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Understanding Health Risk Assessment in Female Sex Workers (FSW) and Its Relationship With the Frequency of Sexual Transactions Sitorus, Rico Januar; Rahmayani, Lusi; Rahmiwati, Anita; Syakurah, Rizma Adlia; Aerosta, Danny; Panjaitan, Merry Natalia
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 1 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.1.35-44

Abstract

Female sex workers carry out sexual transactions that pose a high risk to their health. They experience a high risk of health problems, especially transmission of sexually transmitted infections. There are various factors that female sex workers (FSW) carry out sexual transactions with frequent frequency, such as poverty, gender inequality, and limited access to productive assets. This study aims to determine the associated between the frequency of sex transactions and health risks. This research uses a quantitative approach with a cross-sectional design. The population of this study was all female sexual workers (FSW), with a sample size of 162 taken by purposive sampling. The results of this study show that the majority of FSWs have had a sexual transaction frequency more than two times in the last week, amounting to 79.5%, with a prevalence of high health risks of 75.9%. Based on the multivariate test, it is known that the frequency of sexual transactions is associated with health risks after controlling for the variables age and length of time as a FSW with an Adjusted Odds Ratio of 3.467 (1.415-8.494). Health risks FSW who engage in sexual transactions more than two times have a risk of 3.467 (1.415-8.494) times experiencing high health risks compared to female sex workers who engage in sexual transactions less than two times after controlling for age and length of time as female sex workers. When carrying out work in sexual exploration, FSW should continue to use sexual protective equipment and carry out regular health checks, especially for sexually transmitted infections.
EPIDEMIOLOGICAL ASPECTS OF HIV-TB CO-INFECTION IN PEOPLE WITH HIV/AIDS (PLWHA): A HOSPITAL-BASED STUDY Sitorus, Rico januar; Murinata, Jaka; Antara, Nyoman Yudi; Sangalang, Reymart V.; Panjaitan, Merry Natalia
The Indonesian Journal of Public Health Vol. 19 No. 3 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i3.2024.419-429

Abstract

Introduction : Tuberculosis (TB) is one of the co-infections with high morbidity and mortality in patients with HIV/AIDS (PLWHA). The prevalence of Tuberculosis in HIV patients in Indonesia ranges from 19.7% to 61.5%. Aims: This study aimed to identify predictors of incident HIV-TB co-infection in PLWHA. Methods: This observational study used a case-control design. Cases were defined as patients with HIV/AIDS co-infected with TB, while controls were those with HIV/AIDS without TB co-infection. The study population included 180 PLWHA, comprising 60 cases and 120 controls. Exclusion criteria for the case group were patients who had not completed their medical records and those who were previously infected with TB before HIV infection. Results: Bivariate analysis showed that variables significantly related to TB-HIV were clinical stage, CD4 levels, anemia status, and opportunistic infections. Multivariate logistic regression analysis showed that CD4 levels were the dominant predictor, with an adjusted odds ratio (AOR) of 5.71, 95% confidence interval (CI) 2.84-11.84, p = 0.0001. Meanwhile, clinical stage, anemia status, and opportunistic infections were confounding variables. Conclusion: CD4 levels were found to be a dominant predictor of increased TB-HIV risk. Further efforts should be made to encourage home assistant care initiation and improve medication compliance based on these results.
KAJIAN DESKRIPTIF TENTANG POSBINDU PENYAKIT TIDAK MENULAR DI POS BANDARA SMB II PALEMBANG BKK KELAS I PALEMBANG Panjaitan, Merry Natalia; Fajriani, Asrita; Rizal, Fahmi
Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan Vol 17, No 1 (2025): Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan
Publisher : STIKES 'Aisyiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36729/bi.v17i1.1377

