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IMPLIKASI MOBILITAS PENDUDUK DAN GAYA HIDUP SEKSUAL TERHADAP PENULARAN HIV/AIDS Rokhmah, Dewi
Jurnal Kesehatan Masyarakat Vol 9, No 2 (2014)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Tersedianya sarana transportasi dan komunikasi modern mengakibatkan terjadinya revolusi mobilitas penduduk. Masalah penelitian adalah bagaimana implikasi dari mobilitas penduduk dan gaya hidup seksual terhadap peyebaran HIV/AIDS di Kabupaten Jember. Tujuan penelitian untuk menganalisis implikasi dari mobilitas penduduk dan gaya hidup seksual terhadap peyebaran HIV/AIDS. Metode penelitian dengan mixmethod kuantitatif dan kualitatif, menggunakan sumber data sekunder dengan telaah dokumen serta melalui indept interview pada petugas LSM yang bergerak di bidang penanggulangan HIV/AIDS di kabupaten Jember. Hasil penelitian menunjukkan bahwa saat ini banyak penduduk yang melakukan mobilitas vertikal dengan meninggalkan pekerjaan sebagai petani untuk menjadi buruh pabrik atau pekerjaan lain di daerah perkotaan. Hal ini memungkinkan penduduk laki-laki yang melakukan seks pra nikah atau di luar nikah dengan wanita penjaja seks, sedangkan dari penduduk wanita yang melakukan mobilisasi ke kota dihadapkan pada kondisi ”survival sex” karena tidak memiliki ketrampilan dan pendidikan yang memadai. Saat ini di Kabupaten Jember telah teridentifikasi lokalisasi ilegal yang berjumlah 15 titik dan jumlah penderita HIV/AIDS meningkat setiap tahun. Simpulan penelitian, mobilitas penduduk dan gaya hidup seksual berimplikasi terhadap peyebaran HIV/AIDS. The availability of modern transportation and communication caused revolution population mobility. Research problem was how the implications of population mobility and sexual lifestyles to HIV/AIDS transmission in Jember. Research purpose was to analyze the implications of population mobility and sexual lifestyles to HIV/AIDS transmission. Mixmethod research with quantitative and qualitative, using secondary data sources to examine documents and through indept interview on NGO of HIV/AIDS field personnel in Jember district. The results showed that many current residents who do vertical mobility with change from farmers to factory worker or other work in urban areas. This allows the men who have sex before marriage or have sex with female sex workers, while the women who mobilized to the town faced with “survival sex “ because they do not have adequate skills and education. Currently in Jember has identified illegal localization totaling 15 points and the number of people with HIV/AIDS is increasing every year. The conclusions, population mobility and sexual lifestyle have implications with HIV/AIDS transmission.
PROSES SOSIALISASI LAKI-LAKI SUKA SEKS DENGAN LAKI-LAKI (LSL) PADA KALANGAN REMAJA DI KABUPATEN JEMBER Rokhmah, Dewi; Nafikadini, Iken; Luthviatin, Novia; Istiaji, Erdi
IKESMA Vol 8, No 2 (2012)
Publisher : FKM - UNEJ

