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Jurnal Keperawatan Indonesia
Articles
VIEWS: 322
10.7454/jki.v23i1.537
Submitted: 2023-02-07
Published: 2020-03-30

Self-Efficacy and Feeling of Security Associated with Risky Sexual Behavior among Commercial Sex Workers Living with HIV

Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
commercial sex workers HIV sexual risk behavior

Abstract

Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p= 0.033; OR= 2.762) with risky sexual behavior. No significant relationship was noted between income (p= 0.244), knowledge (p= 0.110), attitude (p= 0.978), drug use (p= 0.150), alcohol consumption (p= 0.642), and sexual violence (p= 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities.

 

Abstrak

Efikasi Diri dan Perasaan Aman Berhubungan dengan Perilaku Seksual Berisiko pada Pekerja Seks Komersial dengan HIV. Pekerja Seks Komersial (PSK) menjadi populasi kunci penularan HIV. Perkembangan sektor pariwisata dan penerimaan masyarakat menjadikan PSK tetap bertahan. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang memengaruhi perilaku seksual berisiko pada PSK dengan HIV positif. Desain penelitian ini adalah cross-sectional dengan jumlah sampel 80 Orang Dengan HIV AIDS (ODHA) PSK di Daerah Istimewa Yogyakarta dan Jawa Tengah. Analisis data menggunakan Chi-Square dan regresi logistik ganda. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara efikasi diri (p< 0,001; OR= 9,365) dan perasaan aman (p= 0,033; OR= 2,762) dengan perilaku seksual berisiko. Tidak terdapat hubungan yang signifikan antara penghasilan (p= 0,244), pengetahuan (p= 0,110), sikap (p= 0,978), pemakaian narkoba (p= 0,150), konsumsi alkohol (p= 0,642), dan kekerasan seksual (p= 0,968) dengan perilaku seksual berisiko. Pelayanan keperawatan diharapkan lebih berfokus pada upaya promotif dan preventif dengan melibatkan masyarakat dalam meningkatkan rasa aman dan efikasi diri PSK melalui program-program kesehatan dan peningkatan fasilitas kesehatan.

