Claim Missing Document
Check
Articles

Found 23 Documents
Search
Journal : Journal of Epidemiology and Public Health

Association Between Participation in HIV/ AIDS Peer Group, Stigma, Discrimination, and Quality of Life of People Living with HIV/ AIDS Kurniasari, Mia Ashari; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.434 KB)

Abstract

Background: The quality of life of people living with HIV/ AIDS (PLH) is of public health concern and calls for attention. The quality of life of PLH may be affected by stigma and discrimination. Peer group of PLHs may have an important role in improving the quality of life of PLHs. This study aimed to investigate the association between participation in HIV/ AIDS peer group, stigma, discrimination, and quality of life of PLHs.Subjects and Method: This was an analytic and observational study with cross sectional design. This study was conducted in Tulungagung, East Java, from November, 2016 to January, 2017. A total of 65 PLHs participating in HIV/ AIDS peer group and 35 PLHs not participating in HIV/ AIDS peer group were selected for this study by  fixed exposure sampling. The dependent variable was quality of life of PLHs. The independent variables were participation in HIV/ AIDS peer group, stigma, and discrimination. The data were collected by a set of questionnaire and analyzed by path analysis model.Results: Participation in HIV/ AIDS peer group (b=0.27; p=<0.001), social support (b=0.43; p=<0.001), and family support (b=0.18 p=0.021), had positive associations with a decrease in stigma and discrimination towards PLHs. Higher income (b=0.33; p=0.026), higher education level (b=0.21; p=<0.001), less stigma and discrimination (b=0.33; p=<0.001), had positive associations with quality of life of PLHs. Core self evalution  showed positive association with quality of life of PLHs (b=0.31; p=<0.001).Conclusion: Participation in HIV/ AIDS peer group, social support, and family support, are positively associated with a decrease in stigma and discrimination towards PLHs. Higher income, higher education, less stigma and discrimination, are positively associated with quality of life of PLHs. Core self evalution is positively associated with quality of life of PLHs.Keywords: HIV/ AIDS peer group, stigma, discrimination, social support, family support, quality of lifeCorrespondence: Mia Ashari Kurniasari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: Deandagelis@gmail.com. Mobile: 0851216175293.Journal of Epidemiology and Public Health (2016), 1(2): 125-132https://doi.org/10.26911/jepublichealth.2016.01.02.06
Multilevel Analysis on the Social Determinants of Cervical Cancer in Yogyakarta Sari, Heni Elmiani; Mudigdo, Ambar; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.276 KB)

Abstract

Background: There are 527.600 new cases of invasive cervical cancer. Cervical cancer is caused by infection with the Human Papilloma Virus (HPV) 16 and 18 study was conducted in the city of Yogyakarta. This study aimed to analyze the social determinants on cervical cancer by multilevel analysis in Yogyakarta.Subjects and Methods: This was an observational analytic study with case control design. This was conducted on March 31 to May 4, 2016. A total of 120 samples were selected by fixed disease sampling with a ratio 1:3. The data collected was using a questionnaire and analyzed with Logistic Regression.Results: The risk of cervical cancer with a positive effect on family income (OR = 3.45 95% CI = 0.26 to 45.45 p = 0.346), age of first sexual intercourse (OR = 8.54 95% CI = 1.17 to 62.41 p = 0.034), number of sexual partners (OR = 14.60 95% CI = 2.93-72.66 p = 0.001), oral contra­ceptives (OR = 1.85 95% CI = 0:37 to 9:20 p = 0452), nutritional status (OR = 5.69 95% CI = 1.36 to 23.82 p = 0.017), hygiene genitalia (OR = 9:23 95% CI = 1.76 to 48.35 p = 0.009), and an effect reversed by education (OR = 0:14 95% CI = 0:09 to 2:08, p = 0.155). ICC value of 40.68% indicating the risk of cervical cancer in women varies and a variation of 40.68% at the level of environmental sanitation home.Conclusion: There is a positive effect of family income, age of first sexual intercourse, number of sexual partners, nutritional status, hygiene genitalia, and sanitary home environment, on the risk of cervical cancer. There is an inverse effect of education on the risk of cervical cancer. The society  is expected to be aware of cervical cancer.Keywords: multilevel analysis, social determinants, cervical cancer.Correspondence: Heni Elmiani Sari. School of Midwifery (AKBID) Kutai Husada, Tenggarong, Indonesia. Email: henyelmiani@gmail.comJournal of Epidemiology and Public Health (2016), 1(2): 100-107https://doi.org/10.26911/jepublichealth.2016.01.02.03
Social Support on the Adherence to Treatment of Tuberculosis in Cilacap, Indonesia Puspitasari, Lina; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.176 KB)

