Factors Associated with Safe Sex Behavior Among Commercial Sex Workers in Banjarsari, Surakarta, Central Java

Background: It is estimated that more than one million people in the world contract sexually-transmitted disease everyday. Annually approximately 357 million new infections occur by one of four sexually-transmitted diseases: chlamidia, gonorrhea, syphilis, and mouth ulcer. To date HIV/AIDS has spread in 407 of 507 districts and municipalities in Indonesia, or equivalently covering 80% districts and municipalities of the country. In Surakarta, the cumulative incidence of HIV/AIDS from 2005 to 2017 was 561 cases, with 38 HIV cases and 46 AIDS cases in 2017 alone. The incidence of HIV/AIDS has been increasing year by year. This study aimed to examine factors associated with safe sex behavior among commercial sex workers in Banjarsari, Surakarta, Central Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Banjarsari Sub-district, Surakarta, Central Java. A total sample of 100 commercial sex workers was selected by stratified random sampling. The dependent variable was safe sex behavior. The independent variables were knowledge of infectious transmitted disease and HIV/AIDS, self efficacy, condom availability, access to health care service, health personnel support, and peer support. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Safe sex behavior was associated with good knowledge of sexually-transmitted disease and HIV/AIDS (b=0.19; 95% CI=0.01 to 0.30; p=0.032), strong self efficacy (b= 0.18; 95% CI= 0.01 to 0.38; p= 0.047), condom availability (b=0.30; 95% CI= 0.36 to 1.20; p<0.001), good access to health care service (b= 0.19; 95% CI= 0.02 to 0.52; p= 0.035), strong health personnel support (b= 0.18; 95% CI= 0.01 to 0.57; p=0.041), strong peer support (b= 0.17; 95% CI= 0.01 to 0.50; p= 0.046).Conclusion: Safe sex behavior is associated with good knowledge of sexually-transmitted disease and HIV/AIDS, strong self efficacy, condom availability, access to health care service, strong health personnel support, strong peer support.Keyword: safe sex behavior, knowledge, self efficacy, condom availability, access to health service, health personnel support, peer supportCorrespondence: Maecelina Hestin Ambarsari. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285742975078.Journal of Epidemiology and Public Health (2018), 3(1): 60-71https://doi.org/10.26911/jepublichealth.2018.03.01.05Â

The waiting room as a health education strategy in the field of sexually transmitted diseases prevention and care

Este artigo apresenta e discute uma experiência de sala de espera no âmbito da atenção às doenças sexualmente transmissíveis - DST, desenvolvida em um serviço especializado na atenção às DST, localizado em Porto Alegre-RS. O objetivo da sala de espera foi oferecer uma possibilidade de prevenção e educação em saúde, tendo por base uma abordagem participativa e problematizadora, buscando diferenciar-se da lógica prescritiva, centrada na transmissão de informação, hegemonicamente presente nos serviços de saúde. A atividade ocorreu diariamente, antecedendo a consulta médica de homens que procuravam o serviço para atendimento relacionado às DST. Entendida como uma atividade relativa ao campo de competências profissionais (Campos, 2002), foi coordenada por duplas de residentes multiprofissionais (Psicólogos, Nutricionistas, Enfermeiros e Assistentes Sociais). A abordagem da sala de espera utilizou-se das contribuições da prática do aconselhamento em HIV/Aids, buscando trabalhar com aspectos afetivos/emocionais, informativos e avaliação de riscos. Através de uma perspectiva problematizadora, buscou-se interrogar e colocar em análise as relações que as pessoas estabelecem com a sexualidade, as DST e o uso do preservativo. Esta intervenção propiciou maior acesso a informações (sobre as DST, insumos de prevenção, tratamento e testagem anti-HIV) e discussão sobre aspectos relacionados às repercussões das DST na vida afetiva e sexual, reconfigurando o momento de espera em um momento de prevenção e educação em saúde.This article presents a waiting room experience developed in the scope of sexually transmitted diseases (STD) prevention and care, developed at an STD specialized service, located in the city of Porto Alegre (Southern Brazil). The objective of the waiting room was to offer a possibility of prevention and health education, based on a participatory and problematizing approach, in an attempt to differentiate it from the prescriptive logic, which is centered on the transmission of information and is present in the health services in a hegemonic way. The activity happened on a daily basis, preceding the medical consultation of men that sought the service to receive STD assistance. Understood as an activity related to the field of professional competences (Campos, 2002), it was coordinated by couples of multiprofessional residents (Psychologists, Nutritionists, Nurses and Social Workers). The waiting room approach used the contributions of the HIV/AIDS counseling practice, and tried to work with emotional/affective and informative aspects, as well as risk assessment. Through a problematizing perspective, the relationships that people establish with sexuality, STD and the use of the condom were analyzed. This intervention enabled greater access to information (on STD, prevention inputs, treatment and HIV testing) and discussion of aspects related to the repercussions of STD on the person's affective and sexual life, transforming the waiting time into a moment of prevention and health education

