Fauk Nelsensius Klau, Kustanti Christina Yeni, Liana Debora Shinta, Indriyawati Nina, Crutzen Rik, Mwanri Lillian
1 Research Department, Institute of Resource Governance and Social Change, Nusa Tenggara Timur, Indonesia.
2 Nursing Department, Bethesda Yakkum Health Science Institute, Daerah Istimewa Yogyakarta, Indonesia.
Am J Mens Health. 2018 Jul;12(4):666-675. doi: 10.1177/1557988318756132. Epub 2018 Feb 22.
This study aimed to explore perceived determinants of condom use behaviors among male clients of female commercial sex workers (FCSWs) in Belu and Malaka districts, Indonesia. One-on-one in-depth interviews guided by the Health Belief Model (HBM) were used to collect the data from participants ( n = 42). The Framework analysis for qualitative data was employed to analyze the data. Results demonstrated several factors associated with lack of and inconsistent condom use among the participants. They included self-perceived risk of contracting HIV infection, knowledge of the severity of HIV illness and its impacts, and condom use: its benefits and its influencing factors. Additionally, factors including reduced sexual pleasure and the lack of knowledge of how and where to access condoms were important perceived barriers to condom use among participants. Having seen images of HIV-/AIDS-positive people, knowing friends and relatives suffering from HIV, and knowing FCSWs as a high-risk group for HIV infection were the cues to using condoms among several participants. Likewise, self-efficacy was also associated with condom use behaviors among the participants. The findings indicate the needs for HIV/AIDS interventions that include dissemination of HIV/AIDS knowledge, condom promotion, and improvement in the availability of condoms for both FCSWs and their clients.
本研究旨在探索印度尼西亚贝卢和马拉卡地区女性商业性工作者（FCSW）男性客户中避孕套使用行为的感知决定因素。采用以健康信念模型（HBM）为指导的一对一深入访谈，从参与者（n = 42）中收集数据。运用定性数据的框架分析法对数据进行分析。结果表明，参与者中存在一些与不使用避孕套及使用避孕套不一致相关的因素。这些因素包括自我感知的感染艾滋病毒风险、对艾滋病毒疾病严重性及其影响的了解，以及避孕套使用：其益处和影响因素。此外，包括性快感降低以及对如何获取和何处获取避孕套缺乏了解等因素，是参与者中使用避孕套的重要感知障碍。在一些参与者中，看过艾滋病毒/艾滋病阳性者的图片、认识感染艾滋病毒的朋友和亲戚，以及知道女性商业性工作者是艾滋病毒感染的高危人群，是使用避孕套的提示因素。同样，自我效能感也与参与者的避孕套使用行为相关。研究结果表明，需要开展艾滋病毒/艾滋病干预措施，包括传播艾滋病毒/艾滋病知识、推广避孕套，以及改善女性商业性工作者及其客户获取避孕套的便利性。
