Authors:
Ancella Soenardi
1
;
Reti Anggraeni
1
;
Ari Natalia Probandari
2
;
Endra Yustin
2
;
Prasetyadi Mawardi
3
and
Harijono Kariosentono
3
Affiliations:
1
Sebelas Maret University, Faculty of Medicine, Department of Dermatovenerology, Indonesia
;
2
Dr. Moewardi General Hospital, Department of Dermatovenerology, Indonesia
;
3
Sebelas Maret University, Faculty of Medicine, Department of Public Health, Indonesia
Keyword(s):
MSM, Risk Factor, Sexually Transmitted Diseases, Structrual Equation Modelling
Abstract:
Risk factors affecting Sexually Transmitted Diseases (STD) are complex, covering from sociodemographic
factor, sexual risk behaviour factor and risky health behaviour factor to name a few. Structural Equation
Modelling (SEM) with path analysis can be used to illustrate the complex and correlated roles of each factors.
This cross sectional study was done in Surakarta. Population in this study was MSM population who visited
monthly mobile clinic for Voluntary Consultation Testing (VCT) testing and MSM patients who visited VCT
clinic of Dr Moewardi General Hospital between March 2017 to August 2017. A total 190 subjects were
asked to answer questionnaires about the risk factors and to provide biological samples (blood, urethral and
anal swab) to detect STD including syphilis, urethral and rectal gonorrhoea, and non specific utethral and
rectal infection. Physical examination was used to diagnose genital warts. There were 67 (35,3 %) STD cases,
comprising of syphilis 39 subjects
(58.2%), genital warts 25 subjects (37.3%), non specific proctitis 14
subjects (20.9%) and gonorrhea 1 subject (1.5%). The SEM model indicated that sociodemographic factor has
a direct effect to sexual behavior strongly by 0.86 point, and sexual behaviour itself has a direct effect to STD
prevalence by 0.28 point. Sociodemographic factor however has a negative direct effect to STD prevalence by
-0.54 point. The model shows that by controlling sociodemographic factors especially single and low
educated indivuduals may enable us to reduce STD prevalence through control of sexual behavior.
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