Abstract

Background: Country Indonesia liquid high-burden countries in the case of Tuberculosis resistant adenocarcinoma. One of the causes of MDR-TB was OAT drink irregularly. Many of the changes that occur in people with tuberculosis physical, psychological and social influence on irregularity OAT drink. The purpose of this research is to know the contribution of the social support against tuberculosis treatment regularity in Cilacap Regency.Subject and Method: This was a quantitative study with observational analytic design, carried out in twelve clinics and hospitals, inCilacap. A total of 128 samples were consisted of  42 groups and control group 86. The dependent variables was the regularity of the medication, and the independent variable were the intention, attitude, distance, self-efficacy, social support, education and knowledge. The Data collected using the questionnaire and medical record data and analyzed usingpath analysis.Results: There is a direct relationship between education with knowledge, education and knowledge, as well as attitudes toward intentions with the regularity of medical treatment. There is an indirect relationship between posture, distance, social support and self-efficacy with the OAT drink regularity through intention. A positive relationship between education with knowledge (b = 0.17; 95%CI = 0.02 to 0.13; p = 0.023). A positive relationship between education with attitude (b = 1.23; 95% CI = 0.29 to 2.16; p = 0.01). Positive relationship knowledge with attitude (b = 0.56; 95% CI =-1.47 to 0.35; p = 0.228). The relationship of positive attitude with the intention (b = 0.99; CI 95% = 0.05 to 1.94; p = 0.039). Negative relationship of distance with the intention (b =-0.59; 95% CI =-1.49 to 0.31; p = 0.202). Positive relationships support social (social support) and intention (b = 0.5; 95% CI =-0.22 to 1.89; p = 0123). A positive relationship with self-efficacy of intention (b = 1.04;95% CI =-0.16 to 2.26; p = 0.089). A positive relationship with the intention to ordertreatment of TB (b = 2.1; CI 95% = 1.24 to 2.97; p = 0.001).Conclusion: Education, knowledge, attitude, social support self-efficacy related to improve the regularity of treatment of TB through the intention to treat.Keywords:Attitude, Distance, Social Support, Self-Efficacy, Consistency of Treatment of TBCorrespondence: Lina Puspitasari. Midwifery Academic Graha Mandiri Cilacap. Email: Lina_Puspitasari@yahoo.co.idJournal of Epidemiology and Public Health, 2016, 1(1): 58-65https://doi.org/10.26911/jepublichealth.2016.01.01.07 
Analysis of Inputs in the Sexually Transmitted Infection Screening with Voluntary Counselling and Testing Program for Female Prisoners at Class II A Jail, in Malang Alfitri, Rosyidah; Demartoto, Argyo; Pamungkasari, Eti Poncorini
Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.766 KB)

