SEXUAL BEHAVIOR, KNOWLEDGE LEVEL, AND CONDOM USE AMONG MSM AND TRANSGENDER COMMUNITIES IN BAUBAU CITY

SEXUAL BEHAVIOR, KNOWLEDGE LEVEL, AND CONDOM USE
Wa Ode Sitti Justin 1 Indonesia , Anita 2 Indonesia ROR , Sudirman P 2 Indonesia ROR , Winda Angraeni Ruslan 1 Indonesia , Ahmad Amiruddin J 1 Indonesia
1 Politeknik Baubau, Baubau City, Indonesia
2 Politeknik Baubau ROR
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Published 2025-12-24
Vol. 7 No. 2 (2025) PAGES 49-57
DOI 10.36566/ijhsrd/Vol7.Iss2/317
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Background: The MSM (Men who have Sex with Men) and transgender communities are key populations at high risk for sexually transmitted infections (STIs), including HIV/AIDS. This vulnerability is driven by risky sexual behaviors, low consistency in condom use, as well as stigma and discrimination that hinder access to community-friendly healthcare services. Empirical data on these issues in Baubau City remain limited, making this study essential to provide a comprehensive overview.

Methods: This study employed a quantitative descriptive survey method with a cross-sectional approach. The sample consisted of 60 respondents, including 54 MSM and 6 transgender individuals, selected through purposive and snowball sampling techniques. Data were collected using a structured questionnaire measuring knowledge of HIV and STIs, risky sexual behaviors, and condom use. Descriptive statistics were used for data analysis.

Results: The majority of respondents engaged in risky sexual behaviors, with 63% having more than one partner in the past six months, 92% having practiced anal sex, and 55% having engaged in transactional sex. Although 66.7% of respondents demonstrated a high level of knowledge about HIV and STIs, there remains a significant gap between knowledge and safe sexual practices. Consistent condom use during anal sex was reported by only 30% of respondents, and the use of water-based lubricants was similarly low.

Conclusion: Risky sexual behavior remains prevalent among MSM and transgender communities in Baubau City despite relatively high knowledge levels. Condom and lubricant use is still inconsistent. Comprehensive education interventions, improved access to condoms and lubricants, and strengthened community-friendly healthcare services are necessary to promote safer sexual behaviors.

SEXUAL BEHAVIOR, KNOWLEDGE LEVEL, AND CONDOM USE AMONG MSM AND TRANSGENDER COMMUNITIES IN BAUBAU CITY : SEXUAL BEHAVIOR, KNOWLEDGE LEVEL, AND CONDOM USE. (2025). INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 7(2), 49-57. https://doi.org/10.36566/ijhsrd/Vol7.Iss2/317
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  1. 1. American Psychological Association. (2021). Guidelines for Psychological Practice with Transgender and Gender Nonconforming People. Washington, DC: APA Publishing.
  2. 2. Centers for Disease Control and Prevention (CDC). (2021). Sexually transmitted infections surveillance report. CDC.
  3. 3. Creswell, J. W., & Plano Clark, V. L. (2018). Designing and Conducting Mixed Methods Research (3rd ed.). SAGE Publications.
  4. 4. Crooks, R., & Baur, K. (2021). Our sexuality (14th ed.). Cengage Learning.
  5. 5. Eprints UNDIP. (2019). Tinjauan Perilaku Seksual Berisiko pada Lelaki Seks dengan Lelaki (LSL).
  6. 6. Fauk, N. K., Ward, P. R., Hawke, K., Mwanri, L., & Ziersch, A. (2021). HIV-related knowledge and stigma among men who have sex with men in Indonesia: A cross-sectional study. BMC Public Health, 21, 1553
  7. 7. Field, A. (2018). Discovering Statistics Using IBM SPSS Statistics (5th ed.). SAGE Publications.
  8. 8. GNP+. (2021). Meaningful involvement of key populations in the HIV response. Global Network of People Living with HIV.
  9. 9. Guntur, D., & Raharjo, T. J. (2018). Hubungan antara tingkat pendidikan dan pengetahuan HIV/AIDS pada remaja. Jurnal Kesehatan Masyarakat, 6(1), 12-19.
  10. 10. Human Rights Campaign. (2020). Understanding the Transgender Community. Washington, DC: HRC Foundation.
  11. 11. Justin, et al. (2022). Peningkatan Kapasitas dan Deteksi Dini HIV/AIDS Pada Remaja di Kota Baubau. Abdimas Universal, 4(2), 253–259.
  12. 12. Kurniawan, A., & Sari, D. (2020). Kesehatan Seksual dan Reproduksi: Perspektif Kesehatan Masyarakat. Penerbit Andalas.
  13. 13. Maharani, A., Yusuf, A., & Sukartini, T. (2020). Effectiveness of health education to increase knowledge about HIV prevention among transgender in Surabaya. Jurnal Ners, 15(1), 43-47.
  14. 14. Notoatmodjo, S. (2018). Promosi Kesehatan dan Perilaku Kesehatan. Rineka Cipta.
  15. 15. Putra, A. K., & Puspitasari, D. A. (2019). Seks transaksional dan ketidaksetaraan gender pada waria. Jurnal Gender dan Sosial, 11(2), 83–94.
  16. 16. Riyanto, P. (2021). Buku Panduan Infeksi Menular Seksual pada Komunitas Lesbian, Gay, Biseksual & Transgender (LGBT). Penerbit UNDIP.
  17. 17. Rumah Cemara. (2020). Aksesibilitas dan Kualitas Layanan Kesehatan Seksual dan Reproduksi bagi LSL dan Transpuan di Kota Bandung.
  18. 18. Safika, I., Johnson, T. P., & Cho, Y. I. (2018). Economic factors influencing involvement in sex work among transgender women in Indonesia. Asian Social Work and Policy Review, 12(2), 85-97.
  19. 19. Santrock, J. W. (2019). Life-span development (17th ed.). McGraw-Hill Education.
  20. 20. Setiawan, R. (2021). Perilaku Seksual dan Pencegahan HIV/AIDS di Kalangan LSL. Pustaka Kesehatan.
  21. 21. UNAIDS. (2022). Global HIV & AIDS Statistics – Fact Sheet. www.unaids.org.
  22. 22. World Health Organization. (2022). Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: Recommendations for a public health approach.

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Sexual Condom MSM Transgender HIV public health health

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