SOCIODEMOGRAPHIC CHARACTERISTICS, WORK VENUE, KNOWLEDGE, AND CONDOM USE WITH CLIENTS AMONG INDIRECT FEMALE SEX WORKERS IN DENPASAR, BALI, INDONESIA

I Gusti Ngurah Edi Putra, Dusita Phuengsamran, Aree Jampaklay, Panithee Thammawijaya, Pande Putu Januraga

Abstract

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. 

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References

Ministry of Health (MoH) Indonesia. Survei terpadu biologi dan perilaku tahun 2015 (Integrated biological and behavioural survey 2015). Jakarta: MoH Indonesia; 2015.

Permata YL. HIV prevention in female sex workers in Indonesia: a literature review [Master Thesis]. Amsterdam: KIT (Royal Tropical Institute); 2014.

Roselinda, Puspandari N, Setiawaty V. Type of female sex worker and other risk factors of syphilis. Health Science Journal of Indonesia. 2015;6(2):132-6.

Lokollo FY. Studi kasus perilaku wanita pekerja seksual tidak langsung dalam pencegahan IMS, HIV dan AIDS di pub&karaoke, café, dan diskotek di Kota Semarang (Case study on indirect female sew worker behaviour to prevent STIs, HIV and AIDS in pub&karaoke, cafe’ and discotheque in Semarang City) [Master Thesis]. Semarang: Diponogoro University; 2009.

AIDS Commission of Denpasar. Situasi kasus HIV/AIDS di Provinsi Bali (The situation of HIV/AIDS cases in Bali Province). Denpasar: AIDS Commission of Denpasar; 2017.

Megaputri PS, Sawitri AAS, Wirawan DN. Negotiation and determinants of condom use among female sex workers in Denpasar. Public Health and Preventive Medicine Archive. 2016;4(1):3-11.

Ilyana M, Yovsyah. Faktor-Faktor yang berhubungan dengan upaya pencegahan infeksi menular seksual pada kelompok WPSTL di 9 kabupaten/kota di Indonesia; analisis data sekunder STBP tahun 2013 (Factors associated with STIs prevention efforts among indirect female sex workers in 9 districts in Indonesia; secondary data analysis of 2013 Indonesia IBBS). Jakarta: University of Indonesia; 2014.

Chow EP, Muessig KE, Yuan L, Wang Y, Zhang X, Zhao R, et al. Risk behaviours among female sex workers in China: a systematic review and data synthesis. PloS ONE. 2015;10(3):e0120595.

Williams JR, Alary M, Lowndes CM, Béhanzin L, Labbé A-C, Anagonou S, et al. Positive impact of increases in condom use among female sex workers and clients in a medium HIV prevalence epidemic: modelling results from project SIDA1/2/3 in Cotonou, Benin. PloS ONE. 2014;9(7):e102643.

Safika I, Levy JA, Johnson TP. Sex work venue and condom use among female sex workers in Senggigi, Indonesia. Culture, Health & Sexuality. 2013;15(5):598-613.

Adu-Oppong A, Grimes RM, Ross MW, Risser J, Kessie G. Social and behavioral determinants of consistent condom use among female commercial sex workers in Ghana. AIDS Education and Prevention. 2007;19(2):160-72.

Uddin SM, Hossain MG, Islam A, Islam MN, Kamarul T. High-risk behavior of HIV/AIDS among female sex workers in Bangladesh: survey in Rajshahi City. Jp. J. Infect. Dis. 2014;67:191-6.

Andrews CH, Faxelid E, Sychaerun V, Phrasisombath K. Determinants of consistent condom use among female sex workers in Savannakhet, Lao PDR. BMC Women's Health. 2015;15:63.

Karamouzian M, Sadeghirad B, Sharifi H, Sedaghat A, Haghdoost AA, Mirzazadeh A. Consistent condom use with paying and nonpaying partners among female sex workers in Iran: findings of a national biobehavioral survey. Journal of the International Association of Providers of AIDS Care. 2017;16(6):572-8.

WHO. Indonesia and family planning: an overview. WHO; 2015.

Wang B, Li X, McGuire J, Kamali V, Fang X, Stanton B. Understanding the dynamics of condom use among female sex workers in China. Sexually Transmitted Diseases. 2009;36(3):134-40.

Bharat S, Mahapatra B, Roy S, Saggurti N. Are female sex workers able to negotiate condom use with male clients? The case of mobile FSWs in four high HIV prevalence states of India. PloS ONE. 2013;8(6):e68043.

Nemoto T, Iwamoto M, Eilkhani E, Sakata M, Le MN, Morris A. Contexts of HIV-related risk behaviors among male customers at asian massage parlors in San Francisco. ISRN Infectious Diseases. 2014;2014:9.

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