Kata Kunci: HIV, pekerja seks komersial, perilaku seksual berisiko

References

  1. Baral, S., Beyrer, C., Muessig, K., Poteat, T., Wirtz, A. L., Decker, M. R., … Kerrigan, D. (2012). Burden of HIV among female sex workers in low-income and middle-income countries: A systematic review and meta-analysis. The Lancet Infectious Diseases, 12(7), 538–549. http://doi.org/10.1016/S1473-3099(12)70066-X.
  2. Boileau, C., Rashed, S., Sylla, M., & Zunzunegui, M. (2008). Monitoring HIV risk and evaluating interventions among young people in urban west Africa: Development and validation of an instrument. AIDS Education and Prevention, 20(3), 203–219. http://dx.doi.org/10.1521/aeap.2008.20.3.203.
  3. Bowen, A.M., Williams, M.L., Daniel, C.M., & Clayton, S. (2008). Internet based HIV prevention research targeting rural MSM: Feasibility, acceptability, and preliminary efficacy. Journal of Behavioral Medicine, 31(6), 463–477. http://doi.org/10.1007/s10865-008-9171-6.
  4. Brodbeck, J., Vilen, U.L., Bachmann, M., Znoj, H., & Alsaker, F.D. (2010). Sexual risk behavior in emerging adults: Gender-specific effects of hedonism, psychosocial distress, and sociocognitive variables in a 5-year longitudinal study. AIDS Education and Prevention, 22(2), 148–159. http://dx.doi.org/10.1521/aeap.2010.22.2.148.
  5. Bukenya, J., Vandepitte, J., Kwikiriza, M., Weiss, H. A, Hayes, R., & Grosskurth, H. (2013). Condom use among female sex workers in Uganda. AIDS Care, 25(6), 767–774. http://doi.org/10.1080/09540121.2012.748863.
  6. Bunde, E.A. (2012). Commercial sex and HIV transmission in Indonesia: Understanding structural-enviromental and interpersonal determinants of condom use among female sex workers and male clients (Philosophy in Public Health Dissertations, Tulane University). New Orleans: Tulane University. Retrieved from https://digital library.tulane.edu/islandora/object/tulane%3A26044/datastream/PDF/view.
  7. Carey, M.P., & Schroder, K.E.E. (2002). Development and psychometric evaluation of the brief HIV knowledge questionnaire (HIV-KQ-18). AIDS Education and Prevention, 14(2), 174–184.
  8. Catalan, J., Sherr, L., & Hedge, B. (2014). The impact of AIDS: Psychological and social aspects of HIV infection. Boca Raton: CRC Press.
  9. Choi, S. Y. P., & Holroyd, E. (2007). The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China. Culture, Health & Sexuality, 9(5), 489–503. http://doi.org/10.1080/13691050701220446.
  10. Decker, M. R., McCauley, H. L., Phuengsamran, D., Janyam, S., Seage, G. R., & Silverman, J. G. (2010). Violence victimisation, sexual risk and sexually transmitted infection symptoms among female sex workers in Thailand. Sexually Transmitted Infections, 86(3), 236–240. http://doi.org/10.1136/sti.2009.037846.
  11. DeHart, D.D. & Birkimer, J. (1997). Trying to practice safer sex: Development of the sexual risks scale. The Journal of Sex Research, 34(1), 11–25. https://doi.org/10.1080/00224499709551860.
  12. DiIorio, C. (2009). Safe sex behavior questionnaire. In S.L. Fisher, T.D., Davis, C.M., Yarber, W.L., & Davis (Ed.), Handbook of Sexuality-Related Measures (Third Edition, 2011, pp. 594–596). New York: Routledge.
  13. Douglas, G., Nicol, F., & Robertson, C. (2013). Macleod’s clinical examination (13th ed). Philadelphia: Elsevier.
  14. Erausquin, J.T., Reed, E., & Blankenship, K. (2016). Change over time in police interactions and HIV risk behavior among female sex workers in Andhra Pradesh, India. AIDS Behav, 19(6), 1108–1115. http://doi. org/http://doi.org/10.1007/s10461-014-0926-5
  15. Faimau, G., Maunganidze, L., Tapera, R., Mosomane, L. C. K., & Apau, S. (2016). Knowledge of HIV/AIDS, attitudes towards sexual risk behavior and perceived behavioural control among college students in Botswana. Cogent Social Sciences, 2(1). http://dx.doi.org/10.1080/23311886.2016.1164932
  16. Gu, J., Bai, Y., Lau, J.T.F., Hao, Y., Cheng, Y., Zhou, R., & Yu, C. (2014). Social enviromental factors and condom use among female injection drug users who are sex workers in China. AIDS Behav, 18(2), 181–191. http://doi.org/10.1007/s10461-013-043 4-z.
  17. HIV and AIDS Data Hub for Asia-Pacific. (2010). Sex work & HIV: Indonesia. Retrieved from http://www.aidsdatahub.org/sites/default/files/documents/sex_work_hiv_indonesia.pdf.
  18. Jung, M. (2013). Sexual behavior and condom use among gay men, female sex workers, and their customers: Evidence from South Korea. PLoS ONE, 8(6). http://doi.org/10.1371/journal.pone.0066867.
  19. Kerrigan, D., Telles, P., Torres, H., Overs, C., & Castle, C. (2008). Community development and HIV / STI-related vulnerability among female sex workers in Rio de Janeiro, Brazil. Health Education Research, 23(1), 137–145. http://doi.org/10.1093/her/cym011.
  20. Lokollo, F.Y. (2009). Studi kasus perilaku wanita pekerja seksual tidak langsung dalam pencegahan IMS, HIV dan AIDS di pub&karaoke, café, dan diskotek di Kota Semarang (Master Theses, Universitas Diponegoro). Semarang: Universitas Diponegoro. Retrieved from https://core.ac.uk/download/pdf/11723809.pdf.
  21. Markosyan, K.M., Babikian, T., DiClemente, R.J., Hirsch, J.S., Grigoryan, S., & Del Rio, C. (2007). Correlates of HIV risk and preventive behaviors in Armenian female sex workers. AIDS and Behavior, 11(2), 325–334. http://doi.org/10.1007/s10461-006-9147-x.
