scholarly journals Preventive Behavior of Sexually Transmitted Infections and HIV/AIDS Among Female Sex Workers in Gianyar Regency

2021 ◽  
Vol 10 (2) ◽  
pp. 72-78
Author(s):  
Luh Gede Pradnyawati

Research conducted in 2018 regarding the use of condoms among female sex workers (FSW) in Sanur, Denpasar City, found that condom use had beed promoted, but there were still FSW who did not use condoms when dealing with customers. Gianyar Regency is an area with the second highest direct FSW after Denpasar City. Gianyar Regency has many locations and points of sexual transactions. One of the wellknown locaizations in Gianyar Regency is the one along the Baypass Ida Bagus Mantra. Therefore, it is necessary to conduct an exploratory study of STIs and HIV/AIDS prevention behavior in female sex workers in Gianyar Regency. This study used a qualitative method with purposive sampling technique on 15 informants consisting of female sex workers, pimps and friends/customers by conducting indepth interviews. The results showed that even though the use of condoms had been encouraged, there were also participants who did not use condoms when dealing with custumors. They mostly argued that their partners did not like the use of condoms in sexual intercourse. The low use of condoms is related to economic factors. If they use a condoms for sexual intercourse, it will reduce the income of FSW. In the prevention of STIs and HIV/AIDS, most FSW never did an HIV test

2017 ◽  
Vol 12 (1) ◽  
pp. 25
Author(s):  
Tanjung Anitasari I.K ◽  
Zahroh Shaluhiyah ◽  
Antono Suryoputro

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


2021 ◽  
Vol 2 (1) ◽  
pp. 32
Author(s):  
Aris Puji Utami ◽  
Hanim Nur Faizah ◽  
Moh. Wafi Mubarok

Introduction: Cases of STIs continue to soar, one of which is due to the practice of prostitution because women sex workers (WPS) are one of the high risk groups of contracting and transmitting STIs. The purpose of this study was to explore knowledge and explore the behaviour of women sex workers indirectly. Methods: The design of this research uses descriptive qualitative research method with phenomonology. The subject of this study was women indirect sex workers who sold sexual services in exchange for money located in the village stalls of Sugiwaras District Jenu Tuban District a number of five women sex workers. Data collection techniques used in this research are observation and structured interview techniques. Result: The results of this study showed that participants' knowledge of reproductive health was not good, as evidenced by the women sex workers were not immediately able to explain the definition, signs and symptoms and how to prevent the spread of sexually transmitted infections (STIs). In terms of applying behaviour, participants were classified as negative because all participants revealed to have had unless condomless sexual intercourse and economic difficulties. Conclution: The sexual behaviour of female sex workers indirectly in the stalls along the pantura was classified as negative because all participants revealed to have had sexual intercourse without condoms and economic difficulties. Female sex workers also have low knowledge of STI.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Cheng Wang ◽  
Ya-Jie Wang ◽  
Joseph D. Tucker ◽  
Ming-Zhou Xiong ◽  
Hong-Yun Fu ◽  
...  

Abstract Background Human immunodeficiency virus (HIV) self-testing may help improve test uptake among female sex workers. China has implemented many HIV self-testing programs among men who have sex with men, creating an opportunity for promotion among female sex workers. However, there is a limited literature on examining HIV self-testing among female sex workers. This study aimed to examine HIV self-testing experiences and its determinants among female sex workers in China. Methods A venue-based, cross-sectional study was conducted among Chinese female sex workers in 2019. Participants completed a survey including social-demographic characteristics, sexual behaviors, and HIV self-testing history, the distribution of which were analyzed using descriptive analysis. Multivariable logistic regression was conducted to identify associations with HIV self-testing. Results Among 1287 Chinese female sex workers, 1072 (83.3%, 95% confidence interval [CI] 81.2–85.3%) had ever tested for HIV, and 103 (8.0%, 95% CI 6.6–9.6%) had ever used HIV self-testing. More than half reported that the self-test was their first HIV test (59.2%, 61/103), around one-fifth reported HIV self-testing results influenced the price of sex (21.4%, 22/103). A minority of individuals reported ever experiencing pressure to undertake HIV self-testing (6.8%, 7/103). After adjusting for covariates, HIV self-testing was positively associated with receiving anal sex in the past month (adjusted odds ratio [aOR] = 2.2, 95% CI 1.4–3.5), using drugs before or during sex (aOR = 2.8, 95% CI 1.8–4.5), injecting drugs in the past 6 months (aOR = 2.6, 95% CI 1.2–6.0), being diagnosed with other sexually transmitted infections (aOR = 1.6, 95% CI 1.0–2.5), tested for other sexually transmitted infections in the past six months (aOR = 3.4, 95% CI 2.1–5.5), ever tested in the hospital (aOR = 3.4, 95% CI 2.0–5.6), and ever tested in the community (aOR = 1.5, 95% CI 1.2–1.9). Conclusions Our findings suggest that HIV self-testing could expand overall HIV testing uptake, increase HIV testing frequency, reach sub-groups of high-risk female sex workers and has limited potential harms among female sex workers. HIV self-testing should be incorporated among Chinese female sex workers as a complement to facility-based HIV testing services.


