Biopsychosocial and Economic Determinants of Condom Use among Gay in Tulungagung District, East Java

Fransisca Novalia Permana, Argyo Demartoto, Bhisma Murti

Abstract

Background: HIV/ AIDS epidemics emerged among men who have sex with men, particularly among gay, due to unsafe anal sex practice. As studies have shown having sex without condom increases the risk of HIV/ AIDS 18 times as many as per-vaginal sex. This study aimed to examine biopsychosocial and economic determinants of condom use among gay in Tulungagung district, East Java.

Subjects dan Method: This was an analytic observational study using cross-sectional design. The study was conducted in Tulungagung district, East Java, from January to February 2017. A sample of 165 gays was selected by random sampling out of all 300 gays in the community. The independent variables were perceived susceptibility, perceived seriousness, perceived benefit, perceived barrier, and self- efficacy. The dependent variable was condom use. The data were collected by a set of pre-tested questionnaire, and analyzed by multiple logistic regression.

Results: Perceived seriousness (OR=2.83; 95% CI=1.14 to 7.04; p=0.025), perceived benefit (OR= 4.90; 95% CI=2.11 to 11.36; p<0.001), self-efficacy (OR=4.48; 95% CI=2.03 to 9.89; p<0.001), increased the likelihood of condom use. Perceived susceptibility (OR= 1.02; 95% CI=0.40 to 2.59; p=0.972) increased the likelihood of condom use, although it was not statistically significant. Perceived barrier (OR= 0.36; 95% CI=0.13 to 1.00; p=0.050) decreased the likelihood of condom use, and it was statistically significant.

Conclusion: Perceived seriousness, perceived benefit, and self- efficacy, increased the likelihood of condom use among gay. Perceived barrier decreased the likelihood of condom use.

Keywords: biopsychosocial, determinant, condom use, HIV/ AIDS, Gay

Correspondence: Fransisca Novalia Permana. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: fransisca2713@gmail.com. Mobile: +6285645762007.

Journal of Health Promotion and Behavior (2017), 2(1): 88-97
https://doi.org/10.26911/thejhpb.2017.02.01.08

Full Text:

PDF

References

Aditya ER (2012). Perilaku Penggunaan Kondom Secara Konsisten untuk Pencegahann HIV: Suatu Studi Kualitatif pada Pekerja Seks Laki-laki Berbasis Panti Pijat diJakarta. Tesis. Program Studi Ilmu Kesehatan Masyarakat.

Amirkhanian Y, Kelly J, Seal David, Galletly CM, DiFranceisco W, Glasman LR, Stevenson Y (2010). Levels and Predictors of Sexual HIV Risk in Social Networks of Men Who Have Sex with Men in The Midwest. AIDS Educ Prev 22(6):483-95.

Belcher L, Sternberg MR, Wolotski RJ, Halkitis P, Hoff C (2005). Condom Use and Perceived Risk of HIV Transmission Among Sexually Active HIV Positive Men Who Have Sex with Men. AIDS Education and Prevention. AIDS Educ Prev 17(1): 79–89.

Dinkes Jatim (2015). Profil Kesehatan Jawa Timur 2014. http://www.depkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2014/15Jatim_2014.pdf. Diakses tanggal 7 November 2016.

Downing MJ (2010). Perception of Risk Sexual Behaviors and HIV Prevention: A Study of MSM. Dissertation School of The City University of New York 153-160.

Eda N, Widjanarko B, Widagdo L (2012). Niat Penggunaan Kondom pada Komunitas Waria di Kota Ternate. Jurnal Promosi Kesehatan Indonesia 7 (2): 182.

Enggarwati I (2015). Faktor-faktor yang Berhubungan dengan Perilaku Pencegahan Penularan HIV/AIDS pada Laki-laki Homoseksual Pekerja Seks di Kabupaten Kudus.

Harawa NT, William JK, Ramamurthi HC, Bingham TA (2006). Perceptions Towards Condom Use, Sexual Activity and HIV Disclosure Among HIV Positive African American Men Who Have Sex with Men: Implications for Heterosexual Transmission. Urban Health, Bulletin of the New York Academy of Medicine 83(4): 682-94.