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Abstract

The Men who like Sex with Men (MSM) is a minority in heterosexual society. The Young MSM community always close their identity in the society becuse they need self actuality as homosexual in the heterosexuaal society. This will have an impact on their lack of information and knowledge about reproductive health. The purpose of this study was to analyze the process of socialization among young MSM and its effects on adolescent reproductive health, which includes socialization in the family, at school (college), in the MSM community and the general public. This research used qualitative methode with phenomenological approach. Data was collected by means of indepth interviews to the youth MSM attain the age of 17-23 old years in Jember District. Based on the results of research indicate that most of the MSM is difficult to communicate and interact socially in the family, school (college) and in the society. Therefore they were not being themself. When they did socialization in heterosexual society, they would follow the norms and rules that exist in society. Howefer when they did socialization in MSM community, they feel comfortable and could be himself. Because MSM always got isolated from society, they make community in order toreceive emotional support and getting acceptance (cohesive) from society. Howefer this condition can not solve their isolated feelings.Therefore the difficult problems getting proper information about reproductive health.Therefore, they become vulnerable to infection of Sexual Transmited Diseases and HIV/AIDS.
HUBUNGAN ANTARA SIKAP REMAJA DAN PERAN GURU BIMBINGAN KONSELING DENGAN UPAYA TINDAKAN PREVENTIF HIV/AIDS PADA REMAJA Luthviatin, Novia; Rokhmah, Dewi; Septyanarindri, Syahvira
IKESMA Vol 8, No 1 (2012)
Publisher : FKM - UNEJ

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Abstract

This research objectives are to identify and analyze the relationship between attitudes and the role of guidance counseling teacher with effort of preventing HIV/AIDS in adolescents. The research design is analytical and based on the time of the survey used a cross sectional approach. The number of samples used is 88 samples taken by proportional stratified  random sampling technique. Sampling  of this research with questionnaires and documentation techniques. Data were analyzed by using Spearman Rank test statistics with 5% signification level. The results showed that there was a significant relationship between the attitude of HIV/AIDS prevention efforts in adolescents with HIV/AIDS in adolescents with p value = 0.029. There was also a significant relationship between the counseling  teachers role with the preventive efforts of HIV/AIDS in adolescents with p value = 0.042. Based on these results, it is expected that the guidance and counseling teachers to enhance their roles in guiding the teenagers in particular to form a social behavior of adolescents in order to avoid various problems that may result in the association teens today. Keywords  : Attitude, Counseling Teacher’s Role, Effort of Preventing HIV/AIDS in Adolescents
STIGMA DAN PROSES SOSIALISASI WARIA SERTA DAMPAKNYA PADA PENINGKATAN RISIKO PENULARAN IMS DAN HIV/AIDS Gani, Husni Abdul; Rokhmah, Dewi
IKESMA Vol 7, No 2 (2011)
Publisher : FKM - UNEJ

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Abstract

Being a transvestites  is assumed  as deviate behaviour by our society. It is severed with negative stigmatization  as bad    image, dirty, criminal, and having  deviate  sexual orientation, cause this group of people have more risky toward psychological and sexual impact in transmision of STD    and HIV/AIDS. Sosialization proces is needed by transvestitesgeting acceptance in social environment, because transvestites  could not separate from social context. This study aims to analyze the stigmatization  and sosialization process toward transvestites and its impact for the increasing of transmission risk from   STD and HIV/AIDS.It was a qualitative study involved informants aged 25-54  with purposive sampling  in Semarang city. Data  was collected by indepht interview and they’re analyzed by thematic content analysis. The result of this study showed that stigmatization to transvestites was derived from public  society and religius community.  This  rejection  impacts at sosialization    process in family, work place  and society.  Because  our society  assume transvestites identical with deviate behaviour from the norm, and having tranvestites as the family member means ignominy. Consequently they choose as a urbant people.  It cause the increasing of transmission risk on STD and HIV/AIDS.  There are no obstacle in sosialization process with other transvestites  in cebongan. Cebongan is the place they can express themself without rejection from   others. So they can be received as normal individual.  Society is expected accepting  them as a part of their live, with involved them include transvestites with HIV/AIDS in society activity.Key words : Transvestites, stigmatization, sosialization process, STD and HIV/AIDS
GAYA HIDUP SEKSUAL WARIA NON PEKERJA SEKS KOMERSIAL KOTA SEMARANG Rokhmah, Dewi; Herawati, Yennike Tri
IKESMA Vol 6, No 2 (2010)
Publisher : FKM - UNEJ