Abstract

Background: The increasing incidences of Sexually Transmitted Infection (STI) and Human Immonodeficiency Virus (HIV) infection are becoming serious public health concerns in Indonesia and other countries. These issues are of concern  that call for close attention not only for general public but also for male and female prisoners. As studies have shown the prevalences of HIV and syphilis were 1.1% and 5.1% in male prisoners, respectively, 6% and 8.5% in female prisoners. For those reasons,  at some  jails  Voluntary Counseling and Testing (VCT) have been provided  for HIV/AIDS control and prevention. The success of the screening program with VCT would depend on  the provision of supplies, equipment, infrastructure, health personnel, and fund. This study aimed to analyze the adequacy of various inputs in the STI screening program with VCT for prisoners at the Class II A female jail, in Malang, East Java.Subjects and Method: This was a qualitative study with evaluation approach. This study was conducted at the Class II A female jail, in Malang, East Java. The study applied CIPP (Context, Input, Process, Product) evaluation model. Key informants for this study included health personnels at the Class II A female jail clinics, in Malang, East Java, the STI mobile health care team from Arjuno Community Health Center Malang, and female prisoners, who were known as Warga Binaan Pemasyarakatan (WBP)Results: Average monthly visits at the VCT clinic were 21 female prisoners, which amounted to only a few of the total number of female prisoners. The health care team involved in the STI screening with VCT program, included skilled health personnel from the jail and the mobile STI team from Arjuno Community Health Center, Malang. The sources of fund for these programs came from the international as well as domestic funding agencies. The international funding came from the Global Fund. The domestic funding came from the Ministry of Law and Human Civil Rights, and the Municipality Health Office Malang, which provided reagents and medicine. Supplies, equipments, and infrastructure, were provided by Arjuno Community Health Center Malang and the Class II A female jail clinics, in Malang. The laboratory was provided by the health center. The reagents were sufficiently provided by the municipality health office, although there was a supply delay in February 2016.Conclusion: Inputs of the STI screening with VCT program at the Class II A female jail clinics, in Malang, East Java, which included supplies, equipment, infrastructure, health personnel, and funding, are sufficiently provided.    Keywords: analysis, input, screening, STI, VCTCorrespondence: Rosyidah Alfitri. Diploma III School of Midwifery, Dr. Soepraoen Hospital, Malang. Email: elfitri.mafaza@gmail.com.Journal of Epidemiology and Public Health (2016), 1(2): 118-124https://doi.org/10.26911/jepublichealth.2016.01.02.05 
Phenomenology Study: Community Non Acceptance of Children with HIV/AIDS in Surakarta Wachdin, Fetty Rosyadia; Murti, Bhisma; Demartoto, Argyo
Journal of Epidemiology and Public Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.19 KB)

Abstract

Background: There were 13 cases of children with HIV/AIDS in Surakarta in 2016. They were infected from their mothers. These children got stigma and discrimination from the community due to their HIV positive status. This study aimed to describe stigma and discrimination from the community to the children with HIV/AIDS.Subjects and Method: This was a qualitative study with phenomenology approach. This study was conducted at Rumah Singgah Lentera (Halfway House Lentera), Surakarta. The key informants for this study included managers of Rumah Singgah Lentera, fulltime secretary, children with HIV, and community members living in the neighborhood. The data were collected by in-depth interview, and then grouped into coding units and described and analyzed.Results: The community surrounding Rumah Singgah Lentera, Surakarta, viewed children with HIV/AIDS as a disgrace. Various kinds of discrimination such as non-acceptance, alienation, restriction have been addressed by the community to the children with HIV/AIDS. The community has also stigmatized managers of Rumah Singgah Lentera, Surakarta, that they were also HIV infected and made profit of HIV/AIDS donation they received. This stigma occured because of lacking in HIV/AIDS knowledge, particulary its mode of transmission. Stigma and discrimination have caused psychological disorder among children with HIV/AIDS. They often feel sad, alienated, and cry, so that they often withdraw from their social environment. In term they feel dispair and decline to take ARV drugs.Conclusion: there is a need to enhance knowledge in HIV/AIDS, its mode of transmission, method of prevention, and its treatment for the community, in order to repress stigma and discrimination from the community.Keywords: HIV/AIDS, children, stigma, discrimination.Correspondence: Fetty Rosyadia Wachdin. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: fettyrosyadia@gmail.comJournal of Epidemiology and Public Health, 1(3): 148-153https://doi.org/10.26911/jepublichealth.2016.01.03.01
Knowledge, Attitude, Sexual Behavior, Family Support, and Their Associations with HIV/AIDS Status in Housewives Laksana, Budi; Demartoto, Argyo; Indarto, Dono
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.976 KB)