A theory-based approach to understanding condom errors and problems reported by men attending an STI clinic

The official published version can be accessed from the link below - Copyright @ 2008 Springer VerlagWe employed the information–motivation–behavioral skills (IMB) model to guide an investigation of correlates for correct condom use among 278 adult (18–35 years old) male clients attending a sexually transmitted infection (STI) clinic. An anonymous questionnaire aided by a CD-recording of the questions was administered. Linear Structural Relations Program was used to conduct path analyses of the hypothesized IMB model. Parameter estimates showed that while information did not directly affect behavioral skills, it did have a direct (negative) effect on condom use errors. Motivation had a significant direct (positive) effect on behavioral skills and a significant indirect (positive) effect on condom use errors through behavioral skills. Behavioral skills had a direct (negative) effect on condom use errors. Among men attending a public STI clinic, these findings suggest brief, clinic-based, safer sex programs for men who have sex with women should incorporate activities to convey correct condom use information, instill motivation to use condoms correctly, and directly enhance men’s behavioral skills for correct use of condoms

Tingkat Pengetahuan Kesehatan Reproduksi Pada Siswa SMA Kanjeng Sepuh Gresik

Background: Adolescence is a transitional period between the time of children with adulthood. There are still many found little regard for teens on health on reproductive, will consequently risk against the occurrence of an increase in diseases, among others; Sexually Transmitted Infections (STI). Methods: This type of research is the pre-design experiments using One-Shot Case Study, measured through a questionnaire. Class X student population of 33 students, XI IPS 2 of 26 students, and XII IPS 1 of 29 students. With a variable level of knowledge about reproductive health education, sexually transmitted diseases, prevention and the introduction of infectious disease symptoms, processed and analyzed using descriptive statistics. Results: The results of the research on reproductive health education on class X most (63, 64%) have moderate levels of knowledge about sexually transmitted diseases in class XI IPS 2 most (73%), 8 have a level of knowledge, level of knowledge about the prevention of infectious diseases and the introduction at the XII 1st most IPS (58, 62%) have moderate levels of knowledge. Conclusion: the level of knowledge of students of SMK Kanjeng Sepuh Gresik about adolescent reproductive health is on a category of being. Therefore the expected reproductive and Sexual health education as a subject/local content through the media of the school as a proper step as a medium of education can provide information on sexual and reproductive health is right for teens

Bull World Health Organ

28867837PMC557838

Tuberculosis associated with blocking agents against tumor necrosis factor-alpha--California, 2002-2003

The Food and Drug Administration (FDA) has determined that tuberculosis (TB) disease is a potential adverse reaction from treatment with the tumor necrosis factor-alpha (TNF-alpha) antagonists infliximab (Remicade), etanercept (Enbrel), and adalimumab (Humira); the three products are labeled accordingly. These products work by blocking TNF-alpha, an inflammatory cytokine, and are approved for treating rheumatoid arthritis and other selected autoimmune diseases. TNF-alpha is associated with the immunology and pathophysiology of certain infectious diseases, notably TB; blocking TNF-alphacan allow TB disease to emerge from latent Mycobacterium tuberculosis infection. In 2002, a California county health department reported three cases of TB disease occurring in association with infliximab therapy. This report summarizes those cases and nine subsequently reported cases and provides interim recommendations for TB prevention and management in recipients of these blocking agents. Health-care providers should take steps to prevent TB in immunocompromised patients and remain vigilant for TB as a cause of unexplained febrile illness.2004CurrentTreatment and InterventionInfectious Disease15295313778

Population growth and the freedom to choose: our common responsibilities

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Health Promotion in Croatia and Experiences with the First National Health Promotion Project

The paper describes a very specific historical development of health promotion and health education in Croatia, based on Andrija Stampar ten principles written at the beginning of the last century. Since 1927, Andrija Stampar School of Public Health has been the initiator, facilitator, leader and evaluator of different health promotion and community-based programs in Croatia and abroad. The activities and approaches passed different periods: the early bird of modern public health and enlightenment approach to health education and community health, period from sixties to eighties emphasizing community interventions, self-help movement and Family Practice, war and postwar time as well as current situation. The paper is critically discussing similar situation in South-Eastern countries: some very positive experiences from the past, the new possibilities in development of health promotion and disease prevention activities, but, on the other hand, the strong influence of supporters from abroad. Therefore, the experiences of the First National Health Promotion project, supported by World Bank, is described in details