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Abstract

Being transvestites is not merely bringing a biological problems, but also psychological and sociological. Most transvestites were having a low self concept due to their confusion on their sexual identity. The ambiguity place them isolated from community. Social pressure forms stigmatization and discrimination toward thisgroup of people, which lead them to have more risky sexual practice. This study aims to analize the sexual life style of non-commercial transvestites in Semarang. It was a qualitative study involved informants aged 25-54. Most of them reconstruct their face and body in order to maximize their sexual appeal as a female. Most of respondents were having steady single or married partner. However, the status was not limiting them to have sexual relationship with others. Less respondent found their partner from chatting, hang-out in a hot spot (cebongan), and using gigolos services. All the respondents only needed a few of time to finally engage in sexual intercourse with their partner. First sight, first date and sexual intercourse were occurred in a quick encounter. The reasons of having sexual intercourse (anal and or oral sex) were to show their love to their partner and just for fun. They were mostly prefer anal or oral sex, however, some of them also practicing petting with “es gosrok” style of commonly called clamping style. Although most of them negotiate with their partner to use condom, there were some of them were not because they did not practicing penetration anal sex. Keywords : transvestites, non-commercial, sexual lifestyle, sexual script
PENGETAHUAN DAN SIKAP ODHA (ORANG DENGAN HIV DAN AIDS) TENTANG HIV DAN AIDS DAN PENCEGAHANNYA Rokhmah, Dewi; Khoiron, Khoiron
IKESMA Vol 9, No 2 (2013)
Publisher : FKM - UNEJ

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Abstract

AIDS is spreading both in numbers and geographic area, it is revewed as a major public health threat and stategies are underway to increase AIDS awareness and knowledge among general public include from PLHA.In Indonesia, HIV/AIDS programmes still less in PLHA included, because of stigma and discrimination in society.Included PLHA in intervention planning, is the efective strategy in reducing stigma and discrimination and increasing commitment to change policy and supporting environment in HIV/AIDS programmes. The aims of this research is analizing knowledge and attitudes of PLHA about HIV/AIDS and its prevention.Thisresearch used descriptivemethod. The population is PLHA in Banyuwangi Regency, and affordable target is PLHA who visit and get service in VCT of Genteng Hospital in Juni-July 2012. Sample is collected with consecuttve sampling to all subject compleded collection criteria. Collected data was analyzed descriptively with table and naration.This research showed  that the amount of respondents was men, aged more than 30years, have married, and graduated from senior and junior high shcool, and as PLHA  since 1-5 years, with risk factors from heterosex without condom, IDU, infant from the mother and homosex (gay/lesbian).All of respondents have high knowledge about HIV/AIDS and its prevention efforts, consist of meaning, causes, transmission, prevention and terapy of HIV/AIDS. The numbers of respondents have positive attitudes towards HIV/AIDS and its prevention efforts, showed by statement supported to prevention behaviour of HIV/AIDS, specifically: faith to one partner, use condoms in sexual intercourse, check to health provider, and HIV/AIDS can spread and cause death.The increasing of knowledge and attitudes about HIV/AIDS of PLHA and society is needed as involvement at HIV/AIDS prevention programme by behaviour change from risk to healthy behaviour in order to reduce stigma and discrimination in PLHA. Keywords : Attitudes, Knowledge, PLHA, HIV & AIDS
POLA ASUH DAN PEMBENTUKAN PERILAKU SEKSUAL BERISIKO TERHADAP HIV/AIDS PADA WARIA Rokhmah, Dewi
Jurnal Kesehatan Masyarakat Vol 11, No 1 (2015): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULI 2015
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v11i1.3617

