Health Belief Model on the Predictors of Healthy Sex Behavior among Commercial Female Sex Workers in Surakarta, Central Java

Authors

  • Syarifah Syarifah Masters Program in Public Health, Universitas Sebelas Maret
  • Argyo Demartoto Faculty of Social and Political Sciences, Universitas Sebelas Maret
  • Ruben Dharmawan Faculty of Medicine, Universitas Sebelas Maret

Abstract

Background: Sexually transmitted infections (STIs) are diseases that are now a global issue because they are the entrance to HIV transmission. Female sex workers (WPS) have a high risk of contracting and transmitting STIs and HIV / AIDS due to unsafe sex behavior. The purpose of this study was to analyze the relationship of safe sex behavior for the prevention of sexually transmitted infections in female sex workers in Surakarta.

Subjects and Method: A cross-sectional study was conducetd in Surakarta, Central Java, from December 2017 to January 2018. A sample of 105 female sex workers was selected by fixed disease sample. The dependent variable was safe sex behavior. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, perceive threat, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multiple logistic regression.

Results: Safe sex behavior among female sex worker increased with strong perceived benefit (b= 0.18; 95% CI= 0.74 to 0.28; p= 0.001) and strong self-efficacy (b=0.51; 95% CI=0.25 to 0.76; p<0.001). Safe sex behavior decreased with strong perceived barrier (b= 0.15; 95% CI= -0.27 to

References

Bauermeister, Jose, Meanley, Steven, Pingel, Emily, Soler, Jorge, Harper, Gary W (2013). PrEP awareness and perceived barriers among single young men who have sex with men in the United States. Curr HIV Res. 2013 Oct; 11(7): 520

Bandura A (1982). Self-efficacy Mechanism in Human Agency. American Psychologist. 37(2): 122

____(1991). Social Cognitive Theory of SelfnRegulation. Organizational Behavior and Human Decision Processes, 50(2), 248

Benoit C, Smith M, Hasson M, Magnus S, Flagg J, Maurice R (2017). Sex work and three dimensions of self-esteem: self worth, authenticity and self-efficacy. Cult Health Sex. 20(1): 69-83. doi:10.1080/13691058.2017.1328075.

Berg AO, Melle I, Rossberg JI, Romm KL, Larsson S, Lagerberg TV, Hauff E (2011). Perceived discrimination is associated with severity of positive and depression/anxiety symptoms in immigrants with psychosis: a cross-sectional study. BMC Psychiatry, 11(1): 77. http://doi.org/10.1186/1471244X1177.

Boyd NG, Vozikis GS (1994). The Influence of Self-efficacy on the Development of Entrepreneurial Intentions and Actions. Entrepreneurship Theory and Practice, 18(4): 63

Chanda MM, Perez Brumer AG, Ortblad KF, Mwale M, Chongo S, Kamungoma N, Kanchele C et al. (2017). Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs. AIDS Patient Care STDS. 31(7): 290

Closson K, Lachowsky N, Nkala B, Dietrich JJ, Palmer A, Cui Z, Beksinska M et al. (2018). Sexual Self-Efficacy and Gender: A Review of Condom Use and Sexual Negotiation Among Young Men and Women in Sub-Saharan Africa. J Sex Res. 55(4-5):522-539. doi: 10.1080/00224499.2017.1421607.

Dirjen P2P Kemenkes RI (2014). Survei Terpadu Biologis dan Perilaku 2013. Kemenkes RI.

____ (2017). Final Report of HIV/AIDS and STI Cases in Indonesia 2016. Indonesian Ministry of Health. Jakarta. Retrieved from http://www.aidsindonesia.or.id/ck_uploads/files/Final Laporan HIV AIDS TW 4 2016.pdf

Anyanwu FC, Goon DT, Tugli A, Olukoga A, Amusa LO, Netshikweta ML, Maphula A (2013). African Journal for Physical Health Education, Recreation and Dance Perceived barriers to protected sexual intercourse among University of Venda students. African Journal for Physical Health Education, Recreation and Dance, 19(4): 786

Ghosal S, Jana S, Mitra NMS, Roy S (2013). Sex Workers, Stigma and Self-Belief: Evidence from a Psychological Training Program in India. CAGE Working Paper. 152: 1-42.