Abstract

Latar Belakang: Meningkatnya angka kejadian penyakit tidak menular (PTM) menjadi masalah kesehatan masyarakat saat ini. Oleh karena itu perlu dilibatkan peran serta masyarakat untuk mengendalikan PTM dengan  melaksanakan program Posbindu PTM. Tujuan: Mengetahui gambaran deskriptif penyakit tidak menular. Metode: Penelitian ini menggunakan metode studi deskriptif menggambarkan distribusi frekuensi kegiatan Posbindu PTM di Pos Bandara SMB II Palembang tanggal 25 Februari 2025. Sampel accidental sampling, populasi adalah seluruh peserta kegiatan POSBINDU PTM di Pos Bandara SMB II Palembang sebanyak 89 orang. Analisa data yang digunakan adalah analisa univariat. Hasil: Posbindu PTM di Pos Bandara SMB II Palembang dikunjungi oleh masyarakat yang ada di Bandara SMB II Palembang, mayoritas laki-laki (71,91%), berusia 20 – 44 tahun (74,16%), berpendidikan SMA/sederajat (68,54%), sudah menikah (58,42%). Berdasarkan hasil pengukuran tekanan darah dan kadar lipid dalam darah, peserta Posbindu PTM di Pos Bandara SMB II Palembang mayoritas tekanan darah normal (61,8%), kadar lipid dalam darah mayoritas normal. Saran: Dengan adanya Posbindu PTM masyarakat dapat mengaplikasikan perilaku CERDIK sedini mungkin, untuk BKK Kelas I Palembang agar memberikan edukasi tentang penyakit tidak menular dan inovasi yang menarik minat Masyarakat untuk berkunjung ke Posbindu PTM. Kata Kunci: Posbindu, Penyakit Tidak Menular
Understanding the Health-related Quality of Life of People Living with HIV Based on Sexual Orientation Sitorus, Rico Januar; Antara, Nyoman Yudi; Sangalang, Reymart; Panjaitan, Merry Natalia; Fauk, Nelsensius Klau
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Human immunodeficiency virus (HIV) infection has detrimental impacts on the lives of different population groups living with HIV, including men who have sex with men (MSM). Using the World Health Organization Quality of Life questionnaire, this study aimed to assess the health-related quality of life of men living with HIV with different sexual orientations and to determine the dominant influential factors. This cross-sectional study involved 206 men living with HIV. They were recruited from the Sriwijaya Plus Foundation and a medical facility that provided antiretroviral therapy. The data were analyzed using Chi-square and binomial logistic regression. The analysis showed that the percentage of MSM patients was greater than that of non-MSM patients, accounting for 68.9% of the total population. The multivariate logistic regression revealed that the most dominant influential factor was depression status (PR = 5.417; 95% CI = 2.473–11.876), with the majority of the depressed patients being 5.417 times more at risk of a lower quality of life compared to others. These findings suggest that depression can lead to a low quality of life among HIV patients.
Prevention of HIV Transmission Among Men Who Have Sex with Men and Compliance with Sexual Protective Equipment Sitorus, Rico Januar; Octavia, Nurafni; Panjaitan, Merry Natalia; Rahmiwati, Anita Rahmiwati; Syakurah, Rizma Adlia; Aerosta, Danny; Sangalang, Reymart V; Yusri, Yusri
Kesmas Vol. 19, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sexual orientations, such as gay, lesbian, and bisexual, are prevalent among individuals at high risk of experiencing mental health problems, including drug use, depression, emotional distress, and suicide. Therefore, this study aimed to assess the compliance of men who have sex with men with protective equipment and determine the dominant influential factors. This cross-sectional study included 187 men who had sexual intercourse with men who were recruited from two foundations based in Palembang City, Indonesia, focusing on people living with HIV/AIDS. Data were analyzed using Chi-square and binomial logistic regression. In this context, 50.8% of men who have sexual intercourse with men did not comply with the use of sexual protective equipment, exceeding those in compliance. The multivariate logistic regression showed that knowledge was the dominant factor (PR = 15.733; 95% CI = 4.063-60.920), and most low-knowledge individuals were 15.733 times more at risk of non-compliance. Intensive education is needed regarding the potential risk of transmission, considering the ease of access to condoms.