Abstract

Ketidakharmonisan hubungan antara anak dan orang tua yang tidak harmonis, bertentangan, kejam, penuh dengan tekanan serta mengakibatkan kondisi patologis di keluarga. Hal ini menjadi faktor pendorong dalam pembentukan perilaku seksual yang menyimpang yang mengarah pada risiko penularan HIV/AIDS. Penelitian dilakukan pada tahun 2015. Metode yang digunakan dalam penelitian ini adalah metode qualitative dengan pendekatan fenomenologi. Informan diambil secara purposive sampling, pada 10 waria non pekerja seks. Data dikumpulkan melalui wawancara mendalam dan dianalisa menurut isi tema. Hasil penelitian menunjukkan bahwa sebagian besar responden menjadi waria karena pola asuh yang koersif (keras). Sebagian kecil responden menjadi waria karena pola asuh orang tua dimana peran ibu sangat dominan (kehilangan figure ayah) dan pola asuh orang tua yang permisif. Dimana kondisi ini mengakibatkan eksistensi dan identitas sebagai waria menjadi lebih kuat, serta mempengaruhi perilaku seksual mereka pada saat memasuki usia remaja dan dewasa yang sangat rentan terhadap penularan HIV/AIDS, seperti melakukann oral dan anal seks dengan bergonta-ganti pasangan tanpa menggunakan kondom atau pelicin. Dibutuhkan upaya yang komprehensive antara pemerintah dan masyarakat dalam melakukan promosi kesehata. The interference in relation between child and parents that unharmony, controvertion, cruel, full of hypocrisy, and family constelation patologycally. It being predisposition for the forming of risk sexual deviation in transmition of HIV/AIDS. This study conducted at 2015. The method of this research is qualitative exploration with fenomenology disclosure. Informan is taken by purposive sampling. They’re 10 Non Comersial Sexual Worker of Transsexual. Data is collected by indepth interview and is analysed by thematic content analysis. The result of this research showed that almost all respondent being transsexual because of coersive parenting role. A few of respondent being transsexuals because the parenting role of mother dominantly, and permisive parenting role. This condition caused identity and existency or respondent as transsexual being strongly. It influenced their sexual behaviour in adolecence and adult period being risky in transmition of HIV/AIDS, such as doing oral and anal sex with various partner, without using condom or lubrican. It needs a comprehensive effort both goverment and society for health promoting.
Predisposing Characteristic of MSM (Men who Have Sex with Men) in Utilizing of CST (Care Support and Treatment) Services in Jember District Khamid, M Nur; Marchianti, Ancah Caesarina Novi; Rokhmah, Dewi
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

MSM behavior in Indonesia still become an important issue in our society and some of our society can’t accepted the MSM. The prevalence of HIV in MSM population is such a warning and need to be concerned. Data from Jember District Health Office showed that from 2004 until June 2017, the number of HIV AIDS were 3186 cases, based on homosexual risk factor were 7.6%. This research aimed to analyze predisposing characteristic of MSM with HIV positive such as: 1) Demoghraphy: sex, age, marriage status, place of live, the region, and education background, 2) The distance from home to the CST services, 3) Health belief. This study used qualitative method with case study approach. There were 8 main informants and recruited purposively. Data was collected by in depth interview and analyzed with thematic content analysis. The result showed that most of informants aged 25-30 years old, a small number of informants in 20-23 years old. The distance of home and CST services influenced the MSM with HIV positive to drink drug regularly.The effort of informants to care their health were obedient in ARV treatment, taking care to dietary habits, doing exercise regularly and avoid their self from stress. The side effect of ARV are dizzy, nausea, vomiting, fatigue or pain in some of hinge, appetite loss and mood changes. The effort to make an obedient in ARV treatment need to add the CST sevices in Center of public health and make ARV satelite Center of public health in every district, role model, optimilize the guidance to the MSM with HIV positive, to prevent the loss to follow up because the side effect and to give a support in obeidient the ARV treatment. Keywords: MSM, HIV, Care Support and Treatment
Perceived Susceptibility and Perceived Benefit as Factors Affecting VIA Tests Participation in Work Area of Kertosari Health Center Pratiwi, Kurnia Nata; Hernawati, Sri; Rokhmah, Dewi
Health Notions Vol 2 No 6 (2018): June 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Abstract

