The Comparison of Anxiety Disorder Among Ex - Female Sex Workers and Non - Female Sex Workers in The Ex - localization Area

Indonesian localization of Female Sex Workers (FSW) was one of the largest in Southeast Asia, which has been taken by the government since 2014. The impact of mental health disorders has not yet been reported. This study aimed to compare the anxiety disorder among ex-FSW and non-FSW. This was a study to compare the prevalence of anxiety disorders among ex-FSW compared to non-FSW, located in ex-localization in Surabaya, Indonesia. Seventy-five participants met inclusion criteria and were gathered on December 10th, 2022 to complete Beck Anxiety Inventory (BAI) tests. The results showed that 16,67% of participants (n=12) were found with clinical anxiety scores. Among them, 41,67% ex-FSW (n=5) and 58,33% non-FSW (n=7). The prevalence of anxiety disorder, also the total BAI score, compared to the work history of FSWs and non-FSWs were found not associated (p>0.05). The anxiety disorder was found higher in the non-FSW group than ex-FSW group. But there was no difference found in the prevalence of anxiety and the BAI score between ex-FSW and non-FSW

The Association of Demographic Factors Among Ex-Female Sex Workers and Non-Female Sex Workers in Ex-Localization Area

Introductions: The localization of Female Sex Workers (FSW), one of the largest in Southeast Asia, has considerably reduced because of the government’s actions since 2014. Minimal research reported on the association factor among ex-FSW and non-FSW. Objectives: This study aimed to determine the association of demographic factors among ex-FSW and non-FSW in the ex-localization area. Methods: This was a cross-sectional study to identify the association of demographic factors among ex-FSW and non-FSW in the ex-localization area in Surabaya, Indonesia. Seventy-five participants met inclusion criteria and were gathered at predetermined locations on December 10th, 2022, to complete demographic data. Also, they had completed Beck Depression Inventory (BDI) tests for screening the clinical depression assessment. Data analysis was performed using the SPSS 24 software. Results: The study determined associated factors within the ex-FSW (p<0.05) in terms of marital status (0.03), history of psychiatric disorders (0.01), and history of smoking (0.02). The clinical depression assessment was higher in the ex-FSW group (22.5%) than in the non-FSW group (11.43%). Conclusions: Based on the work history of FSWs and non-FSWs, it had been found associated in terms of marital status, history of psychiatric disorders, and smoking history. Also, the Clinical Depression occurred more in the ex-FSW than the non-CSW group

Informed Consent: Kajian Etika dan Hukum Dalam Konteks Budaya Indonesia

Informed consent adalah persetujuan atas tindakan medis yang diberikan pasien setelah menerima penjelasan dari dokter. Dalam pelaksanaannya, informed consent harus memperhatikan kompetensi pasien, kelengkapan dan kejelasan informasi yang disampaikan dokter, pemahaman pasien terhadap informasi tersebut, dan kesukarelaan pasien dalam menyetujui tindakan medis. Karena pengaruh budaya Indonesia yang komunal dan hierarkis, dokter berkomunikasi bukan hanya dengan pasien, tetapi juga dengan keluarga atau bahkan komunitas pasien. Dengan demikian, diperlukan pendekatan dan strategi yang tepat agar informed consent bisa dilakukan dengan baik dalam konteks budaya Indonesia. Dalam hal ini diperlukan keterampilan komunikasi dari dokter yang selama ini seringkali terabaikan. Buku ini hadir untuk membekali para dokter, praktisi kesehatan, dan mahasiswa kedokteran untuk memahami hakikat dan prinsip informed consent serta membekali dengan strategi praktis untuk melakukan informed consent yang sesuai kaidah etika dan hukum, dengan keterampilan komunikasi efektif, dalam konteks budaya Indonesia yang komunal dan hierarkis. Kiranya pelayanan kesehatan di Indonesia semakin berkualitas melalui informed consent yang berkualitas pula

Cervical cancer screening in former sex workers in ex-localization area

Despite the lack of commercial sex activities as the localization has been shut down since 2014, former commercial sex workers (CSW) could be at risk for cervical cancer. Therefore, this study aimed to determine the prevalence of cervical cancer using early detection with Papanicolaou (Pap) smears in former CSW in this ex-localization area. This study was conducted with purposive sampling intended to be limited to former CSW and women who still live around this ex-localization area as a control group. This study included 76 women, 52.6% of whom were former CSW. Pap smear results showed no pre-cancerous lesions of the cervix in any of the participants. Comparisons between the CSW and control groups showed no differences in Pap smear results. Infection findings were found in 36.1% of CSW group. Early detection of human papillomavirus (HPV) DNA is necessary for identifying risk factors for cervical cancer in these populations

Informed Consent: Kajian Etika dan Hukum dalam Konteks Budaya Indonesia

Informed consent adalah persetujuan atas tindakan medis yang diberikan pasien setelah menerima penjelasan dari dokter. Dalam pelaksanaannya, informed consent harus memperhatikan kompetensi pasien, kelengkapan dan kejelasan informasi yang disampaikan dokter, pemahaman pasien terhadap informasi tersebut, dan kesukarelaan pasien dalam menyetujui tindakan medis. Karena pengaruh budaya Indonesia yang komunal dan hierarkis, dokter berkomunikasi bukan hanya dengan pasien, tetapi juga dengan keluarga atau bahkan komunitas pasien. Dengan demikian, diperlukan pendekatan dan strategi yang tepat agar informed consent bisa dilakukan dengan baik dalam konteks budaya Indonesia. Dalam hal ini diperlukan keterampilan komunikasi dari dokter yang selama ini seringkali terabaikan. Buku ini hadir untuk membekali para dokter, praktisi kesehatan, dan mahasiswa kedokteran untuk memahami hakikat dan prinsip informed consent serta membekali dengan strategi praktis untuk melakukan informed consent yang sesuai kaidah etika dan hukum, dengan keterampilan komunikasi efektif, dalam konteks budaya Indonesia yang komunal dan hierarkis. Kiranya pelayanan kesehatan di Indonesia semakin berkualitas melalui informed consent yang berkualitas pula