Abstract

Background: Approximately 36.7 million people in the world were infected by HIV and 2.1 million new cases occured in 2015. A total of 191,073 HIV cases were reported in Indonesia in 2016, including 77,940 AIDS cases, and 13,247 deaths. Housewives ranked highest among HIV/AIDS patients in Indonesia. This study aimed to investigate knowledge, attitude, sexual behavior, family support, and their associations with HIV status in housewives using PRECEDE PROCEED model.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at Toroh community health center, Grobogan, Central Java, in July, 2017. A total sample of 129 housewives were selected for this study using exhaustive sampling technique. The dependent variable was HIV status. The independent variables were knowledge, attitude, sexual behavior, and family support. The data was measured by a set of questionnaire and analyzed using path analysis.Results: HIV status was directly and positively associated with risky sexual behavior (b= 4.48; 95% CI= 2.30 to 6.65; p<0.001). Risky sexual behavior was associated with attitude (b= -1.27; 95% CI = -0.03 to -2.51; p<0.045) and family support (b= -1.86; 95% CI= -0.69 to -3.03; p<0.002). Attitude was associated with knowledge (b= 2.06; 95% CI = 0.86 to 3.25; p<0.001).Conclusion: HIV status is directly and positively associated with risky sexual behavior. HIV status is indirectly associated with attitude, knowledge, and family support.Keywords: HIV, AIDS, risky sexual behavior, housewives, PRECEDE PROCEED modelCorrespondence: Budi Laksana. Diploma III Program in Midwifery Muhammadiyah, Madiun, East Java. Email: lakortikosteroid@gmail.com. Mobile: +6285655612000.Journal of Epidemiology and Public Health (2017), 2(2): 154-163https://doi.org/10.26911/jepublichealth.2017.02.02.06
Effects of Sexual Behavior, Family Support, Peer Support, Stigma, and Discrimination on Quality of Life Among Gay Community in Tulungagung, East Java Ekasari, Dily; Demartoto, Argyo; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (386.936 KB)

Abstract

Background: Stigma and discrimination that are experienced by gay community have long been documented to occur in Indonesia, including Tulungagung District, East Java. Gay community often experience stigma, discrimination, and rejection by the society and health personnel. Stigma and discrimination may worsen the quality of life among gay community. This study aimed to examine the effects of sexual behavior, family support, family income, peer support, stigma, and discrimination on quality of life among gay community in Tulungagung, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Pelangi Gay Community, Tulungagung District, from October to November, 2017. A total sample of 181 gays was selected by stratified random sampling. The exogenous variables were sexual behavior, family income, peer support, stigma, and discrimination. The endogenous variables were family support and quality of life. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life was positively affected by safe sexual behavior (b= 1.32; 95% CI= 0.18 to 2.46; p= 0.023) and strong family support (b= 1.47; 95% CI= 0.42 to 2.51; p= 0.006). Strong family support was positively affected by family income (b= 1.62; 95% CI= 0.97 to 2.27; p= 0.001). Better quality of life was positively affected by participation in peer support program (b= 2.84; 95% CI= 1.77 to 3.91; p= 0.001), freedom of stigma (b= 1.11; 95% CI= -0.04 to 2.26; p= 0.060), and freedom of discrimination (b= 1.43; 95% CI= 0.37 to 2.48; p= 0.008).Conclusion: Safe sexual behavior and strong family support have direct positive effect on the quality of life among gay community. Stigma and discrimination have indirect effect on lower quality of life among gay community.Keyword: quality of life, sexual behavior, family support, stigma, discrimination, gayCorrespondence: Dily Ekasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dilyekasari89@gmail.com.Journal of Epidemiology and Public Health (2018), 3(1): 50-59https://doi.org/10.26911/jepublichealth.2018.03.01.04 
Safe Sexual Behaviors for Early Detection and Prevention of HIV/AIDS Transmission among Queers in Tulungagung, East Java, Using Theory of Planned Behavior Arisona, Widya Lusi; Demartoto, Argyo; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.906 KB)

