Open Communication About Reproductive Health Is Associated With Comprehensive HIV Knowledge and a Non-stigmatising Attitude Among Indonesian Youth: A Cross-sectional Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: Human immunodeficiency virus (HIV) prevention among youth seems under-prioritised compared to other key populations. HIV knowledge and stigma are important parts of HIV prevention. To inform HIV prevention among youths, this study quantitatively analysed the associations between open communication regarding sexuality and sexual health, comprehensive HIV knowledge, and non-stigmatising attitudes in Indonesia. Methods: This study used data from the Indonesian Demographic and Health Survey (IDHS) 2017. The analysis included unmarried men and women aged 15-25 years old. Comprehensive HIV knowledge and a stigmatising attitude were defined according to the IDHS 2017. Open communication about sexuality and sexual health was defined as the number of people with whom participants could openly discuss these topics in their direct network of friends, family, and service providers, with a scale ranging from 0 to a maximum of 7. Primary analysis used binomial logistic regression with weighting adjustments. Results: The final analysis included 22 864 respondents. Twenty-two percent of youth had no one in their direct network with whom to openly discuss sexual matters, only 14.1% had comprehensive HIV knowledge, and 85.9% showed stigmatising attitudes. Youth mostly discussed sex with their friends (55.2%), and were less likely to discuss it with family members, showing a predominant pattern of peer-to-peer communication. Multivariate analysis showed that having a larger network for communication about sexuality and sexual health was associated with more HIV knowledge and less stigmatising attitudes. Conclusions: Having more opportunities for open sex communication in one’s direct social network is associated with more HIV knowledge and less stigmatising attitudes.
Abstract
Objectives: Human immunodeficiency virus (HIV) prevention among youth seems under-prioritised compared to other key populations. HIV knowledge and stigma are important parts of HIV prevention. To inform HIV prevention among youths, this study quantitatively analysed the associations between open communication regarding sexuality and sexual health, comprehensive HIV knowledge, and non-stigmatising attitudes in Indonesia. Methods: This study used data from the Indonesian Demographic and Health Survey (IDHS) 2017. The analysis included unmarried men and women aged 15-25 years old. Comprehensive HIV knowledge and a stigmatising attitude were defined according to the IDHS 2017. Open communication about sexuality and sexual health was defined as the number of people with whom participants could openly discuss these topics in their direct network of friends, family, and service providers, with a scale ranging from 0 to a maximum of 7. Primary analysis used binomial logistic regression with weighting adjustments. Results: The final analysis included 22 864 respondents. Twenty-two percent of youth had no one in their direct network with whom to openly discuss sexual matters, only 14.1% had comprehensive HIV knowledge, and 85.9% showed stigmatising attitudes. Youth mostly discussed sex with their friends (55.2%), and were less likely to discuss it with family members, showing a predominant pattern of peer-to-peer communication. Multivariate analysis showed that having a larger network for communication about sexuality and sexual health was associated with more HIV knowledge and less stigmatising attitudes. Conclusions: Having more opportunities for open sex communication in one’s direct social network is associated with more HIV knowledge and less stigmatising attitudes.
참고문헌 (39)
- "Young people and HIV" (2021)[URL]
- Indonesian integrated behavioral and biomedical survey of 2015, "Indonesian Ministry of Health", Indonesian Ministry of Health, 227~ (2016)
- Utami S, "Mortality among people living with HIV on antiretroviral treatment in Bali, Indonesia: incidence and predictors", Int J STD AIDS, 28(12), pp.1199~1207 (2017)
- Johnston LG, "Alarmingly high HIV prevalence among adolescent and young men who have sex with men(MSM)in urban Indonesia", AIDS Behav, 25(11), pp.3687~3694 (2021)
- Lammers J, "Condom use, risk perception, and HIV knowledge: a comparison across sexes in Nigeria", HIV AIDS(Auckl), 5, pp.283~293 (2013)
- Young SD, "Online social networking technologies, HIV knowledge, and sexual risk and testing behaviors among homeless youth", AIDS Behav, 15(2), pp.253~260 (2011)
- Putra IG, "Psychological factors associated with protected sex among indirect female sex workers in Denpasar, Bali, Indonesia", AIDS Care, 32(6), pp.749~757 (2020)
- Putu Erma Pradnyani, "The Effects of Socio-demographic Characteristics on Indonesian Women’s Knowledge of HIV", AIDS: A Cross-sectional Study, 2019, pp.52(2), 109~114[DOI]
