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Faktor-faktor yang Berhubungan dengan Perilaku Penggunaan Kondom pada Kelompok Lelaki Seks Lelaki di Puskesmas Helvetia Medan Hasibuan, Rara Maura; Bukit, Dhani Syahputra
Jurnal Geografi, Lingkungan dan Kesehatan Vol 3 No 2 (2025): Jurnal Geografi, Lingkungan dan Kesehatan
Publisher : Program Studi Pendidikan Geografi Universitas Pattimura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30598/jglk.3.2.20988

Abstract

Perilaku penggunaan kondom adalah kebiasaan individu dalam menjaga kesehatan seksual melalui keputusan menggunakan kondom saat melakukan hubungan seksual. Perilaku ini mencakup pemahaman tentang pentingnya penggunaan kondom, konsistensi dalam penggunaannya, serta kepatuhan terhadap praktik hubungan seksual yang aman. Perilaku penggunaan kondom dipengaruhi oleh pengetahuan dan sikap seseorang. Namun, pengetahuan dan sikap saja tidak cukup untuk membentuk atau mengubah perilaku ini. Diperlukan faktor-faktor lain seperti kemudahan akses terhadap ketersediaan akses kondom, serta pengaruh peer group. Faktor-faktor ini dapat berkontribusi secara positif atau negatif terhadap perilaku penggunaan kondom dalam suatu kelompok masyarakat. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan perilaku penggunaan kondom pada kelompok lelaki seks lelaki (LSL) di Puskesmas Helvetia Medan. Jenis penelitian ini menggunakan penelitian kuantitatif dengan pendekatan cross sectional. Teknik pengambilan sampel dilakukan secara non probability sampling (purposive sampling) dengan jumlah sampel sebanyak 83 responden. Analisis data menggunakan analisis univariat dan bivariat menggunakan uji statistik chi-square. Hasil penelitian ini menunjukkan bahwa tidak terdapat hubungan antara pengetahuan dengan perilaku penggunaan kondom pada kelompok LSL di Puskesmas Helvetia Medan (ρ = 0,278). Namun, terdapat hubungan yang signifikan antara sikap (ρ = 0,000), ketersediaan akses kondom (ρ = 0,001), dan pengaruh peer group (ρ = 0,011) dengan perilaku penggunaan kondom. Temuan ini menunjukkan bahwa faktor sikap, akses terhadap kondom, serta dukungan sosial berperan penting dalam membentuk perilaku seksual yang aman pada kelompok LSL. Diharapkan kelompok LSL dapat terus menggunakan kondom sebagai perlindungan dari infeksi menular seksual (IMS). Peningkatan pengetahuan, sikap positif, kemudahan akses kondom, dan dukungan teman sebaya juga penting untuk membentuk perilaku seksual yang aman.
Determinant Risks of Adolescent Sex Behavior in Terjun Village Bukit, Dhani Syahputra; Rochadi, Kintoko; Keloko, Alam Bakti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.22211

Abstract

Adolescent sexual behavior is a complex issue that has a major impact on the health and well-being of young people worldwide. In today's internet era, it is shaped by many factors, including peer influence, family support, access to pornography, and reproductive health services. This study set out to examine the variables that influence adolescent sexual behavior. Using a cross-sectional design, researchers surveyed 170 adolescents in Terjun Village, selected through random sampling. Data were analyzed with the chi-square test to identify relationships between variables. The results showed that knowledge (p = 0.006), family support (p = 0.0005), and access to pornographic content (p = 0.0005) were significantly related to adolescent sexual behavior. In contrast, reproductive health services (p = 0.196) and peer influence (p = 0.440) did not show a significant relationship. These findings suggest that to help adolescents live healthier and more responsible sexual lives, efforts should focus on comprehensive sex education, strong family support, reproductive health promotion, and policy advocacy that reinforce these strategies Keywords: Adolescent, Sexual Behavior, Health, Risk
The Impact of Social Support on HIV Care, Support, and Treatment (CST) Service Utilization Among Men Who Have Sex with Men (MSM): A Cross-Sectional Study in Medan City Bukit, Dhani Syahputra; Khairani, Ayudiah; Rochadi, R Kintoko
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.856

Abstract

Men who have sex with men (MSM) remain a key population with a heightened risk of HIV infection, underscoring the importance of HIV care, support and treatment (CST) services in improving health outcomes. However, the utilization of CST services among MSM is often hindered by stigma, discrimination, and fear of receiving a positive HIV diagnosis. These barriers highlight the need to understand the role of social support in encouraging service uptake. This cross-sectional study involved 83 MSM in Medan City, selected through purposive accidental sampling. Data were collected using structured questionnaires and analyzed through univariate, chi-square bivariate test, and logistic regression test. The results showed that all assessed forms of social support—emotional, appraisal, informational, and instrumental— were significantly associated with the use of HIV CST Services. Among these, informational support was identified as the most influential factor in increasing service utilization (p=0,007, OR=4,3). In conclusion, informational support plays a dominant role in enhancing the utilization of HIV CST services among MSM. Strengthening the provision of accurate information and guidance is therefore essential in improving service engagement. Recommendations include expanding outreach efforts, enhancing social support mechanisms for MSM, and promoting safe and supportive environment to reduce stigma and encourage access to CST services.