Ghimire L, Smith W, Cairns S, Teijlingen, Edwin R, Dahal R, Luitel NP (2011). Reasons for non use of condoms and selfefficacy among female sex workers: a qualitative study in Nepal. Health Promot Perspect. 7(2): 74

Kim HY, KyZerbo G, Lougue M, Stahlman, Samadoulougou, Ouedraogo, Kouanda, Listman, Baral (2017). Stigma as a barrier to health care utilization among female sex workers and men who have sex with men in Burkina Faso. Epidemiol. 28(1):13-19. doi: 10.1016/j.annepidem.2017.11.009.

Kim HY, Grosso A, KyZerbo O, Lougue M, Stahlman S, Samadoulougou C, Ouedraogo G, et al. (2017). Stigma as a barrier to health care utilization among female sex workers and men who have sex with men in Burkina Faso.

Komisi Penanggulangan AIDS (KPA) Provinsi Jawa tengah (2015). HIV & AIDS. Retrieved from: http://birohumas.jatengprov.go.id/ppid/wp-con-tent/uploads/2016/01/BUKU-SAKU-KPA-2015.pdf

Komisi Penanggulangan AIDS (KPA) Kota Surakarta (2016). Data kasus HIV/ AIDS Surakarta. KPA: Surakarta.

_____ (2017). Capaian kasus KPA Kota Ska 2017. KPA: Surakarta.

Kabodi S, Barati M, Gilan NR, Sohyla R (2014). Application of the Health Belief Model for Investigation of Couples Attitude toward Sexual Health. Health Education and Health Promotion (HEHP). 2(3).

Lou JH, Chen SH (2009). Relationships among sexual knowledge, sexual attitudes, and safe sex behaviour among adolescents: a structural equation model. Int J Nurs Stud. 46(12): 1595-603. doi: 10.1016/j.ijnurstu.2009.05.017.

Ng JYS, Chan RKW, Chio MT, Lim RBT, Koh D, Wong ML (2018). An Abstinence and Safer Sex Intervention for Adolescents Attending the Public Sexually Transmitted Infection Clinic in Singapore. Journal of Adolescent Health, 62(6): 737-746.

Parson JT, Halkitis PN, Borkowski T, Bimbi D (2000). Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. J Adolesc. 23(4): 377-91.PMID:10936012. DOI : 10.1006/jado.2000.0326

Phrasisombath, Ketkesone, Faxelid, Elisabeth, Sychareun, Vanphanom, Thomsen, Sarah (2012). Risks, benefits and survival strategies views from female sex workers in Savannakhet, Laos. BMC Public Health. 12: 1004. doi: 10.1186/14712458121004.

Servin AE, Reed E, Brouwer KC, MagisRodriguez C, Boyce S, Strathdee SA, Silverman JG (2017). Motherhood and Risk for Human Immunodeficiency Virus/ Sexually Transmitted Infections Among Female Sex Workers in the Mexico US Border Region. Sexually Transmitted Diseases. http://doi.org/10.1097/OLQ.0000000000000634.

Sulaeman ES (2014). Promosi Kesehatan: Teori dan Implementasi di Indonesia. Surakarta: UNS Press

Unicef (2012). Mengenal dan Menghadapi Masalah HIV/AIDS. Retrieved from https://www.unicef.org/indonesia/id/HIVAIDSbooklet_part3.pdf

WHO (2016). Global Health Sector Strategy on Sexually Transmitted Infections 2016-2021. World Health Organization.

____(2017). Fact Sheet VIV/AIDS, 1-7. Retrieved from http://www.who.int/al travel and health: HIV/AIDS and other sexually transmitted infections. http://www.who.int/ith/diseases/hivaids/en/.

Widdice LE, Cornell JL, Liang W, HalpernFelsher, Bonnie L (2006). Having Sex and Condom Use: Potential Risks and Benefits Reported by Young, Sexually Inexperienced Adolescents. Journal of Adolescent Health, 39: 588

Xu Y, Chen X, Yu B, Joseph V, Stanton B (2017). The effects of self-efficacy in bifurcating the relationship of perceived benefit and cost with condom use among adolescents: A cusp catastrophe modeling analysis. J Adolesc. 61: 31-39. doi: 10.1016/j.adolescence.2017.09.004.

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Published

2019-09-19

How to Cite

Syarifah, S., Demartoto, A., & Dharmawan, R. (2019). Health Belief Model on the Predictors of Healthy Sex Behavior among Commercial Female Sex Workers in Surakarta, Central Java. Journal of Health Promotion and Behavior, 3(2), 116–125. Retrieved from https://www.thejhpb.com/index.php/thejhpb/article/view/118

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