Sexually Transmitted Diseases Determinant among Online Sex Workers in Indonesia
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Background: Since the beginning of Indonesia’s Reformation era, hundreds of localizations have been closed to control prostitution and human trafficking. However, these efforts have not had much impact because sex workers have now become sporadic with transactions through social media, making it harder to monitor and control. Purpose: This study aims to determine the determinants of sexually transmitted diseases in online sex workers. Methods: This study is a quantitative study with a cross-sectional design, and it was conducted online. The population in this study was online sex workers; their population is unknown. The sample in this study was selected using the snowball sampling technique. Number of samples used in this study was 593. The data in this study were collected using valid and reliable questionnaires filled out online by respondents. Data were analyzed using the chi-square test. Result: This study found that the majority of online sex workers were female (79.8%) and heterosexual (81.1%). However, only 56% of respondents always wear a condom, and 3.2% of respondents never wear one during their service. In addition, the majority of respondents knew their HIV status as HIV negative (92.7%) and had experienced at least one type of sexually transmitted infection (99.3%). Of all variables that were measured on respondents, only sexual orientation (p<0.001) was significantly associated with sexually transmitted diseases in general. Conclusion: STIs remain prevalent among online sex workers in Indonesia. Risky sexual behaviors, particularly inconsistent condom use, continue to play a major role in sustaining infection rates in this population.
Sawicki DA, Meffert BN, Read K, Heinz AJ. Culturally Competent Health Care for Sex Workers: An Examination of Myths That Stigmatize Sex-Work and Hinder Access to Care. Sex Relatsh Ther J Br Assoc Sex Relatsh Ther. 2019;34(3):355–71.
Centers for Disease Control and Prevention. HIV Risk Among Persons Who Exchange Sex for Money or Nonmonetary Items [Internet]. HIV by Group. 2022 [dikutip 24 Februari 2024]. Tersedia pada: https://www.cdc.gov/hiv/group/sexworkers.html
May-Len Skilbrei, Spanger M. Understanding Sex for Sale. Abingdon: Routledge; 2019.
Strong AK. Prostitutes and matrons in the urban landscape. In: Prostitutes and Matrons in the Roman World. Cambridge University Press; 2016. hal. 142–170.
International Union of Sex Workers. Sex Worker Statistics by Country, Gender 2024 [Internet]. Statistics. 2024 [dikutip 24 Februari 2024]. Tersedia pada: https://www.iusw.org/sex-worker-statistics/
Pusat Penelitian HIV/AIDS UNIKA Atma Jaya Jakarta. Dampak Penutupan Lokalisasi/Lokasidi Empat Kota (Jakarta-Kramat Tunggak, Bandung-Saritem, Surabaya-Dolly, dan Jayapura-Tanjung Elmo). Jakarta: Pusat Penelitian HIV/AIDS UNIKA Atma Jaya Jakarta; 2016.
Ginanjar A. Dampak Pasca Penutupan Lokalisasi Prostitusi Pada Pekerja Seks Komersial dan Perspektif Rational Choice Theory. In: Hakimi M, Abdullah A, Utomo B, Djafri D, Susanna D, Mawarni D, et al., editor. 4th UGM Public Health Symposium. Yogyakarta: UGM Public Health Symposium; 2018.
Yusyanti D. Upaya Pencegahan dan Pemberantasan Pelaku Penyalahgunaan Konvergensi Media Untuk Bisnis prostitusi Online. Jakarta: CV Pang Linge; 2017.
Juditha C. Prostitusi Daring : Tren Industri Jasa Seks Komersial di Media Sosial. J Perkommas. 2021;6(1):51–64.
Lukas K, Umaternate AR. Prostitusi Online di Kota Bitung Menggunakan MiChat (Sebuah Studi Fenomenologi). Discourse J Soc Stud Educ. 2023;1(1):17–25.
Triana IDS, Erowati EM, Pudyastiwi E. Sosialisasi Maraknya Prostitusi Online di Indonesia. J Pengabdi Kpd Masy Media Ganesha FHIS. 2023;4(1):34–41.
Sanders T, Scoular J, Campbell R, Pitcher J, Cunningham S. Internet Sex Work: Beyond the Gaze. Cham: Springer Nature Switzerland; 2017.
The Bangkok Fast-Track Cities Committee. BANGKOK Fast Track City Report 2015-2020. Bangkok: The Bangkok Fast-Track Cities Committee; 2020.
Jaworski BC, Carey MP. Development and Psychometric Evaluation of a Self-Administered Questionnaire to Measure Knowledge of Sexually Transmitted Diseases. AIDS Behav. 2007;11(4):557–74.
