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Poncorini, Eti
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
Medicine & Pharmacology Public Health

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Journal : Journal of Health Promotion and Behavior

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Case Study on the Biopsychosocial Impacts and Coping Behaviors among Victims of Female Sexual Violence in Sukoharjo, Central Java Retnaningsih, Isna Rahmawati; Demartoto, Argyo; Poncorini, Eti
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Sexual violence on women is a serious social problem. It may cause various impacts including biological, reproductive, psychological, and social impacts. There is a need for behavioral change to deal with the impact of sexual violence. This study aimed to explore the biopsychosocial impacts and coping behaviors among female sexual violence victims.Subjects and Method: This was a qualitative descriptive research using case study method. The study was conducted in Sukoharjo from 15 June to 25 July 2017. Key informants were included female sexual violence victims and close persons, Chairman of NGO Alliance of Concern in Womens Welfare (APPM), volunteers of One Heart Disability Society, staff of Office for Womens Empowerment, and Head of  Women and Child Protection Unit, and medical personnel. The data were collected by in-depth interview, observation, and document review. Interactive analysis included data collection, reduction, display, and verification.Results: The age of female victims of sexual violence ranged between 15 and 21 years. They had no schooling or junior high school education. All of them came from Sukoharjo, Central Java. The forms of sexual violence were sexual harassment and rape. The perpetrators were close persons of the victim. The biological, reproductive, and psychological impacts of the victim included fear, irritation, trauma, worry, self-imprison, self-contain, feelings of revenge, emotion, stress, pain during urination, fever, unwanted pregnancy, and complications of childbirth. The social impacts included isolation, gossiping, and negative stigma of the victim. The victims behaviors in coping with the biopsychosocial impacts included routine medical check up, attempt to forget, taking for granted, and avoidance of bringing up the incidents of sexual violence, preoccupation with positive activities, seeking support of the close person, being more careful of the opposite sex, and avoidance of mingling with unrecognized people in a strange environment.Conclusion: Female sexual assault cases suffered undesireable biological, reproductive, psychological, and social impacts. The impacts of biological and reproductive health take the forms of health problems, unwantted pregnancy, and complications of childbirth. There is a need for support to help overcome the biopsychosocial impacts of sexual violence victims.Keywords: Health Belief Model, biopsychosocial impacts, sexual violenceCorrespondence: Isna Rahmawati Retnaningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rahmawatiisna.ir@gmail.com. Mobile: +6285640533107.Journal of Health Promotion and Behavior (2017), 2(3): 218-231https://doi.org/10.26911/thejhpb.2017.02.03.03
Health Belief Model: Health Preventive Behavior of Sexually Transmitted Infection in Female Sex Workers in Surakarta Wulandari, Yenni Apriana; Suryani, Nunuk; Poncorini, Eti
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:  Sexually  Transmitted Infection (STI), such as HIV/ AIDS, is a public health problem. The prevalence of HIV in Indonesia in 2014 was 32,711 cases, and the prevalence of AIDS was 5,494 cases. In 2015 the Municipality Health Office of Surakarta  found 71 cases of STI, consisting of 18 cases of HIV, 47 cases of AIDS, and 6 cases of Siphilis. A female sex worker may have several sexual partners per day. As studies have shown, female sex workers have 12 times higher risk of HIV infection than loyal housewife. Condom use can reduce up to 85% risk of HIV transmission. This study aimed to investigate the factors affecting STI preventive behavior among female sex workers in Surakarta, using  Health Belief Model (HBM).Subjects and Method: This was an observational analytic study with cross-sectional design. This study was conducted in Banjarsari, Surakarta, Indonesia, from August to October 2016. A total of 130 female sex workers were selected at random. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. The dependent variable was STI preventive behavior. The data was collected by questionnaire and analyzed by logistic regression model.Results: Perceived susceptibility (OR=7.45; CI=95%; 1.61 to 49.89; p=0.012), severity (OR=4.02; CI=95%; 1.14 to 14.17; p=0.310), benefit (OR=5.63; 95% CI; 1.10 to 28.91; p=0.390), barrier (OR = 0.18; 95% CI; 0.02 to 0.70; p=0,018), cues to action (OR=7.32; CI=95%; 1,18 to 29.29; p=0.050), self-efficacy (OR=5.10; CI=95%; 1.10 to 23.58; p=0.370), had positive effects on STI preventive behavior.Conclusion: Perceived susceptibility, severity, benefit, barrier, cues to action, self-efficacy, had positive effects on STI preventive behavior. This study supports the applicability of the HBM constructs when they are used to explain factors affecting STI prevention behavior.Keywords: Health Belief Model, sexually transmitted infection, female sex workerCorrespondence: Yenni Apriana Wulandari. Masters Program in Public Health, Sebelas Maret University, SurakartaJournal of Health Promotion and Behavior (2016), 1 (2): 70-78https://doi.org/10.26911/thejhpb.2016.01.02.02
Co-Authors Adi Prayitno Alfianrisa, Anggityas Argyo Demartoto, Argyo Bhisma Murti Budhiastuti, Uki Retno Harsono Salimo Haryanti, Rusiana Sri Imannura, Pramita Sandy Ulya Nunuk Suryani Rahmadani, Latifah Nur Retnaningsih, Isna Rahmawati Roobiati, Nur Fika Uki Retno Budihastuti Wulandari, Yenni Apriana Yulia Nur Khayati