- "Indonesia Demographic and Health Survey 2017" (2018)[URL]
- Situmeang B, "Relationship HIV", AIDS knowledge related stigma towards people living with HIV, J Epidemiol Kesehat Indones, pp.2017, 1[DOI]
- Thapa S, "Building a conceptual framework to study the effect of HIV stigma-reduction intervention strategies on HIV test uptake : a scoping review", J Assoc Nurses AIDS Care, 28(4), pp.545~560 (2017)
- Wirawan GB, "Perspectives on voluntary assisted partner notification among providers, people with HIV and the general population in Indonesia: a formative qualitative study", BMC Public Health, 21(1), pp.254~ (2021)
- Lubis DS, "Developing HIV prevention online using a habermasian ‘lifeworld’ approach with young men who have sex with men from Bali", Soc Work Public Health, 36(6), pp.749~757 (2021)
- Cook MA, "‘Safe sex’ : evaluation of sex education and sexual risk by young adults in Sydney", Cult Health Sex, 23(12), pp.1733~1747 (2021)
- Lieber E, "Sociocultural contexts and communication about sex in China : informing HIV", STD prevention programs, 2009, pp.21(5), 415~429
- Lambert H, "A comparative analysis of communication about sex, health and sexual health in India and South Africa: implications for HIV prevention", Cult Health Sex, 7(6), pp.527~541 (2005)
- Figueroa ME, "Effectiveness of community dialogue in changing gender and sexual norms for HIV prevention : evaluation of the Tchova Tchova program in Mozambique", J Health Commun, 21(5), pp.554~563 (2016)
- Sorcar P, "Sidestepping the elephant in the classroom: using culturally localized technology to teach around taboos", Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems (2017)
- Mullis MD, "International barriers to parent-child communication about sexual and reproductive health topics : a qualitative systematic review", Sex Educ, 21(4), pp.387~403 (2021)
- Hernandez I, "HIV", AIDS-related knowledge and behavior among school-attending afro-descendant youths in Ecuador, 2020, pp.9(3), 397~407
- "Protecting the privacy of DHS survey respondents"[URL]
- Jha PK, "An assessment of comprehensive knowledge of HIV", AIDS among slum and non-slum populations in Delhi, India, 2015, pp.5(6), 259~268
- Show KL, "Independent predictors of comprehensive knowledge of HIV in general population : findings from the Myanmar Demographic and Health Survey(2015-16)", F1000Research, 9, pp.5~ (2021)
- Badru T, "HIV comprehensive knowledge and prevalence among young adolescents in Nigeria: evidence from Akwa Ibom AIDS indicator survey, 2017", BMC Public Health, 20(1), pp.45~ (2020)
- Tsala Dimbuene Z, "Fostering accurate HIV", AIDS knowledge among unmarried youths in Cameroon : do family environment and peers matter, 2011, pp.11, 348~
- Pachuau LN, "Factors associated with knowledge, attitudes, and prevention towards HIV", AIDS among adults 15-49 years in Mizoram, North East India: a cross-sectional study, 2021, pp.19(1), 440~
- Gebremedhin SA, "Predictors of HIV", AIDS knowledge and attitude among young women of Nigeria and Democratic Republic of Congo : cross-sectional study, 2017, pp.8, 677~
- Naafs S, "Youth, gender, and the workplace: shifting opportunities and aspirations in an Indonesian industrial town", Ann Am Acad Pol Soc Sci, 646(1), pp.233~250 (2013)
- Karuri M, "Pragmatics in parenting : language strategies in communicating issues of sexuality to teenagers by Kenyan parents", Res Humanit Soc Sci, 4(5), pp.122~128 (2014)
- Limmer M, "Young men, masculinities and sex education", Sex Educ, 10(4), pp.349~358 (2010)
- Liu W, "The international encyclopedia of media effects", pp.1~12 (2017), John Wiley & Sons, Inc
- Valente TW, "An appraisal of social network theory and analysis as applied to public health : challenges and opportunities", Annu Rev Public Health, 38, pp.103~118 (2017)
- Bennett LR, "Sex talk, Indonesian youth and HIV", AIDS, 2000, pp.(52), 54~57
- Mahat G, "Effectiveness of adolescent peer education programs on reducing HIV", STI risk : an integrated review, 2018, pp.32(2), 168~198
- Leowalu S, "Perspectives of Indonesian parents towards school-based sexuality education", Asia Pacific J Educ (2021)[DOI]
- Hirvonen M, "Peer-to-peer sharing of social media messages on sexual health in a school-based intervention : opportunities and challenges identified in the STASH feasibility trial", J Med Internet Res, 23(2), pp.e20898~ (2021)
- Nurachmah E, "Adolescent–parent communication about sexual and reproductive health among junior high school students in five areas with the highest prevalence of HIV in Indonesia : a qualitative study", Enferm Clin, 29, pp.194~198 (2019)
- Leung H, "Development of contextually-relevant sexuality education : lessons from a comprehensive review of adolescent sexuality education across cultures", Int J Environ Res Public Health, 16(4), pp.621~ (2019)
- Grossman D, "Companion to sexuality studies", pp.279~298 (2020), John Wiley & Sons Ltd