Abstract

Background: Sexual intercourse is one of the primary modes of HIV transmission. Sexual activity among heterosexuals has the highest risk of HIV transmission. However, sexual activity among queers also contributed much of the HIV/AIDS case increase. The prevalence of HIV/AIDS infection was high among queers in Tulungagung, East Java. This study aimed to examine safe sexual behaviors for early detection and prevention of HIV/AIDS transmission among queers using Theory of Planned Behavior.Subjects and Method: This was a qualitative study with phenomenology approach. The study was carried out at queers’ peer group namely Aprikot basecamp, Tulungagung, East Java, from 23 April to 17 June, 2017. The informants in this study included queers with positive HIV status and those with negative HIV status. These informants consisted of queer commercial sex workers, queers with steady partner, queers who had recently been registered as Apricot members, queers who had become Apricot members for long, Cesmid NGO, program manager of Local Commision for AIDS Control, health personnels, and officers at District Health Office Tulungagung. The informants were selected by maximum variation sampling. The data were collected using in-depth interview, observation, and document review methods. The data were analyzed by interactive analysis method, including data collection, data reduction, data display, and verification.Results: Five queer informants who worked as commercial sex workers were HIV positive. A queer informant who owned beauty salon had a steady partner. In general, queers had positive attitude towards early detection and prevention of HIV by undertaking regular three monthly HIV tests. The subjective norm in the community was very influential such that all Apricot members always complied with every rule available in the community. As a result, the queers had a stronger intention to do HIV early detection and prevention.Conclusion: Subjective norm is an important determinant for HIV early detection and prevention among queers. It is suggested that the positive norm in the community pertinent to sexual behavior be capitalized and strengtened so as to increase adherence to healthy and safe sexual behaviors among the queers.Keywords: risky sexual behaviors, early detection, prevention,  HIV/ AIDS, queerCorrespondence: Widya Lusi Arisona. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: widyalusi@gmail.com. Mobile:  +6285646430617.Journal of Epidemiology and Public Health (2017), 2(2): 164-173https://doi.org/10.26911/jepublichealth.2017.02.02.07
Factors Associated with Safe Sex Behavior Among Commercial Sex Workers in Banjarsari, Surakarta, Central Java Ambarsari, Maecelina Hestin; Demartoto, Argyo; Wekadigunawan, C.S.P
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (453.837 KB)

Abstract

Background: It is estimated that more than one million people in the world contract sexually-transmitted disease everyday. Annually approximately 357 million new infections occur by one of four sexually-transmitted diseases: chlamidia, gonorrhea, syphilis, and mouth ulcer. To date HIV/AIDS has spread in 407 of 507 districts and municipalities in Indonesia, or equivalently covering 80% districts and municipalities of the country. In Surakarta, the cumulative incidence of HIV/AIDS from 2005 to 2017 was 561 cases, with 38 HIV cases and 46 AIDS cases in 2017 alone. The incidence of HIV/AIDS has been increasing year by year. This study aimed to examine factors associated with safe sex behavior among commercial sex workers in Banjarsari, Surakarta, Central Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Banjarsari Sub-district, Surakarta, Central Java. A total sample of 100 commercial sex workers was selected by stratified random sampling. The dependent variable was safe sex behavior. The independent variables were knowledge of infectious transmitted disease and HIV/AIDS, self efficacy, condom availability, access to health care service, health personnel support, and peer support. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Safe sex behavior was associated with good knowledge of sexually-transmitted disease and HIV/AIDS (b=0.19; 95% CI=0.01 to 0.30; p=0.032), strong self efficacy (b= 0.18; 95% CI= 0.01 to 0.38; p= 0.047), condom availability (b=0.30; 95% CI= 0.36 to 1.20; p<0.001), good access to health care service (b= 0.19; 95% CI= 0.02 to 0.52; p= 0.035), strong health personnel support (b= 0.18; 95% CI= 0.01 to 0.57; p=0.041), strong peer support (b= 0.17; 95% CI= 0.01 to 0.50; p= 0.046).Conclusion: Safe sex behavior is associated with good knowledge of sexually-transmitted disease and HIV/AIDS, strong self efficacy, condom availability, access to health care service, strong health personnel support, strong peer support.Keyword: safe sex behavior, knowledge, self efficacy, condom availability, access to health service, health personnel support, peer supportCorrespondence: Maecelina Hestin Ambarsari. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: hestinmaecelina@gmail.com. Mobile: +6285742975078.Journal of Epidemiology and Public Health (2018), 3(1): 60-71https://doi.org/10.26911/jepublichealth.2018.03.01.05 
Factors Associated with Women’s Decision to Become Commercial Sex Workers in Banjarsari, Surakarta, Central Java Johar, Syefira Ayudia; Demartoto, Argyo; Wekadigunawan, C.S.P
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (366.32 KB)

