Individual, Sexual, and Health Risk Factors Associated With HIV/AIDS Incidence

Luluk Setiawan — Indonesia , Masrizal Masrizal — Indonesia , Syafrawati Syafrawati — Indonesia

Abstract


Background: HIV/AIDS remains a major public health challenge in Indonesia. Dharmasraya Regency, West Sumatra, ranks second in HIV prevalence among districts in the province (0.018%), with cases increasing from 3 new infections in 2023 to 8 cases by October 2024. The specific pattern of risk factors driving this upward trend in Dharmasraya remains insufficiently documented.

Objective: This study aimed to identify risk factors of individual characteristics, sexual behavior, and health history associated with HIV/AIDS incidence in Dharmasraya Regency.

Methods: An analytical study using a non-matching case-control design was conducted from March to May 2025. A total of 117 participants were recruited from the HIV/AIDS Information System (SIHA 2.1): 39 laboratory-confirmed HIV-positive cases (total sampling) and 78 HIV-negative controls (systematic random sampling, 1:2 ratio). Data were collected through structured, interviewer-administered questionnaires. Bivariate analysis was performed using the Chi-Square test (α = 0.05), with crude odds ratios (OR) and 95% confidence intervals (CI) calculated for each variable.

Results: Five variables were significantly associated with HIV incidence: risky sexual practices (OR = 44.24; 95% CI: 9.83–199.02; p < 0.001), non-heterosexual orientation history (OR = 5.57; 95% CI: 2.40–12.93; p < 0.001), history of sexually transmitted infections (OR = 5.47; 95% CI: 2.06–14.50; p = 0.001), family history of HIV/AIDS (OR = 5.33; 95% CI: 2.08–13.70; p = 0.001), and male gender (OR = 2.62; 95% CI: 1.12–6.09; p = 0.039). Age, education level, occupation, marital status, and condom use showed no statistically significant association.

Conclusion: Risky sexual practices, non-heterosexual orientation history, STI history, family history of HIV/AIDS, and male gender are significant risk factors for HIV incidence in Dharmasraya Regency. Targeted prevention programs addressing behavioral risk factors and stigma-free healthcare access are urgently recommended. Future research should employ multivariate methods to identify independent risk factors.


Keywords


Risk Factors; HIV/AIDS; Individual Characteristics; Sexual Behavior; Health History

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References


Adiningsih, S., Widiyanti, M., Rokhmad, M. F., & Kridaningsih, T. N. (2023). Identifikasi alasan kesediaan tes HIV dan analisis faktor risiko pada orang dengan HIV/AIDS di Papua Barat. Sebatik, 27(2), 541–550. https://doi.org/10.46984/sebatik.v27i2.2285

Ajeng, R. H., Kusumah, W., Sastramihardja, H. S., & Andarini, M. Y. (2023). Tingginya kejadian HIV/AIDS dengan faktor risiko homoseksual di RSUD Dr. Slamet Kab. Garut. Bandung Conference Series: Medical Science, 3(1), 149–153. https://doi.org/10.29313/bcsms.v3i1.5785

Almung, W., Hasmi, H., Pariaribo, K. M., Bouway, D. Y., Tuturop, K. L., & Nurdin, M. A. (2025). Risk factors for HIV and AIDS at the Harapan Health Center, East Sentani District, Jayapura Regency in 2023–2024. Formosa Journal of Science and Technology, 4(1), 155–168. https://doi.org/10.55927/fjst.v4i1.13102

Ayu, D., & Prameswari, N. (2024). Faktor risiko yang berhubungan dengan HIV/AIDS di Indonesia: Literature review. Jurnal Kesehatan Tambusai, 5(3), 7324–7334. https://doi.org/10.31004/jkt.v5i3.31350

Damanik, R. Z., & Rahmadhani, M. (2023). Hubungan faktor karakteristik pada kejadian HIV/AIDS di Puskesmas Medan Area Selatan. Journal of Biology Education, Science & Technology, 6(2), 401–407. https://doi.org/10.24114/jbest.v6i2.43281

Dewi, N. I. P., Rafidah, R., & Yuliastuti, E. (2022). Studi literatur faktor yang berhubungan dengan kejadian HIV/AIDS pada wanita usia subur (WUS). Jurnal Inovasi Penelitian, 3(1), 4583–4590. https://doi.org/10.47492/jip.v3i1.1613

Dinas Kesehatan Provinsi Sumatera Barat. (2021). Profil Dinas Kesehatan Provinsi Sumatera Barat tahun 2021. Dinas Kesehatan Provinsi Sumatera Barat.

Dinas Kesehatan Provinsi Sumatera Barat. (2022). Profil Dinas Kesehatan Provinsi Sumatera Barat tahun 2022. Dinas Kesehatan Provinsi Sumatera Barat.

