• Wahyu Diana Rahmawati
  • Listyaning Eko M
  • Ribkha Itha I
  • Nuril N


Background: The existence of localizations of commercial sex worker (CSW) may increase the HIV/AIDS cases. It might be due to individual’s perception to prevent HIV/AIDS transmission remains low. STI (Sexually Transmitted Infections) such as Gonorrhea and Chlamydia are the diseases which is caused of sexual intercourse. This study aims to describe the internalizations factors to apply condom as the preventive approaches and to investigate the correlation between cognitive level and attuite with condom application.

Methodology: This descriptive cross-sectional study was enrolled by 65 of 258 CSW’s clients in Sadar alley, Banyumas Regency, Indonesia. Accidental sampling was used to select the respondents. Inclusion criteria were CSW’s clients, willing to be respondents, and had sexual intercourse in the alley. The dependent variable was condom application and the independent variables were cognitive level and attitude. The data analysis was done by Spearman Rank.

Results: More than a half of respondents had a good cognitive level to prevent HIV/AIDS transmission and more than three fourth had a support attitude. Among 65 respondents, 48 of them had intension to use condom. The cognitive level and attitude were found with strong correlation with condom applications (p <0.001).

Conclusions: Cognitive level and attitude had an important role related to condom applications. Public health promotor should take an action to educate CSW and CSW’s clients to prevent HIV/AIDS transmission.


Dwi Mustiastutik. Buku Ajar Infeksi Menular Seksual. Surabaya: Airlangga University Press; 2009. 211 p. (Dwi Mustiatutik: Infectious Sexual Transmission Handbook)

WHO. Contents - HIV global slides Summary of global HIV epidemic 2016 [Internet]. 2017. Available from:

Kementrian Kesehatan Republik Indonesia. Data dan Informasi Profil Kesehatan Indonesia 2016. Jakarta; 2016. (Health Ministry of Indonesia. Data and Information of Indonesian Health Profile)

Dinas Kesehatan Provinsi Jawa Tengah. Buku Saku Kesehatan Triwulan 4. Semarang; 2016. (Central Java Health Agency. Fourth - three monthly Health Pocket Book)

Vartanian LR. When the Body Defines the Self: Self-Concept Clarity, Internalization, and Body Image. J Soc Clin Psychol. 2009;28(1):94–126.

Vartanian LR, Dey S. Self-concept clarity, thin-ideal internalization, and appearance-related social comparison as predictors of body dissatisfaction. Body Image [Internet]. 2013;10(4):495–500. Available from:

Ryan RM. Self ‐ determination Theory and Wellbeing. WeD Res Rev 1. 2009;(June):1–2.

Kementrian Kesehatan Republik Indonesia. Artikel Program Pembagian Kondom Gratis Bukan Program Kemenkes. Jakarta; 2012.

(Health Ministry of Republic Indonesia. Article of Free Condom Distribution is not Health Ministry's Program)

Chemnasiri T, Netwong T, Visarutratana S, Varangrat A, Li A, Phanuphak P, et al. Inconsistent condom use among young men who

have sex with men, male sex workers, and transgenders in Thailand. AIDS Educ Prev. 2010;22(2):100–9.

Kalichman SC, Pellowski J, Turner C. Prevalence of sexually transmitted co-infections in people living with HIV/AIDS: Systematic

review with implications for using HIV treatments for prevention. Sex Transm Infect. 2011;87(3):183–90.

Bekker LG, Johnson L, Cowan F, Overs C, Besada D, Hillier S, et al. Combination HIV prevention for female sex workers: What is

the evidence? Lancet [Internet]. 2015;385(9962):72–87. Available from:

Smith AD, Tapsoba P, Peshu N, Sanders EJ, Jaffe HW. Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet.


Science M. INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH TREND ANALYSIS OF HIV AND SYPHILIS PREVALENCE OF MOST AT RISK Medical Science Dr . Dipendra Narayan Goswami Dr . Debjit Chakraborty PPTCT Consultant, West Bengal State AIDS Prevention and Control Society * Cor. 2019;(11):2018–20.

