Hubungan seksual anal dikalangan lelaki seks lelaki (LSL) dilakukan untuk memperoleh kepuasan seksual. Setiap peran dalam hubungan seksual anal (top, bottom, versatile) memberikan pengalaman kepuasan seksual berbeda. Penelitian ini bertujuan untuk mengidentifikasi hubungan preferensi peran seksual dengan kepuasan seksual pada ODHA LSL. Desain studi penelitian menggunakan cross sectional, dilakukan di Female Plus Kota Bandung dengan teknik consecutive sampling sebanyak 107 responden. Instrumen penelitian menggunakan The New Sexual Satisfaction Scale dan kuesioner preferensi peran seksual. Analisis data yang digunakan yaitu univariat dan bivariat dengan uji chi square. Hasil penelitian menunjukkan tidak ada hubungan (p value 0.491) antara preferensi peran seksual dengan kepuasan seksual. Kepuasan seksual tinggi terlihat pada penelitian ini, hal tersebut dapat menjadikan motif lelaki seks lelaki dalam melakukan hubungan seksual anal. Diperlukan edukasi mengenai dampak negatif hubungan seksual anal pada lelaki seks lelaki.

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Anal intercourse among men who have sex with men (MSM) has been done to get sexual satisfaction. Every role in anal intercourse (like top, bottom, and versatile) are giving different sexual satisfaction. This research aims to identify the relationship between sexual role preference and sexual satisfaction among MSM with HIV/AIDS. The design of this research is using cross sectional and has been done at Bandung Female Plus with consecutive sampling technique of 107 respondents. This research is using The New Sexual Satisfaction Scale and sexual role preference questionnaire. Data analysis that has been used is univariate and bivariate with chi square test. The result of this research shows that there is no relationship (p value .491) between sexual role preference with sexual satisfaction. High sexual satisfaction has shown on this research, and it can make MSM motive to do anal intercourse. So that education needs to be done about negative impact of anal intercourse to MSM group.