Sex Behavior and the Risk of Hiv among Male Military Personnel: A Meta-Analysis

Ayu Anulus1), Bhisma Murti1), Hanung Prasetya2)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Study Program of Acupuncture, School of Health Polytechnics, Ministry of Health, Surakarta



Background: United Nations Programme on HIV/AIDS (UNAIDS) reported comparative studies  of  military  sexual  behavior  in  France,  United Kingdom,  and  United States. It showed that military personnel (both career and conscripted personnel) have a higher risk of HIV infection than civilian population in the same age. Military personnel who served for long period of time, generally tended to having sex with Commercial Sex Workers (CSWs), or even between personnel of the same sex. This study aimed to analyze the relationship between sex behavior and the risk of HIV among male military personnel using meta-analysis.

Subjects  and  Method:  A  meta-analysis  was  conducted  by  systematically  review articles from PubMed, Springer Link, ScienceDirect, and Clinical key databases. The keywords were ”man having  sex with a man” OR ”MSM” and  ”commercial sex worker” OR ”CSW” AND ”HIV” AND ”military” OR ”conscript” OR ”soldier” AND ”case-cohort”. The inclusion criteria were free full text study, using English language, male military personnel, case-cohort study, and the results reported in Adjusted Odd Ratio (aOR). Meta-analysis study was run on RevMan 5 with fixed and random effect models.

Results: A total of three articles were reviewed in this study. Studies showed that, having sex with CSWs (aOR= 1.84; 95%CI= 1.08 to 3.13; p= 0.030) and MSM (aOR= 3.60; 95%CI= 2.66 to 4.88; p<0.001) increased the risk of HIV among male military personnel.

Conclusion: Sexual behavior of having sex with CSWs and MSM increase the risk of HIV among male military personnel.

Keywords: HIV, commercial sex worker, man having sex with a men, male military personnel

Correspondence: Ayu  Anulus.  Masters  Program  in  Public  Health.  Universitas  Sebelas Maret,  Jl.  Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Mobile: 082359056395.


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