scholarly journals FEMALE SEX WORKERS’ ATTITUDES TOWARD HIV TESTING: A STUDY AMONG INDIRECT SEX WORKERS IN BANTUL, YOGYAKARTA, INDONESIA

2016 ◽  
Vol 2 (6) ◽  
pp. 146-155
Author(s):  
Dhesi Ari Astuti ◽  
Moh. Hakimi ◽  
Andari Wuri Astuti ◽  
Dyah Anantalia Widyastari ◽  
Doni Marisi Sinaga
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Descriptive Analysis ◽  
Health Belief ◽  
Cross Sectional ◽  
Female Sex ◽  
Belief Model ◽  
Aids Information ◽  
Hiv Aids

Background: HIV prevalence among female sex workers in Indonesia is among the highest in Asia after Papua New Guinea and Malaysia. Indirect sex workers posed a heightened risk of HIV infection compared to direct sex workers because they usually earn less than their direct counterpart and have lower bargaining power in condom use.Objective: This study aims to examine the factors influencing indirect sex workers’ attitudes toward HIV testing.Methods: This study employed a quantitative method with a cross-sectional approach involved 67 indirect sex workers from massage parlors and beauty salons in Bantul district. Descriptive analysis of respondents’ attitude, perceive threat and expectation was drawn from Health Belief Model Theory.Results: The majority of indirect sex workers had positive attitude towards HIV testing. They are aware to the importance of condom in every commercial sex works, but the majority believe themselves were not susceptible to HIV-AIDS due to their preference to healthy-looking clients to serve sex. Personal expenses to visit the health center for HIV testing are less considered compared to public opinion and discrimination. Peers encouraged the workers to get tested. Disseminating HIV/AIDS information to sex workers through media and mobile phone are not successful.Conclusion: The findings of the study carrying an expectation that when individuals’ attitudes toward HIV testing are positive, the likelihood of getting themselves tested would also be higher. Since the perception is driven by information as stimulus, it is important to provide continuous information to create stimulus which eventually will influence their perception.

scholarly journals Social Capital and HIV Testing Uptake among Indirect Female Sex Workers in Bali, Indonesia

2020 ◽  
Vol 5 (2) ◽  
pp. 73
Author(s):  
I Gusti Ngurah Edi Putra ◽  
Pande Putu Januraga
Keyword(s):  
Social Capital ◽  
Hiv Testing ◽  
Peer Support ◽  
Social Cohesion ◽  
Social Participation ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional ◽  
Female Sex ◽  
Testing Uptake

Indirect female sex workers (FSWs), a type of FSW working under the cover of entertainment enterprises (e.g., karaoke lounge, bar, etc.), remain as an important key population for HIV transmission, signaling the need of appropriate interventions targeting HIV-related behaviors. This study aimed to investigate the association between social capital and HIV testing uptake. A cross-sectional study was conducted among 200 indirect FSWs in Denpasar, Bali. The dependent variable was HIV testing uptake in the last six months preceding the survey. The main independent variables were social capital constructs: social cohesion (perceived peer support and trust) and social participation. Variables of socio-demographic characteristics were controlled in this study to adjust the influence of social capital. Binary logistic regression was performed. The prevalence of HIV testing in the last six months was 72.50%. The multivariate analysis showed that only peer support from the social capital constructs was associated with HIV testing uptake. Indirect FSWs who perceived a high level of support within FSWs networks were 2.98-times (95% CI = 1.43–6.24) more likely to report for HIV testing. Meanwhile, perceived trust and social participation did not show significant associations in relation to HIV testing uptake. As social cohesion (support) within FSWs’ relationships can play an important role in HIV testing uptake, existing HIV prevention programs should consider support enhancement to develop a sense of belonging and solidarity.

scholarly journals Psychosocial correlates of regular syphilis and HIV screening practices among female sex workers in Uganda: a cross-sectional survey

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Richard Muhindo ◽  
Barbara Castelnuovo ◽  
Andrew Mujugira ◽  
Rosalind Parkes-Ratanshi ◽  
Nelson K. Sewankambo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Self Efficacy ◽  
Female Sex Workers ◽  
Sub Saharan Africa ◽  
Hiv Screening ◽  
Cross Sectional ◽  
Psychosocial Correlates ◽  
Female Sex ◽  
Syphilis Testing

