Effects of Condom Use, Anal Bleeding, and Group Sex on the Risk of HIV Infection in Men Who Have Sex: A Meta-Analysis

Authors

  • La Karman Gojali Master study program of public health, Universitas Sebelas Maret
  • Dinda Nabila Silva Diba Master’s Program in Public Health, Universitas Sebelas Maret
  • Jihan Nabilla Master’s Program in Public Health, Universitas Sebelas Maret
  • Bhisma Murti Master’s Program in Public Health, Universitas Sebelas Maret
  • Elsa Tursina Master’s Program in Public Health, Universitas Sebelas Maret

DOI:

https://doi.org/10.26911/jepublichealth.2024.09.04.06

Abstract

Background: Sexual transmission of HIV among men who have sex with men (MSM) continues to increase. There are several factors that affect the occurrence of HIV infection in Male Sex Addiction. In this study, we will discuss three factors, namely condom use, anal bleeding and sex group ownership. This study aims to analyze and estimate the strength of the relationship between the incidence of HIV infection and condom use, anal bleeding, and sex group ownership.
Subjects and Method: A systematic review and meta-analysis study was conducted using the PICO model. Population: male sex male. Intervention: not using condoms, anal bleeding after sex, and having sex groups. Comparison: using a condom, no anal bleeding after sex, and no sex group. Outcome: HIV infection. The basic data used includes Google Scholar, Proquest, Scopus, PubMed, Zendy, ScienceDirect, BMC, Elsivier, and Springer Link. The inclusion criteria are full-text articles with a cross-sectional study design using multivariate and attaching aOR values and published 1996-2023. The Data analysis using the Review Manager 5.3 application.
Results: This meta-analysis was carried out on seven cross-sectional studies originating from China, Tanzania, and Brazil. Total sample size=13,188 people. The risk of HIV infection in men who have sex with men increased with the use of no condoms (aOR= 1.35; CI 95%= 1.10 to 1.65; p= 0.004), there was anal bleeding after sex (aOR= 1.89; CI 95%= 1.53 to 2.34; p<0.001), and group sex (aOR= 2.30; CI 95%= 1.62 to 3.25); p<0.001).
Conclusion: The risk of HIV infection in men who have sex with men increases by not using condoms, having anal bleeding after sex, and having group sex.

Keywords:

Condom use, anal sex, anal bleeding, male gender, HIV infection

Correspondence

La Karman Gojali. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: lakarmangojali@gmail.com. Mobile: 081247942315

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Published
2024-10-16

Issue
Vol. 9 No. 4 (2024)

Section
flow-chart-line Articles

How to Cite
Gojali, L. K., Diba, D. N. S., Nabilla, J., Murti, B., & Tursina, E. (2024). Effects of Condom Use, Anal Bleeding, and Group Sex on the Risk of HIV Infection in Men Who Have Sex: A Meta-Analysis. Journal of Epidemiology and Public Health, 9(4), 458–471. https://doi.org/10.26911/jepublichealth.2024.09.04.06

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