Risk Factors Associated with HIV Infection among Male to Transvestites in Five Cities in Indonesia in 2015

Transgender people are 49 times more likely to live with HIV than common people. In 2015 HIV prevalence in Indonesia increased from 2011. This study aims to determine the risk factors associated with HIV infection in transvestites. This study used a cross-sectional design, using data from the Indonesian Ministry of Health’s Integrated Biological and Behavior Survey in 2015, the study population was all transvestites in five cities in Indonesia, the sample was someone who was biologically male but behaved like a woman, aged ≥15 years interviewed and have complete data. We investigate risk factors associated with HIV infection. Data analysis used the SPSS application, for p-value statistical tests <0.05 were considered statistically significant. Results: 64% of transvestites aged over 30 years, 57% had low education, 67% of transvestites had anal sex in the past week, 86% of transvestites used condoms during sex, the results of multivariate analysis showed that factors associated with HIV infection were having sex with male client at last week (OR=1.60, 95% CI: 1.04-2.45); age ≥30 years (OR=1.61, 95% CI: 1.10-2.38) and had a history of symptoms of STIs in the last year (OR=1.88, 95% CI: 1.24-2.85). Risk factors associated with HIV infection among transvestites in five cities in Indonesia are having anal sex with male client in the past week; Age ≥30 years; and have a history of symptoms of STIs in the past year.