  In Indonesia, cervical cancer is ranked first as the cause of death to women. The government has implemented an early detection program of cervical cancer in controlling cervical cancer by using Visual Inspection with Acetic Acid (VIA). Indonesian womens awareness to perform early detection is still very low with coverage of early detection of cervical cancer which is less than 5%. The Health Belief Model (HBM) is used to forecast health enhancement behavior that is based on individual behavior determined by the individuals motives and beliefs. The purpose of this study was to analyze the effect of Health Belief Model (HBM) which included perceived of susceptibility, perceived of severity, perceived of benefits, perceived of threats, perceived of barriers and cues to act on VIA test participation. This type of research was observational analytics. The design used was case control. The sample in this study were 64 cases and 64 controls, selected by purposive sampling. Data were analyzed using Partial Least Square (PLS). Based on the result of research, there was an influence of perceived of susceptibility on participation with t value = 4.417 (>1.96). Perceived of benefit affected participation with t value = 11.647 (>1.96). Keywords: Perceived susceptibility, Perceived severity, Perceived threat, Perceived benefit, Perceived barrier, Cues to action, VIA test
IMPLIKASI MOBILITAS PENDUDUK DAN GAYA HIDUP SEKSUAL TERHADAP PENULARAN HIV/AIDS Rokhmah, Dewi
KEMAS: Jurnal Kesehatan Masyarakat Vol 9, No 2 (2014)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v9i2.2847

Abstract

Tersedianya sarana transportasi dan komunikasi modern mengakibatkan terjadinya revolusi mobilitas penduduk. Masalah penelitian adalah bagaimana implikasi dari mobilitas penduduk dan gaya hidup seksual terhadap peyebaran HIV/AIDS di Kabupaten Jember. Tujuan penelitian untuk menganalisis implikasi dari mobilitas penduduk dan gaya hidup seksual terhadap peyebaran HIV/AIDS. Metode penelitian dengan mixmethod kuantitatif dan kualitatif, menggunakan sumber data sekunder dengan telaah dokumen serta melalui indept interview pada petugas LSM yang bergerak di bidang penanggulangan HIV/AIDS di kabupaten Jember. Hasil penelitian menunjukkan bahwa saat ini banyak penduduk yang melakukan mobilitas vertikal dengan meninggalkan pekerjaan sebagai petani untuk menjadi buruh pabrik atau pekerjaan lain di daerah perkotaan. Hal ini memungkinkan penduduk laki-laki yang melakukan seks pra nikah atau di luar nikah dengan wanita penjaja seks, sedangkan dari penduduk wanita yang melakukan mobilisasi ke kota dihadapkan pada kondisi ”survival sex” karena tidak memiliki ketrampilan dan pendidikan yang memadai. Saat ini di Kabupaten Jember telah teridentifikasi lokalisasi ilegal yang berjumlah 15 titik dan jumlah penderita HIV/AIDS meningkat setiap tahun. Simpulan penelitian, mobilitas penduduk dan gaya hidup seksual berimplikasi terhadap peyebaran HIV/AIDS. The availability of modern transportation and communication caused revolution population mobility. Research problem was how the implications of population mobility and sexual lifestyles to HIV/AIDS transmission in Jember. Research purpose was to analyze the implications of population mobility and sexual lifestyles to HIV/AIDS transmission. Mixmethod research with quantitative and qualitative, using secondary data sources to examine documents and through indept interview on NGO of HIV/AIDS field personnel in Jember district. The results showed that many current residents who do vertical mobility with change from farmers to factory worker or other work in urban areas. This allows the men who have sex before marriage or have sex with female sex workers, while the women who mobilized to the town faced with “survival sex “ because they do not have adequate skills and education. Currently in Jember has identified illegal localization totaling 15 points and the number of people with HIV/AIDS is increasing every year. The conclusions, population mobility and sexual lifestyle have implications with HIV/AIDS transmission.