Abstract Background Limited data are available regarding correlates of regular sexually transmitted infections (STIs) and HIV screening among female sex workers (FSW) in Sub-Saharan Africa. In this study, we aimed to assess the frequency of regular syphilis and HIV screening and the psychosocial correlates associated with screening among FSW in Uganda. Methods This cross-sectional correlational study was conducted among 441 FSW, aged 17–49 years. We enrolled FSW through peer referrals and ascertained self-reported data on number of serological tests for HIV, syphilis and other STIs in the prior 12 months using an interviewer-administered questionnaire. In addition, we assessed attitudes, norms, social influences and self-efficacy towards 3-monthly Syphilis and 6-monthly HIV testing. We estimated the correlates of regular STI and HIV testing using negative binomial regression. Results Of the respondents 420 (95.2%) reported to have ever taken an HIV test with 297 (67.4%) testing two or more times in the prior 12 months. Over half of the respondents (59%) reported ever taking a syphilis test with only 62 (14.1%) reporting testing three or more times in the prior 12 months. After adjusting for socio-demographics, attitude and norms, high perceived self-efficacy was associated with a 33% increase in the likelihood of repeated HIV testing [prevalence ratio (PR), 1.33, 95% confidence interval (CI) 1.15–1.53] while low perceived confidence was associated with a 25% decrease in the likelihood of repeated HIV testing (PR, 0.75, 95% CI 0.63–0.89). Similarly low attitudes and norms were associated with a decrease of 52.6% (PR, 0.47, 95% CI 0.37–0.61) and 47% (PR, 0.53, 95% CI 0.41–0.69) in the likelihood of repeated syphilis testing respectively. Conclusion Compared to HIV, uptake of repeated syphilis testing was very low. Correlates of HIV testing include; perceived self-efficacy amidst barriers and perceived confidence for HIV and low attitudes and accepting norms for syphilis. Health campaigns should emphasize overcoming barriers to HIV testing while promoting attitudes and norms including integration of serological syphilis testing and other STIs into HIV services.

scholarly journals Reducing harm from HIV/AIDS misconceptions among female sex workers in Tijuana and Ciudad Juarez, Mexico: A cross sectional analysis

2012 ◽  
Vol 9 (1) ◽  
pp. 35 ◽  
Author(s):  
Angela M Robertson ◽  
Victoria D Ojeda ◽  
Lucie Nguyen ◽  
Remedios Lozada ◽  
Gustavo A Martínez ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Ciudad Juarez ◽  
Cross Sectional ◽  
Female Sex ◽  
Cross Sectional Analysis ◽  
Sectional Analysis ◽  
Hiv Aids

scholarly journals An Assessment of an Educational Intervention Program Based on the Health Belief Model for Safer Sex Among Female Sex Workers in Selected Districts of Northern Region of Malawi

2021 ◽  
Author(s):  
Donatien Twizelimana ◽  
Adamson Sinjani Muula
Keyword(s):  
Health Belief Model ◽  
Educational Intervention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Intervention Program ◽  
Safer Sex ◽  
Health Belief ◽  
Female Sex ◽  
Belief Model ◽  
The Health Belief Model

Abstract Background: Pregnant women are at risk of pregnancy if they have unprotected sex, do not use or poorly use contraceptives in the context of penile-vaginal sex. We therefore developed an educational toolkit based on the Health Belief Model (HBM) to assist FSWs to make informed sexual and reproductive decision for safer sex before and/or after heterosexual encounter with their clients. We evaluated the educational intervention programme among FSWs and other stakeholders (nurses and clinicians).Methods:This was a qualitative operational research. We developed an educational tool kit based on the HBM to aid FSWs to make informed decision for safer sex behaviour. We conducted 10 in-depth interviews (IDIs) to identify the components of the educational tool kit, 5 IDIs for modification and refining the tool, and consequently two Focus Group Discussions (FGDs) for consensus building. This process was done in Mzimba North. After the intervention we conducted 6 FGDs with FSWs and 10 IDIs with nurses and clinicians to evaluate the applicability and feasibility of the intervention among female sex workers (FSWs) in Mzimba North, and Nkhata Bay located in Northern region of Malawi.Results:We observed mixed opinions on the components of the educational toolkit. Female sex workers were eager to understand misinformation and misconceptions on contraceptives, right to justice, effectiveness of contraceptives. Female sex workers requested the inclusion of STIs and HIV prevention and economic empowerment in the toolkit. Overall the toolkit and the educational intervention were relevant, feasible, and applicable among the study participants. Conclusion:While several strategies can be used to facilitate the implementation of the evidence based intervention to improve health, our educational intervention program based on the Health Belief Model for safer sex behaviour among female sex workers was found to be feasible and applicable in our study settings. We believe that the intervention may be helpful to address sexual and reproductive health challenges encountered by FSWs in the study sites and elsewhere.

scholarly journals Dukungan Pihak Lain Terhadap Praktik Mucikari dalam Upaya Penggunaan Kondom 100% pada WPS di Resosialisasi Argorejo Semarang

2017 ◽  
Vol 12 (1) ◽  
pp. 25
Author(s):  
Tanjung Anitasari I.K ◽  
Zahroh Shaluhiyah ◽  
Antono Suryoputro
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Female Sex ◽  
Education Support ◽  
The Relationship ◽  
Hiv Aids

