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Putra, I Gusti Ngurah Edi
Proceedings of the International Conference on Applied Science and Health
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SOCIODEMOGRAPHIC CHARACTERISTICS, WORK VENUE, KNOWLEDGE, AND CONDOM USE WITH CLIENTS AMONG INDIRECT FEMALE SEX WORKERS IN DENPASAR, BALI, INDONESIA Putra, I Gusti Ngurah Edi; Phuengsamran, Dusita; Jampaklay, Aree; Thammawijaya, Panithee; Januraga, Pande Putu
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Introduction: Female sex workers (FSWs) remain an important key population affected by HIV&AIDS in Indonesia. Indirect FSWs, in particular, are exposing to higher risk comparing to direct FSWs due to their characteristics and working conditions that could be barriers to safe sex or consistent condom use. This study aimed to identify association between sociodemographic characteristics, work venue, and knowledge on HIV&AIDS toward condom use among indirect FSWs. Methods: This was a cross-sectional study using secondary data from a survey on indirect FSWs conducted by Center for Public Health Innovation (CPHI), Udayana University, Indonesia during August to October 2017. About 171 indirect FSWs were eligible for this analysis. The dependent variable in this study was consistent condom use during the last month. Independent variables consisted of socio-demographic characteristics, work venue, and knowledge on HIV&AIDS. Data were analysed using univariate and multivariate analysis. Results: About half of indirect FSWs (50.17%) reported using condom consistently with their clients during the last month. Indirect FSWs were more likely to use condom consistently if they completed senior high school or higher (OR=3.49; 95%CI=1.42-8.57), but less likely to use condom if they were currently or ever married compared to single ones (OR=0.23; 95%CI=0.06-0.82). Those who worked in karaoke, cafe, and bar were less likely to use condom consistently compared to those in massage parlor, spa, and beauty salon (OR=0.09; 95%CI=0.03-0.26). Conclusions: Level of consistent condom use was low, indicating the need to intensify HIV prevention to indirect FSWs. Significant determinants of consistent condom use included marital status, educational level, and work venue. This study informed that providing HIV&AIDS information and improving negotiation skill that fit with characteristics of indirect FSWs and giving institutional support at workplace is crucial to ensure consistent condom use among indirect FSWs. 
Knowledge, Attitude, and Behavior about Sexual and Reproductive Health among Adolescents Students in Denpasar, Bali, Indonesia Pradnyani, Putu Erma; Putra, I Gusti Ngurah Edi; Astiti, Ni Luh Eka Purni
Global Health Management Journal Vol 3, No 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Adolescent sexual and reproductive health (SRH) problems remain an important public health issue in many developing countries, such as Indonesia. Therefore, assessing SRH knowledge, attitude, and behavior among adolescents are worth considering for public health intervention purpose in order to reduce their vulnerability to SRH problems. Aims: This study aimed to assess SRH knowledge, attitude, and behavior among adolescent students in Denpasar, Bali, Indonesia.Methods: This was a cross-sectional school-based study conducted in Denpasar, Bali, Indonesia from July to September 2016. This study applied multi-stage random sampling to recruit 1,200 students out of 24 junior, senior, and vocational high schools. Variables in this study consisted of socio-demographic characteristics, knowledge, attitude, and behavior related to SRH. Data were analyzed using descriptive analysis and cross-tabulation to identify proportion differences.Results: Regarding knowledge on SRH, students had less knowledge on a reproductive process (10.1%) and reproductive risk (11.4%), but half of them knew about the sexually transmitted infections (STIs) and HIV&AIDS (55.6%) and almost all had sufficient knowledge on puberty (90.7%). Meanwhile, few students argued that several sexual behaviors can be performed before getting married, such as kissing and hugging (48.9%), petting and oral sex (18.7%) and sexual intercourse (vaginal sex) (13.8%). Out of 1,200 adolescent students, 880 (73.3%) reported for have ever been in dating with someone. Among adolescent dating, few students reported for an experience of petting (14.3%), oral sex (9.8%), vaginal sex (6.5%), and anal sex (2.6%).Conclusion: Adolescent students in Denpasar, Bali, had a low level of sufficient knowledge in some SRH aspects, a few students reported for permissive attitude and performed premarital sexual behaviors. Therefore, providing comprehensive sexuality education (CSE) is worth considering to improve knowledge and appropriate skills in order to prevent risky sexual behavior among adolescents. Keywords: Sexual and reproductive health, adolescents, students, knowledge, attitude, sexual behavior.
Protected Sex with Paid Sexual Partner among Married Men in Indonesia Putra, I Gusti Ngurah Edi
GHMJ (Global Health Management Journal) Vol 3, No 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Married men who are male clients of sex workers play an important role as “bridge population” of HIV infection from the concentrated epidemic population to the general population. This study aimed to investigate the protected sex with last paid sexual partner among currently married men in Indonesia.  Method: A nationally representative population-based survey, 2012 Indonesia Demographic and Health Survey (IDHS) which covered 33 provinces in Indonesia was applied in this study. Out of 9,306 currently married men, 510 records of married men who reported for ever paying someone for having sex were eligible for this study. A dependent variable was protected sex (i.e. condom use) at last sex with a paid sexual partner whilst independent variables consisted of socio-demographic factors, spousal communication on HIV prevention, knowledge of HIV prevention, and attitude of condom use. Binary logistic regression was applied for bivariate and multivariate analysis.Results: Prevalence of condom use with a paid sexual partner at last sex among currently married men was 27.86% [95%CI=23.89-32.20]. Based on multivariate analysis, married men were less likely to use a condom with a paid sexual partner if they aged ≥ 40 years old (OR=0.48; 95%CI=0.30-0.76) versus those aged < 40 years old and worked in some sectors: clerical (OR=0.22; 95%CI=0.08-0.61), sales (OR=0.40; 95%CI=0.17-0.95), agricultural/self-employed (0.32; 95%CI=0.13-0.75), skilled manual (OR=0.38; 95%CI=0.18-0.79) compared to those working in professional/technical/engineering sectors. However, those who were from poorer (OR=2.28; 95%CI=1.08-4.82) and richest household (OR=3.08; 95%CI=1.32-7.20) were more likely to perform protected sex compared to the poorest ones. In addition, the likelihood of protected sex also increased when married men had spousal communication on HIV prevention (OR=1.84;95%CI=1.17-2.90), knew that using condoms can reduce HIV infection (OR=2.15; 95%CI=1.14-4.08) and had a positive attitude of using condoms can protect against diseases (OR=3.05; 95%CI=1.14-8.16). Conclusion: Interventional approaches for increasing protected sex among married men as clients of sex workers should be integrated with existing HIV program among other key affected populations (e.g., FSWs) at sex workers’ workplaces setting through providing HIV-related information, ensuring uninterrupted stocks of condoms, and enforcing condom use regulation.
Co-Authors Astiti, Ni Luh Eka Purni Jampaklay, Aree Kadek Tresna Adhi Ni Wayan Arya Utami, Ni Wayan Arya Pande Putu Januraga Phuengsamran, Dusita Putu Ayu swandewi astuti Putu Erma Pradnyani Thammawijaya, Panithee