2020 ◽  
Vol 10 (2) ◽  
pp. 124-130
Author(s):  
Putu Sukma Megaputri ◽  
Ketut Putra Sedana ◽  
Gede Adi Kristiawan ◽  
Ketut Susini ◽  
Putu Indrawan

Indonesia is still in a position of the concentrated epidemic, where female sex workers are still one of the risk populations that are very vulnerable to HIV/AIDS. The process of accepting and living experience of infected female sex workers becomes very important so that the quality of life is better. Buleleng is one of the districts in Bali with the highest incidence of HIV/AIDS by sex workers. The purpose of this study was to determine the life experiences of sex workers when infected with HIV/AIDS in Buleleng Regency. Quality research methods with a phenomenological approach. Participants numbered 5 participants, with 4 sex workers who were infected with HIV/AIDS and 1 holder of an HIV service program at the Sawan Health Center. The sampling technique used purposive sampling with instruments in the form of interview guidelines. Data collection techniques by conducting in-depth interviews. Then the results are analyzed by transcribing and compiling a theme. The results found five major themes, namely risk factors for infection, self-response, social response after infection, condom use behavior, and health insurance with ARV adherence. The conclusion is that more sex workers do not want to disclose their HIV status, then there are still many sex workers who do not have health insurance so that it leads to non-adherence with treatment.


Author(s):  
Sina Ahmadi ◽  
Mehrdad Khezri ◽  
Payam Roshanfekr ◽  
Salah Eddin Karimi ◽  
Meroe Vameghi ◽  
...  

Abstract Background Female sex workers (FSWs) are at a disproportionate risk of sexually transmitted infections and they may face significant barriers to HIV testing. This study aimed to examine HIV testing prevalence and its associated factors among street-based FSWs in Iran. Method A total of 898 FSWs were recruited from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Eligible FSWs were women aged 18 years of age who had at least one commercial sexual intercourse in the previous year. HIV testing was defined as having tested for HIV in the lifetime. Bivariable and multivariable logistic regression were used to examine the correlates of HIV testing. We report adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Result Overall, 57.8% (95%CI: 20.0, 88.0) of participants reported having tested for HIV, and HIV prevalence among FSWs who tested for HIV was 10.3% (95%CI: 7.5, 13.0). The multivariable model showed that unstable housing (aOR: 8.86, 95%CI: 2.68, 29.32) and drug use (aOR: 3.47, 95%CI: 1.33, 9.06) were associated with increased likelihood of HIV testing. However, FSWs with a higher level of income were less likely to be tested for HIV (aOR: 0.09, 95%CI: 0.02, 0.43). Conclusion Almost one in ten street-based FSWs had never tested for HIV. These findings suggest the need for evidence-based strategies such as outreach support and HIV self-testing to improve HIV testing in this marginalized population.


Sexual Health ◽  
2014 ◽  
Vol 11 (6) ◽  
pp. 568 ◽  
Author(s):  
Razieh Khajehkazemi ◽  
AliAkbar Haghdoost ◽  
Soodabeh Navadeh ◽  
Hamidreza Setayesh ◽  
Leily Sajadi ◽  
...  

Background In this study data of three national surveys conducted among female sex workers (FSW), prison inmates and people who inject drugs (PWID) were presented and compared in relation to knowledge, attitude, and practises. Methods: The surveys were conducted in 2009 and 2010 and included 2546 PWID, 872 FSW and 5530 prison inmates. Knowledge, attitude and practises towards HIV were measured through similar questions for each category. Results: Over 90% of all participants had ever heard of HIV/AIDS, although only approximately half of them perceived themselves at risk of contracting HIV. More than 80% were able to correctly identify the ways of preventing the sexual transmission of HIV; while more than two-thirds did not use condom in their last sexual contact. Approximately 20% of prisoners and FSW had a history of injecting drugs. Among all participants who have injected drugs, prisoners had the highest unsafe injecting behaviour at the last injection (61%), followed by FSW (11%) and PWID (3%). Conclusions: Despite major efforts to control the HIV epidemic in Iran, the level of risk and vulnerability among prisoners, FSW and PWID is still high. The level of comprehensive knowledge about HIV/AIDS is relatively good; however, their risk perception of contracting HIV is low and high-risk behaviours are prevalent. Therefore, HIV prevention programs should be redesigned in a more comprehensive way to identify the best venues to reach the largest number of people at a higher risk of contracting HIV and decrease their risk overlaps and vulnerability factors.


2006 ◽  
Vol 17 (5) ◽  
pp. 329-332 ◽  
Author(s):  
Xiang-Sheng Chen ◽  
Yue-Ping Yin ◽  
Guo-Jun Liang ◽  
Xiang-Dong Gong ◽  
Hua-Sheng Li ◽  
...  

An observational study on prevalence of co-infection with gonorrhoea and chlamydia was conducted among female sex workers (FSWs) in Kunming, China. A total of 505 FSWs participated in the study. All eligible participants gave informed consent. Demographic, behavioural and clinical information of the participants was gathered by direct structured interviews. Tampon swabs were collected to test for Chlamydia trachomatis and Nesseria gonorrhoeae. One-hundred and twenty-four (24.6%) FSWs were co-infected with these two pathogens. Of the 191 FSWs with gonorrhea, 124 (64.9%, 95% confidence interval [CI] = 57.9–71.3%) were co-infected with chlamydia which was significantly higher than the proportion (41.9%, 95% CI = 36.4–47.6%) co-infected with gonorrhoea among 296 FSWs with chlamydia ( P < 0.001). Only 47 of 191 (24.6%) FSWs with gonococcal infection and 28 of 124 (22.6%) with co-infection with gonorrhoea and chlamydia reported vaginal discharge. The results of the study justify the recommendation in the national sexually transmitted disease (STD) guidelines that patients infected with gonorrhoea also be treated routinely with an anti-chlamydial regimen. However, a periodic mass treatment may be considered in some circumstances in STD control programmes to rapidly reduce the infections in this population.


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