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Muhammad Ruslan
Fakultas Ekonomi Universitas Hasanuddin
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Tattooing Practices, Drug Use, and Piercing Associations with Sexually Transmitted Infections among Young Men Who Have Sex with Men Fatiah, Mona Safitri; Syarif, Afwan; Ruslan, Muhammad; Tambing, Yane
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 17 No 4 (2025): JIKM Vol 17, Issue 4, November 2025
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

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Abstract

Background: Young men who have sex with men in Indonesia face a high vulnerability to sexually transmitted infections. However, evidence on the role of body modification and drug use remains limited. This study examined behavioral correlates of self-reported sexually transmitted infection symptoms. Methods: Data were obtained from the 2018–2019 Integrated Biological and Behavioral Survey, a cross-sectional respondent-driven sampling study involving 1,988 men aged 18–24 years across multiple Indonesian cities. Weighted logistic regression was used to estimate adjusted odds ratios for sexually transmitted infection symptoms in relation to tattooing, piercing, drug use, condom use, HIV prevention knowledge, and sociodemographic factors. Results: The prevalence of self-reported sexually transmitted infection symptoms was 22.8%. Tattooing, piercing, and drug use were not independently associated with these symptoms after adjustment. In contrast, low human immunodeficiency viruses (HIV) prevention knowledge (Adjusted OR = 8.53; 95% CI: 2.38–30.4) and inconsistent condom use (never: Adjusted OR = 32.3; 95% CI: 1.34–775.5; occasional: Adjusted OR = 3.57; 95% CI: 1.12–11.4) showed strong associations. Conclusion: The primary drivers of sexually transmitted infection symptoms among young men who have sex with men were gaps in HIV prevention knowledge and inconsistent condom use, rather than tattooing, piercing, or drug use. Interventions should prioritize sexual health education, condom promotion, and regulatory oversight for body modification practices.
Co-Authors - Asysyifa Abdi Fithria Adawiya, Annisa Nur Afwan Syarif Ahmad Afandi Ahmad Affandi Akbar, Pani Ali, Syam’ani D. Arfa Agustina Rezekiah Aryasih, I Gusti Ayu Made Asmaul Husna Badaruddin Badaruddin BASUKI RAHMAD Chapakiya, Suraiya Chehleng, Saemsu Diva, Achmad Arya Eko Rini Indrayatie Eusabius Separera Niron Fahmi, Hilman Fahriansyah Fahriansyah Fatimah Nur Fuad, Ai Hafizianor Hafizianor, Hafizianor Hartono, Muhammad Purqon Azmi Hasan Asari Hasibuan, Dini Anggrayani Hastuti Olivia Irfan Muhammad Khairani, Aulia Maekong, Maplee Mona Safitri Fatiah Mrs. Rosdiana Nurmawati Nurmawati Oktrigana Wirian Posmaningsih, Dewa Ayu Agustini Pramudya, Firman Rahman , Abd Rambe, Nadiatul Ulyah Ridho, Muhammad Izul Rinakanti, Rinakanti Shiba, Yasinta Nur Siregar, Pani Akhiruddin Sumaryono Sumaryono Syam'ani, Syam'ani Syam’ani, Syam’ani Udiansyah Udiansyah, Udiansyah Ujung, Amiruddin Wahid, Jamrul Wahyudi, Firman Pramudya Rahmat Yane Tambing Zailani Zailani