Konsumsi Minuman Beralkohol dan Proses Negosiasi Pemakaian Kondom pada Pekerja Seks Perempuan dan Pelanggannya di Denpasar
Abstract: HIV/AIDS prevalence
among female sex workers (FSWs) tend to increase, at 1% in 1999 to 17% in 2008.
Meanwhile, previous surveys showed the existence of alcohol consumption
behavior among FSWs and their clients, which possibly influence the condom
negotiation process among them.
Objective: To asses the role of alcohol consumption into condom
negotiation process among FSWs and their clients.
Methods: Design study was cross sectional, involving 190 FSWs from 22
randomly selected clusters in Denpasar. FSWs were interviewed in their
workplace using structured questionnaire, on some variables: demographic
characteristics, alcohol consumption pattern, partner/clients characters, and
condom negotiation process. Alcohol consumption was defining as either FSWs or
the client has consumed alcohol before sexual intercourse. Condom negotiation
process were build from 6 items of proposition and 5 items of responses, and
were divided into effective and poor process. Those variables were analyzed
using Chi-square test, followed by Logistic Regression.
Results and conclussions: Around 105 (55.3%) FSWs were consumming
alcohol, 62.3% started <25 years, 64.8% has been consumming for >1 year,
with three majority drinks were bir (95.2%), wine (34.3%), and arack (26.7%).
More than half (54.8%) FSWs never drank >6 drinks and 41.3% has never been drunken
with their clients. To new clients, alcohol consumption was proven to influence
negotiation process scene 2 (PR 1.822, 95%CI 1.220-2.721), while to regular
clients this role was potentially significant (PR 1.501, 95%CI 0.932-2.418).
Multivariate analysis demonstrated consistent result among new clients, along
with condom access but not with regular clients.
Penulis: Sagung Sawitri, Yanri
Subronto, Sri Suryawati
Kode Jurnal: jpkedokterandd100179