Abstract

Background: In Indonesia, the number of new HIV cases in 2016 was 41.250, and AIDS cases was 7,491. HIV infection predominantly (67.6%) occur heterosexually. In Central Java, the number of  Di Indonesia, new HIV cases in 2016 was 4.032, and AIDS cases was 1.402. Surakarta City has the second highest cases of HIV in Central Java after Semarang District with 38 HIV cases and 46 AIDS cases in September 2017. This study aimed to analyze factors associated with women’s decision to become commercial sex workers in Banjarsari.Subjects and Method: This was an analytical observational study with case control design. The study was conducted in Banjarsari, Surakarta, Central Java. A total sample of 200 study subjects consisting of 100 female commercial sex workers and 100 non sex workers. The dependent variable was women’s decision to become commercial sex worker. The independent variables were knowledge of sexually-transmitted disease, family income, pro-commercial sex worker family support, snobbish life style, and access to whore house. The data were collected by questionnaire and analyzed by multiple logistic regression.Results: Women’s decision to become commercial sex worker was negatively associated with good knowledge of sexually-transmitted disease (OR= 0.03; 95% CI= 0.01 to 0.18; p<0.001), high family income (OR= 0.01; 95% CI<0.01 to 0.05; p<0.001). Women’s decision to become commercial sex worker was positively associated with strong pro-commercial sex worker family support (OR=8.15; 95% CI= 2.63 to 25.23; p<0.001), snobbish life style (OR= 6.20; 95% CI= 1.81 to 21.24; p= 0.004), and access to whore house (OR= 8.52; 95% CI=2.49 to 29.17; p= 0.001).Conclusion: Women’s decision to become commercial sex worker has negative association with good knowledge of sexually-transmitted disease, high family income. Women’s decision to become commercial sex worker has positive association with strong pro-commercial sex worker family support, life style, and access to whore house.Keyword: Women’s decision, commercial sex worker, knowledge, family income, family support, life style, access to whore houseCorrespondence: Syefira Ayudia Johar. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: syefira48@gmail.com. Mobile: +6282136422448.Journal of Epidemiology and Publich Health (2018), 3(1): 72-82https://doi.org/10.26911/jepublichealth.2018.03.01.06  