Kawangung VY (2012). Pengaruh Ketersediaan Kondom Terhadap Penggunaan Kondom pada Seks Komersial di Lokasi Batu 24 dan Batu 80 Kabupaten Bintan Provinsi Kepri. Tesis. Universitas Indonesia.

Kemenkes RI (2014). Situasi dan Analisis HIV/AIDS Pusat Data dan Informasi Kementerian Kesehatan RI. http://www.depkes.go.id/ resources/download/pusdatin/infodatin/Infodatin%20AIDS.pdf. Diakses 6 November 2016.

(2016). Laporan Kasus HIV/ AIDS di Indonesia Sampai dengan Desember 2016.http://spiritia.or.id/Stats/detailstat.php?no=7.Diakses tanggal 8 November 2016.

Liu S, Chen L, Li L, Zhao J, Cai W, Rou K, Wu Z (2012). Condom Use with Various Types of Sex Partners by Money Boys in China. AIDS Educ Prev24(2):163-178. doi: 10.1521/aeap.2012.24.2.163.

McCormick-Brown K (1999). Health Belief Model. http://hsc.usf.edu/kmbrown /Health_Belief_Model overview.htm. Diakses tanggal 24 November 2016.

McDaid LM, Hart GJ (2010). Sexual Risk Behaviour for Transmission of HIV in Men Who Have Sex with Men. Journal Sex Med 24: 311-316.

Padang J (2012). Persepsi Kaum Homo seksual terhadap Aktivitas Seksual yang BerisikoTerjadinya HIV/AIDS. Fakultas Ilmu Keperawatan UI.

Priyoto (2014). Teori Sikap dan Perilaku dalam Kesehatan. Yogyakarta: Nuha Medika.

RamanathanS, Chakrapani V, Ramakrishnan L, Goswami P, Yadav D, Subramanian T, George B (2013). Consistent Condom Use with Regular, Paying, and Casual Male Partners and Associated Factors Among Men Who Have Sex with Men in Tamil Nadu, India: Findings From an Assessment of a Large Scale HIV Prevention Program. BMC Public Health13: 827. doi: 10.1186/1471-245813-827.

Rosenstock IM, Strecher VJ & Becker MH (1988). Social Learning Theory and The Health Belief Model. Health Education Quarterl 15(2): 175–83.

Satyabakti N(2016). Perbedaan Penggunaan Kondom pada Gay terhadap Pasangan Tetap dan Pelanggan. Jurnal Berkala Epidemiologi 4(1): 87-99.

Sirait LM, Sarupaet S (2013). Hubungan Komponen Health Belief Model (HBM) dengan Penggunaan Kondom pada Anak Buah Kapal (ABK) di Pelabuhan Belawan. Jurnal Precure 1(1): 43-49.

Spiritia (2011). Peran Dukungan Sebaya terhadap Peningkatan Mutu Hidup ODHA di Indonesia. http://spiritia.or.id/dokumen/ laporanpenelitianperandukungansebaya.pdf. Diakses 27 November 2016.

_____ (2012). Peningkatan Tingkat Hubungan Seks Tanpa Kondom di Kalangan Pria Gay. http://spiritia.or.id/news/bacanews.php?nwno=3043. Diakses tanggal 1 November 2016.

UNAIDS (2004). Position Statement on Condom and HIVPrevention http://data.unaids.org/unadocs/condom policy_jul04_en.pdf.Diakses tanggal 20 November 2016.

_____ (2008). Report on The Global AIDS Epidemic. http://data.unaids.org/pub/Global Report/2008/JC1511_GR08. Diakses 19 November 2016.

WHO (2009). Condom and HIV Prevention. http://www.who.int/hiv/pub/condoms/20090318_position_condoms.pdf. Diakses tanggal 19 November 2016.

_____ (2015). Global Summary of The AIDS Epidemic 2015. http://www.who.int/hiv/data/epi_core_2016.png. Diakses 8 November 2016.

_____ (2016). Global Health Sector Strategy on HIV 2016-2021 Toward Ending AIDS. http://apps.who.int/iris/bitstream/10665/246178/1/WHOHIV2016.05eng.pdf?ua=1.Diakses tanggal 27 November 2016.

Refbacks

  • There are currently no refbacks.