The results shows that proportion of HIV ( + ) is 63%, most respondents (87%) are male, 58.7% aged 34 year, 71.7% have less or secondary high school, 58.7% married, 69.6% have good knowledge about HIV, 63% had injecting for 9 years, 50% first injecting drugs in < 19 years old, 69.6% injected drugs 3 times a day, 87% sharing needles, 43.5% rinsed needles with clean water, 60.9% having low risk sexual activity, 80.4% had utilize Needle and Syringe Program (NSP), 52.2% had join methadone maintenance treatment program for 4 year. The results of Chi-square test stated there are significant relationship between age of first injecting drugs(PR 1.8; P Value = 0.02), sharing needles (PR 4.2; P Value = 0.02) and rinsed needle with clean water (PR 5.5; P Value = 0.006) with HIV status. The results suggest that access of needle exchange programs should be developed.
Key words: HIV Status, Injecting Drug Users
ABSTRAK Nama : Yatinawati Program Studi : Epidemiologi Judul : “Determinan Yang Berhubungan Dengan Kejadian HIV Pada LSL Di 6 Kota Indonesia Tahun 2015 (Analisis Data Surveilans Terpadu Biologis Dan Perilaku Tahun 2015)” Pembimbing : dr. Syachrizal Syarif, MPH, PhD HIV (Human Immunodeficiency Virus) adalah virus yang data menginfeksi sel pada system kekebalan tubuh yang dapat menghancurkan atau merusak fungsinya. Infeksi dari virus ini berkaitan pada kerusakan progresif dari sistem kekebalan tubuh yang dapat mengarah pada defisiensi imun. Kasus HIV pada LSL mengalami peningkatan dari tahun 2007 yaitu 5,35% tahun 2013 menjadi 17,29%. Tujuan dari penelitian ini adalah Untuk mengetahui determinan yang berhubungan dengan kejadian HIV pada LSL di Indonesia Tahun 2015. Penelitian ini menggunakan desain cross sectional dengan analisis cox regression yang mana untuk melihat seberapa besar dampak yang ditimbulkan pada faktor risiko HIV. Sampel minimal dalam penelitian ini adalah 690 sampel. Hasil dari penelitian ini adalah status Sifilis, Gonore atau Klamidia berhubungan dengan kejadian HIV p-value < 0,05. Hal ini dapat diharapkan pada LSL terkait risiko perilaku seks rutin melakukan pemeriksaan kesehatan terutama yang memiliki gejala penyakit sifilis, gonorre dan klamidia. Kata kunci: HIV, LSL, Sifiis, Gonore, Klamidia
ABSTRACT Name :Yatinawati Program Studi : Epidemiology Title :“Determinants Associated With HIV Occurrence In Men who have Sex with Men (MSM) At 6 Cities Indonesia Year 2015 (Integrated Data Surveillance Analysis Biological And Behavior Year 2015" Counselor : dr. Syachrizal Syarif, MPH, PhD HIV (Human Immunodeficiency Virus) is a virus that data infects cells in the immune system that can destroy or menggukan its function. Infection of this virus issued a disturbance of the immune system that can lead to immune deficiency. HIV cases in MSM compared to the year 2007 that is 5 , 35% in 2013 to 17.29%. The purpose of this study was to determine what is related to the incidence of HIV in MSM in Indonesia Year 2015. This study used a cross sectional design with regression analysis which is to see the determinant factors. The minimum sample in this study was 690 samples. The results of this study were history sifilis, gonorrhea or chlamydia disease associated with p-value HIV incidence <0.05. This can be done on MSM who are associated with routine health checks that have a history history sifilis, gonorrhea or clamidya disease. Keywords: HIV, MSM, Sifilis, Gonorrhea or Chlamydia