ABSTRAKResosialisasi Argorejo merupakan resosialisasi terbesar di Kota Semarang, dan menjadi Resosialisasi percontohan di Indonesia. Terdapat program kondom 100% pada WPS di Resosialisasi Argorejo untuk mengendalikan penularan HIV melalui hubungan seksual tidak aman mengingat konsistensi penggunaan kondom 1 minggu terakhir pada WPS di Kota Semarang pada tahun 2013 adalah sebesar 55%. Berdasarkan hasil evaluasi KPA Kota Semarang, peran mucikari dalam program kondom 100% pada WPS masih kurang. Penelitian ini bertujuan untuk mengetahui faktor yang berpengaruh terhadap praktik mucikari dalam upaya penggunaan kondom 100% pada WPS di Resosialisasi Argorejo Semarang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Besar sampel adalah 144 orang yang diambil menggunakan total sampling. Analisa data secara univariat, bivariat dengan chi-square, dan multivariat dengan regresi logistik. Hasil penelitian menunjukkan 50,7% mucikari melakukan praktik baik dalam mengupayakan penggunaan kondom 100% pada WPS. Faktor yang paling dominan berpengaruh terhadap praktik mucikari adalah dukungan LSM. Faktor yang menunjukkan ada hubungan yang bermakna dengan praktik mucikari adalah tingkat pendidikan, dukungan teman, dukungan petugas kesehatan, dan dukungan LSM. Dari penelitian ini, maka dapat disimpulkan bahwa dukungan dari pihak LSM dapat meningkatkan praktik mucikari dalam upaya penggunaan kondom 100% pada WPS selain faktor tingkat pendidikan, dan masa kerja mucikari. Kata Kunci : IMS dan HIV/AIDS, mucikari, kondom 100% Another Side Support and The Relationship with Pimp’s Practice of 100% Condom Use By The Female Sex Workers (FSW) at Argorejo Resocialization Complex, Semarang;       Argorejo resocialization was the biggest resocialization in Semarang and as a model resocialization in Indonesia. Programme of 100% condom is being used to prevent HIV by means of the unsafe sexual transaction, and it considered of condom use by female sex workers in Semarang was only 55 %. Based on KPA Semarang evaluation, pimps practice of the 100% condom use programme was still less.Knowing the factors that influence pimps practice of 100% condom use by the FSW at Argorejo resocialization was the aims in this research. Quantitative method with cross sectional approach was used in this study. Pimps in this research as many as 144 pimps, and have been become the sample of the research with total sampling technique. Data has been analyzed by univariate, chi-square (bivariate), and logistic regression (multivariate analysis).The result showed that 50,7% pimps practices were good. NGO support was the main variable that has considerable influence on the pimps practice.  Variables which correlated toward pimps practice were education, support (friend, health provider, NGO). From this research, can be conclude that support from NGO can increase pimp’s practice besides education, and the period of work.Keywords : STI and HIV/AIDS, pimps, 100% condom

scholarly journals HIV among Female Sex Workers in Five Cities in Burkina Faso: A Cross-Sectional Baseline Survey to Inform HIV/AIDS Programs

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Henri Gautier Ouedraogo ◽  
Odette Ky-Zerbo ◽  
Adama Baguiya ◽  
Ashley Grosso ◽  
Sara Goodman ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Burkina Faso ◽  
Hiv Testing ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Multivariate Logistic Regression Analysis ◽  
Hiv Prevalence ◽  
Female Sex ◽  
Bobo Dioulasso ◽  
Hiv Aids

Background. Female sex workers (FSWs) are considered a vulnerable population for HIV infection and a priority for HIV/AIDS response programs. This study aimed to determine HIV prevalence among FSWs in five cities in Burkina Faso. Methods. FSWs aged 18 and older were recruited using respondent driven sampling (RDS) in five cities (Ouagadougou, Bobo-Dioulasso, Koudougou, Ouahigouya, and Tenkodogo) in Burkina Faso from 2013 to 2014. HIV testing was performed using the HIV testing national algorithm. We conducted bivariate and multivariate logistic regression analysis to assess correlates of HIV in all cities combined (not RDS-adjusted). Results. Among Ouagadougou, Koudougou, and Ouahigouya FSWs, RDS-adjusted HIV prevalence was 13.5% (95% Confidence Interval [CI]: 9.6–18.7), 13.3% (95% CI: 7.6–22.4), and 13.0% (95% CI: 7.6–21.3), respectively, compared to 30.1% (95% CI: 25.5–35.1) among Bobo-Dioulasso FSWs. Factors associated with HIV infection were age (adjusted odds ratio [aOR] = 7.84 95% CI: 3.78–16.20), being married or cohabitating (aOR = 2.43, 95% CI: 1.31–4.49), and history of pregnancy (aOR = 5.24, 95% CI: 1.44–18.97). Conclusion. These results highlight the need to strengthen HIV prevention among FSWs, through behavior change strategies, and improve access to sexual and reproductive health services.

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