Wulandari Luh Putu Lila, Kaldor John, Januraga Pande Putu
a Department of Public Health and Preventive Medicine, Faculty of Medicine , Udayana University , Bali , Indonesia.
b The Kirby Institute, University of New South Wales , Sydney , Australia.
AIDS Care. 2018 Oct;30(10):1215-1222. doi: 10.1080/09540121.2018.1453920. Epub 2018 Mar 20.
Men who purchase sex (MWPS) have long been considered as one of the population groups at risk of HIV transmission. However, while HIV-related interventions have been targeted towards this group, few studies have directly recruited MWPS to measure the impact of such interventions. This study aimed to fill the gap for Indonesia by identifying the level and predictors of condom use and HIV testing among MWPS, to inform prevention strategies. A cross-sectional study was conducted by surveying 200 MWPS in Bali, Indonesia in 2015. A structured questionnaire was administered to collect the data. Self-reported condom use on the occasion of last paid sex was very high (88.5%), while a history of HIV testing was low (8.1%). None of the variables identified in this study were associated with condom use at last paid sex. Men were more likely to report a history of HIV testing if they: perceived themselves to be at high risk of HIV, had a higher level of HIV-related knowledge, reported a history of genital ulcers or urethral discharge in the past 12 months, or were aware that confidential HIV testing was available. Implications and limitations of this study are discussed.
购买性服务的男性(MWPS)长期以来一直被视为艾滋病病毒传播的高危人群之一。然而,尽管针对该群体开展了与艾滋病病毒相关的干预措施,但很少有研究直接招募购买性服务的男性来衡量此类干预措施的影响。本研究旨在通过确定购买性服务的男性中避孕套使用情况和艾滋病病毒检测的水平及预测因素,填补印度尼西亚在这方面的空白,为预防策略提供依据。2015年,在印度尼西亚巴厘岛对200名购买性服务的男性进行了一项横断面研究。通过发放结构化问卷来收集数据。自我报告的在最近一次性交易中使用避孕套的比例非常高(88.5%),而艾滋病病毒检测史的比例较低(8.1%)。本研究中确定的变量均与最近一次性交易中使用避孕套的情况无关。如果男性符合以下条件,则更有可能报告有艾滋病病毒检测史:认为自己感染艾滋病病毒的风险高、艾滋病病毒相关知识水平较高、报告在过去12个月内有生殖器溃疡或尿道分泌物病史,或知晓可进行艾滋病病毒保密检测。本文讨论了本研究的意义和局限性。
AIDS Educ Prev. 2002-4
BMC Public Health. 2020-6-18