Co-Authors Achmad Arman Subijanto, Achmad Arman Adita, Kingkin Aditya, Stefanus Adriyani, Rita Benya Al Ghifari, Muhammad Fahrezi Ambar Mudigdo Ambarsari, Maecelina Hestin Anawati, Sri Andriyani, Shofia Annuchasari, Helmi Aprilia Susanti, Aprilia Ari Natalia Probandari Aris Sudiyanto Arisona, Widya Lusi Ayu, Elsa Jumasni Bagus Haryono Bhisma Murti Cahyanto, Erindra Budi Dasairy, Hana Fathiya Desiderius Priyo Sudibyo, Desiderius Priyo DEVI INDRAWATI Didik Tamtomo, Didik Dono Indarto Drajat Tri Kartono Ekasari, Dily Endang Gerilyawati IES, Endang Gerilyawati Endang Sutisna Sulaeman Eti Poncorini Pamungkasari Fajriyah, Yuli Lutfatul Fetty Rosyadia Wachdin Flora, Viola Holly Hakim, Fatwa Nur Hapsari, Dini Harsono Salimo Hastjarjo, Sri Himawati, Yulia I Wayan Sutama Indrawati, Fika Lilik Indriani, Fenita Karima, Fatimah Hasna Karina Cibro, Adeyle Datna Keswara, Nila Widya Khalifah, Intan Noor Khasanah, Widia Nur Kogoya, Tena Kurniasari, Mia Ashari Laksana, Budi Lestari, Anis Dwi Lestari, Heni Eka Lianawati, Feny Lina Puspitasari Mahendra Wijaya Marsela, Chesa Amanda Masriyatun, Masriyatun Ma’rufah, Aprilia Nurul Mubarok, Ahmad Syauqi Mulya Tarmidi, Mulya Mundayat, Aris Arif Nabillah, Lily Nahak, Maria Paula Marla Nazalah, Rajba Ningrum, Anis Lupita Nisa, Azka Zahrotun Nisriina, Zain Nadaa Novika, Revi Gama Hatta Novika, Revi Gamma Hatta Nugraheni, Aulia Putri Nuha, Riya Ulin Nurul Husna Nuryuliana, Nuryuliana Paramita, Windya Kartika Pawito Pawito Perdana, Muhammad Vidi Permana, Fransisca Novalia Perwitosari, Henny Poncorini, Eti Pranita, Liliana Dwi Prasetya, Hanung Pratiwi, Ajeng Christiana Putri Pujihartati, Sri Hilmi Purbanova, Reni Purbondari, Elysa Wahyu Purnamasari, Elvira Purwanti, Titis Cipta Purwanto - Puspitaningtyas, Danty Indra Putry, Mentary Febryant Rachmadi, Aditya Yudha Rahmawati, Dechoni Rahmawati, Fatimah Raraningrum, Vita Ratih Rahmawati Respati, Supriyadi Hadi Retnaningsih, Isna Rahmawati Rita Adriani Benya Adriani Rosyidah Alfitri RUBEN DHARMAWAN Safitri, Ayun Saidah, Ayu Santoso, Nathanael Aditya Sanusi, Sita Rahayu Saputri, Chelsy Sumardi Saputri, Enriawati Ika Dyah Sari, Heni Elmiani Setyadi, Ahmad Wasis Setyani, Rizka Ayu Setyowati, Eka Yuni Silvia Ari Agustina Soemanto, RB Soesyasmoro, R. Asto Soesyasmoro, R. Asto Sofiani, Hindun Solikatun Solikatun, Solikatun Subaeti, Tri Sugma, Saras Vati Manvatarini Sukma, Sukma Sumardiyono Sunaryo - Supriyadi Hari Respati Surya Gumilar, Karismatika Suryono, Anike Nurmalita Rizki Putri Sutopo, Haris Syarifah Syarifah, Syarifah Syefira Ayudia Johar Tiyas Nur Haryani, Tiyas Nur Tri Sulistyawati, Tri Trisni Utami Tristian, Deviana Uki Retno Budihastuti Utami, Fitria Nur Utami, Indri Nur Utari, Sri Utsani, Wimmy Safaati Veibiani, Nindita Arum Wardhani, Putri Kusuma Wardhani, Yeni Wekadigunawan, C.S.P Wibowo, Galih Aprilia Yuni Lestari Yuvrista, Yuliana Yuyun Sunesti Zahro, Hallisa’tu Zahroh Shaluhiyah Zartika, Maoli