Lubis I, Master J, Munif A, Iskandar N, Bambang M, Papilaya A, Roesin R, Manurung S, Graham R
AIDS and STD Prevention Program, Indonesian Public Health Association, Indonesia.
Southeast Asian J Trop Med Public Health. 1997 Sep;28(3):525-9.
As the second part of a community based educational campaign to convey the risk of HIV/AIDS to commercial sex workers in Jakarta, from May-July 1995, a total of 253 male transvestites (WARIA) were questioned about their sexual behavior patterns and their knowledge and attitude toward HIV/AIDS. In the previous report, 1991-1993, there was one out of 830 WARIA found HIV positive in November 1993. In this study, 1995, a total of two out of 253 WARIA were confirmed of HIV infection in July 1995. Most of them still have incorrect knowledge on HIV/AIDS transmission mode, they are still practicing high risk sexual attitudes such as an exchange partner rate of 5 men per three weeks, low condom use (1.2 out of the last 5 sexual contacts). The reasons for not using condoms were forgetfulness 35.3% and partner does not like condom 38.2% Most of WARIA know about condoms (94.5%), but it is difficult to access condom use from small shops around them. Therefore, to prevent further spread of HIV/AIDS in WARIA, condom should be used constantly and properly. It has been shown from another study, that more information, better availability and better promotion of condoms can increase condom use. Thus, attention should be placed on various ways of distributing condoms for WARIA in Jakarta, especially community-based distribution by peer leaders, social marketing and commercial sales.
作为向雅加达商业性工作者宣传艾滋病毒/艾滋病风险的社区教育活动的第二部分，1995年5月至7月，共对253名男性易装癖者（瓦里亚人）进行了关于其性行为模式以及他们对艾滋病毒/艾滋病的认识和态度的询问。在上一份1991 - 1993年的报告中，1993年11月在830名瓦里亚人中有1人被检测出艾滋病毒呈阳性。在这项1995年的研究中，253名瓦里亚人中有两人在1995年7月被确诊感染艾滋病毒。他们中的大多数人对艾滋病毒/艾滋病的传播方式仍有错误认识，仍保持着高风险的性行为态度，比如每三周更换5名性伴侣，避孕套使用率低（在过去5次性接触中只有1.2次使用）。不使用避孕套的原因中，35.3%是忘记了，38.2%是性伴侣不喜欢使用。大多数瓦里亚人知道避孕套（94.5%），但他们很难从小商店获取避孕套来使用。因此，为防止艾滋病毒/艾滋病在瓦里亚人中进一步传播，应持续且正确地使用避孕套。另一项研究表明，更多的信息、更好的可及性以及对避孕套更好的推广能够提高避孕套的使用率。因此，应关注在雅加达为瓦里亚人分发避孕套的各种方式，特别是由同伴领袖进行基于社区的分发、社会营销和商业销售。