  22. McDonough, N. (2012). Factors influencing sexual behavior among HIV positive men who have sex with men (Nursing Dissertations, Georgia State University). Atlanta: Georgia State University. Retrieved from https://scholar works.gsu.edu/nursing_diss/30/
  23. Mimiaga, M.J., Reisner, S.L., Cranston, K., Isenberg, D., Bright, D., Daffin, G., … Mayer, K. H. (2009). Sexual mixing patterns and partner characteristics of black MSM in Massachusetts at increased risk for HIV infection and transmission. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 86(4), 602–623. http://doi.org/10.1007/s11524-009-9363-6.
  24. Mooney, A., Kidanu, A., Bradley, H. M., Kumoji, E. K., Kennedy, C. E., & Kerrigan, D. (2013). Work-related violence and inconsistent condom use with non-paying partners among female sex workers in Adama City, Ethiopia. BMC Public Health, 13(1), 1. http://doi.org/ 10.1186/1471-2458-13-771.
  25. Rotheram-Borus, M.J., Murphy, D.A., Coleman, C.L., Kennedy, M., Reid, H.M., Cline, T.R. … Kipke, M. (1997). Risk acts, health care, and medical adherence among HIV+ youths in care over time. AIDS and Behavior, 1(1), 43–52. http://doi.org/10.1023/A:1026213905 034.
  26. Scorgie, F., Chersich, M.F., Ntaganira, I., Gerbase, A., Lule, F., & Lo, Y.R. (2012). Socio-demographic characteristics and behavioral risk factors of female sex workers in sub-Saharan Africa: A systematic review. AIDS and Behavior, 16(4), 920–933. http://doi.org/10.1007/s10461-011-9985-z.
  27. Safika, I., Levy, J.A., & Johnson, T.P. (2013). Sex work venue and condom use among female sex workers in Senggigi, Indonesia. Cut Health Sex, 15(5), 598–613. http://doi.org/10.1080/13691058.2013.776112
  28. Supriyadi, B., Sudarwanto, B. A., & Werdiningsih, H. (2012). In Search of the Power of Javanese Culture against the Cultural Urbanization in Kotagede, Yogyakarta-Indonesia. Procedia - Social and Behavioral Sciences, 68, 676–686. https://doi.org/10.1016/j.sbspro.2012.12.258.
  29. Susanti, R., & Nirmasari, C. (2015). Faktor-faktor yang berhubungan dengan penggunaan kondom untuk pencegahan PMS pada WPS di lokalisasi Kabupaten Semarang. Jurnal Keperawatan Maternitas, 3(2), 82–89.
  30. Swanson, B. (2010). ANAC’S core curriculum for HIV/AIDS nursing (3rd Ed.). USA: Jones and Bartlett Publishers.
  31. The Ministry of Health Republic of Indonesia. (2017). Laporan perkembangan HIV-AIDS & Penyakit Infeksi Menular Seksual (PIMS) Triwulan IV tahun 2016. Jakarta: The Ministry of Health Republic of Indonesia. Retrieved from http://www.aidsindonesia. or.id/ck_uploads/files/Final%20Laporan%20HIV%20AIDS%20TW%204%202016.pdf.
  32. Tucker, S., Krishna, R., Prabhakar, P., Panyam, S., & Anand, P. (2012). Exploring dynamics of anal sex among female sex workers in Andhra Pradesh. Indian Journal of Sexuality Transmitted Diseases and AIDS, 33(1), 9–15. http://doi.org/10.4103/0253-7184.93787.
  33. UNAIDS. (2016). Global AIDS update 2016. Retrieved from http://www.unaids.org/sites/ default/files/media_asset/global-AIDS-upda te-2016_en.pdf.
  34. Walsh, J.L., Senn, T.E., Scott-Sheldon, L.A.J., Vanable, P.A., & Carey, M.P. (2011). Predicting condom use using the information-motivation-behavioral skills (IMB) model: A multivariate latent growth curve analysis. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 42(2), 235–244. http://doi.org/ 10.1007/s12160-011-9284-y
  35. Wang, H., Chen, R.Y., Ding, G., Ma, Y., Ma, J., Jiao, J.H., … Wang, N. (2009). Prevalence and predictors of HIV infection among female sex workers in Kaiyuan City, Yunnan Province, China. International Journal of Infectious Diseases, 13(2), 162–169. http:// doi.org/10.1016/j.ijid.2008.05.1229.
  36. WHO. (2016a). Consolidated guidelines on HIV prevention, diagnosis, treatment, and care for key populations-2016 update. Retrieved from http://apps.who.int/iris/bitstream/10665 /246200/1/9789241511124-eng.pdf?ua=1.
  37. WHO. (2016b). Global Health Observatory (GHO) data. Retrieved from http://www.who.int/ gho/hiv/en/
  38. Yao, Y., Yang, F., Chu, J., Siame, G., Lim, H.J., Jin, X., … Wang, N. (2012). Associations between drug use and risk behaviours for HIV and sexually transmitted infections among female sex workers in Yunnan, China. Int J STD AIDS, 23(10), 698–703. http://doi. org/10.1258/ijsa.2012.011346.
  39. Zhang, C., Li, X., Hong, Y., Zhou, Y., Liu, W., & Stanton, B. (2013). Unprotected sex with their clients among low-paying female sex workers in southwest China. AIDS Care, 25(4), 503–506. doi: 10.1080/09540121.20 12.726345
  40. Zhang, L., Li, X., Zhou, Y., Lin, D., Su, S., Zhang, C., & Stanton, B. (2015). Predictors of consistent condom use among Chinese female Sex workers: An application of the protection motivation theory. Health Care for Women International, 36(7), 816–833. http://doi.org/10.1080/07399332.2014.942902.

How to Cite

Yolanda, A. T., Waluyo, A., & Sukmarini, L. (2020). Self-Efficacy and Feeling of Security Associated with Risky Sexual Behavior among Commercial Sex Workers Living with HIV. Jurnal Keperawatan Indonesia, 23(1), 64–73. https://doi.org/10.7454/jki.v23i1.537