Lembaga Daerah Kabupaten Banyumas. Peraturan Daerah Kabupaten Banyumas Nomor 14 Tahun 2015. Indonesia; 2015.

(Banyumas Local Instutition. Regional Rule of Banyumas Number 14. Year 2015).

Setiawati N. Pengaruh Pendidikan Kesehatan terhadap Perubahan Pengetahuan dan Sikap dalam Pencegahan HIV/AIDS pada

Pekerja Seks Komersial. Media Ners [Internet]. 2008;2(1):1–44. Available from: ( Setiawati N. The Influence of Health Education to Knowledge and Attitude Changes in Preventing HIV/AIDS of CSW)

Wawan, A. & DM. Teori dan Pengukuran Pengetahuan, Sikap dan Perilaku Manusia. In: Teori dan Pengukuran Pengetahuan, Sikap dan Perilaku Manusia. Yogyakarta: Nuha Medika; 2010. p. 12. (Wawan, A. & DM. Theory and Knowledge, Attitude, and Human Behavioral Assessment)

Budiono I. Konsistensi Penggunaan Kondom Oleh Wanita Pekerja Seks Komersial/Pelanggannya. Kesmas 7, Fak Ilmu Keolahragaan, Univ Negri Semarang. 2012;2. (Budiono I. Consistency of Condom Application by Female Commercial Workers)

Fadillah H, Siregar KN. Konsistensi Penggunaan Kondom Pada Wanita Pekerja Seksual di 10 Kota Di Indonesia. Konsistensi Pengguna Kondom Pada Wan Pekerja Seksual di 10 Kota Di Indones. 2011; (Fadillah H, Siregar KN. Consistency of Condom Application of Female Commercial Workers in 10 Cities in Indonesia).

Azwar S. Metode Penelitian. Yogyakarta: Pustaka Pelajar; 2016. (Azwar, S. Research Methodology)

I MRS. Kajian Kesehatan Reproduksi dan HIV/AIDS.2010.Theories And Models Of Health Behavior. Semarang; 2010. (I MRS.

Review of Healthy Reproduction and HIV/AIDS 2010)

Soekidjo Notoatmodjo. Ilmu Perilaku Kesehatan. Jakarta. Jakarta: Rineka Cipta; 2010. (Sokidjo Notoatmodjo. Helath Behavioral


Gu J, Lau JTF, Chen X, Liu C, Liu J, Chen H, et al. Using the Theory of Planned Behavior to investigate condom use behaviors

among female injecting drug users who are also sex workers in China. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV.


Ian Albery, Munafo M. Understanding Addiction: Key Concepts, Theories and Models. Sage Publications (CA); 2011.

Oktarina Hanafi F. Budisuari M.A. Hubungan Antara Karakteristik Responden, Keadaan Wilayah dengan Pengetahuan , Sikap

Terhadap HIV/AIDS pada Masyarakat Indonesia. Bul Penelit Sist Kesehat [Internet]. 2013;124(4):362–9. Available from: (Oktarina Hanafi F. Budisuari M.A. Correlation between Respondents' Characteristicst, Geographical Conditoin to Knowledge, Attitudes about HIV/AIDS of Indonesian citizens)

Mumtaz F. HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP NIAT PASIEN PENDERITA KATARAK UNTUK MELAKUKAN TINDAKAN OPERASIKATARAK DI RS Dr KARYADI SEMARANG. J Undip. 2007; (Mumtaz F. Correlation between Knowledge and Attitude to Intenton of Patients Suffering Cataracts to Have Surgery in Karyadi Hospital)

Kanti L. Determinants Consistency Condom Use Female Seks Works Indirect (FSWI) In West Jakarta. Determ Consistency Condom Use Female Seks Work Indirect West Jakarta. 2014;(Rapid Behavior Analysis Survey Integrated HIV Sero Surveillance In Jakarta).

Sigit M, Up C, Up S. Terhadap Niat Beli Mahasiswa Sebagai Konsumen Potensial. 2006;11(1):81–91. (Sigit M, Up C, Up S. Intention

of College Students as Potential Consumers).