Efendi, R. F., Firdawati, F., Hasmiwati, H., Hardisman, H., Yetti, H., & Abdiana, A. (2023). Hubungan pengetahuan dan sikap tentang HIV/AIDS dengan kejadian HIV pada LSL. Jurnal Ilmu Kesehatan Indonesia, 3(3), 225–232. https://doi.org/10.25077/jikesi.v3i3.861

Hairunisa, N., Khairani, A., Putri, R., & Haryati, S. (2023). Study on factors related to HIV among women in West Kalimantan, Indonesia. Journal Biomedika dan Kesehatan, 6(1), 89–107. https://doi.org/10.18051/JBiomedKes.2023.v6.89-107

Herlinda, F., Diniarti, F., & Darmawansyah, D. (2023). Faktor-faktor yang berhubungan dengan kejadian HIV/AIDS di Puskesmas Penurunan Kota Bengkulu tahun 2022. Jurnal Vokasi Kesehatan, 2(1), 13–22. https://doi.org/10.58222/juvokes.v2i1.139

Johan, A., Krisita, J., Gunadi, H. R., Eddy, Fariha, N., & Aji, B. S. (2022). Pencegahan dan pengendalian HIV/AIDS di tempat kerja. International Labour Organization. https://www.ilo.org/publns

Johnston, L. G., Soe, P., Widihastuti, A. S., Camellia, A., Putri, T. A., Rakhmat, F. F., Nurwandani, R. A., Prabhu, S. M., Sulaiman, N., & Pronyk, P. M. (2021). Alarmingly high HIV prevalence among adolescent and young men who have sex with men (MSM) in urban Indonesia. AIDS and Behavior, 25(11), 3687–3694. https://doi.org/10.1007/s10461-021-03347-0

Kementerian Kesehatan Republik Indonesia. (2022). Perkembangan HIV AIDS dan penyakit infeksi menular seksual (PIMS) triwulan IV tahun 2022. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. https://siha.kemkes.go.id/portal/files_upload/Laporan_TW_3_2022.pdf

Kementerian Kesehatan Republik Indonesia. (2023). Laporan HIV/AIDS tahun 2023. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit.

Nugraha, F. R., Aryawati, W., & Febriani, C. A. (2024). Analisis faktor yang berhubungan dengan kejadian HIV/AIDS pada laki-laki di wilayah kerja Puskesmas Simpur Bandar Lampung tahun 2023. Professional Health Journal, 5(2), 608–618. https://doi.org/10.54832/phj.v5i2.686

Prahmawati, P. (2022). Analisis faktor yang berhubungan dengan kejadian HIV/AIDS pada wanita. Jurnal Penelitian Perawat Profesional, 4(2), 721–736. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Rahma, Y. M., Fitriyanti, R., & Susilawati, T. (2024). Determinan kejadian HIV AIDS pada populasi kunci di Indonesia: Systematic review. JIK Jurnal Ilmu Kesehatan, 8(1), 112–121. https://doi.org/10.33757/jik.v8i1.1084

Rahmah, M. Y., & Ardiansjah, A. (2024). Analisis spasial kasus HIV/AIDS, aksesibilitas pelayanan kesehatan dan tempat berisiko penularan HIV/AIDS di Kota Palembang tahun 2022. Media Publikasi Promosi Kesehatan Indonesia, 7(2), 480–491. https://doi.org/10.56338/mppki.v7i2.4762

Sari, F. L. (2021). Analisis faktor yang berhubungan dengan status Human Immunodeficiency Virus (HIV) pada kelompok LSL di Kota Bandar Lampung. Jurnal Kesehatan Indonesia, 1(3), 393–403. https://doi.org/10.33024/jki.v1i3.4021

Sitorus, I. L. (2022). Faktor-faktor yang mempengaruhi perilaku berisiko HIV/AIDS pada homoseksual mitra Yayasan Galatea di Kota Medan tahun 2022. Journal of Excellent Health, 2(1), 137–144. http://ojs.stikes-assyifa.ac.id/index.php/joeh/article/view/26

Solomon, M., Furuya-Kanamori, L., & Wangdi, K. (2021). Spatial analysis of HIV infection and associated risk factors in Botswana. International Journal of Environmental Research and Public Health, 18(7), Article 3424. https://doi.org/10.3390/ijerph18073424

UNAIDS. (2024). The path that ends AIDS: Indonesia country update 2024. Joint United Nations Programme on HIV/AIDS. https://crossroads.unaids.org/story/indonesia/

Widiastuti, E., & Fibriana, A. I. (2022). Kejadian HIV/AIDS di Kota Semarang tahun 2021. HIGEIA: Journal of Public Health Research and Development, 6(4), 344–355. https://doi.org/10.15294/higeia.v6i4.54321

World Health Organization. (2023). HIV and AIDS [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/hiv-aids

World Health Organization. (2024). HIV data and statistics. https://www.who.int/data/gho/data/themes/hiv-aids




DOI: http://dx.doi.org/10.33757/jik.v10i1.1522

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