Chanda MM, Ortblad KF, Mwale M, Chongo S, Kanchele C, Kamungoma N, et al. HIV self-testing among female sex workers in Zambia: A cluster randomized controlled trial. PLoS Med. 2017;14(11):1–19.
Argento E, Goldenberg S, Shannon K. Preventing sexually transmitted and blood borne infections (STBBIs) among sex workers: A critical review of the evidence on determinants and interventions in high-income countries. BMC Infect Dis. 2019;19(212):1–19.
Jung M. Risk Factors of Sexually Transmitted Infections Among Female Sex Workers in Republic of Korea. Infect Dis Poverty. 2019;8(6):75–82.
Widia IK. The Effectiveness of Customary Law to Prevent Sex Commodities in Tourism Industry in Bali. In: Budiartha INP, Saptomo A, Verhezen P, Idris SH, Soares CA, Lisdiyono E, et al., editor. Proceedings of the 3rd International Conference on Business Law and Local Wisdom in Tourism (ICBLT 2022). Atlantis Press SARL; 2023. hal. 842–54.
Badan Pusat Statistik. Kewarganegaraan, Suku Bangsa, Agama dan Bahasa Sehari-hari Penduduk Indonesia. Sumarwanto, Iriantono T, editor. Jakarta: Badan Pusat Statistik; 2011.
Sherman SG, Tomko C, White RH, Nestadt DF, Silberzahn BE, Clouse E, et al. Structural and Environmental Influences Increase the Risk of Sexually Transmitted Infection in a Sample of Female Sex Workers. Sex Transm Dis. 2021;48(9):648–53.
Saxton PJW, McAllister SM, Thirkell CE, Ludlam AH, Bateman JP, Anglemyer AT, et al. Population rates of HIV, gonorrhoea and syphilis diagnoses by sexual orientation in New Zealand. Sex Transm Infect. 2022;98(5):376–9.
Martín-Sánchez M, Case R, Fairley C, Hocking JS, Bradshaw C, Ong J, et al. Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): A repeated cross-sectional study in Melbourne, Australia. BMJ Open. 2020;10(11):1–11.
Sonawane K, Shyu SS, Damgacioglu H, Li R, Nyitray AG, Deshmukh AA. Prevalence and concordance of oral and genital HPV by sexual orientation among US men. JNCI Cancer Spectr. 2023;7(1):1–3.
Shover CL, DeVost MA, Beymer MR, Gorbach PM, Flynn RP, Bolan RK. Using sexual orientation and gender identity to monitor disparities in HIV, sexually transmitted infections, and viral hepatitis. Am J Public Health. 2018;108(S4):S277–83.
Nasirian M, Kianersi S, Hoseini SG, Kassaian N, Yaran M, Shoaei P, et al. Prevalence of Sexually Transmitted Infections and Their Risk Factors among Female Sex Workers in Isfahan, Iran: A Cross-Sectional Study. J Int Assoc Provid AIDS Care. 2017;16(6):608–14.
Cusini M, Ramoni S. The Syphilis After the Year 2000. In: Cristaudo A, Giuliani M, editor. Sexually Transmitted Infections: Advances in Understanding and Management. Cham: Springer Nature Switzerland; 2020. hal. 173–96.
Djohan H, Sutriswanto, Nurhayati E, Ratika M, Salim M. Hubungan Seks Bebas Dengan Kejadian Sifilis Di Wilayah Kerja Puskemas Kom Yos Sudarso Kota Pontianak. J Lab Khatulistiwa. 2024;7(2):133–8.
Rice CE, Lynch CD, Norris AH, Davis JA, Fields KS, Ervin M, et al. Group Sex and Prevalent Sexually Transmitted Infections Among Men Who Have Sex with Men. Arch Sex Behav. 2015;45(6):1411–9.
van den Boom W, Davidovich U, Heuker J, Lambers F, Prins M, Sandfort T, et al. Is Group Sex a Higher-Risk Setting for HIV and Other Sexually Transmitted Infections Compared With Dyadic Sex Among Men Who Have Sex With Men? Sex Transm Dis. 2016;43(2):99–104.
Phillips TR, Fairley CK, Maddaford K, McNulty A, Donovan B, Guy R, et al. Understanding Risk Factors for Oropharyngeal Gonorrhea Among Sex Workers Attending Sexual Health Clinics in 2 Australian Cities: Mixed Methods Study. JMIR Public Heal Surveill. 2024;10(e46845):1–20.
Ratnayake A, Campbell MB, Jones A, Gomes G, Martin DH, Kissinger PJ. Anal and Oral Sex Behaviors Among Young Black Men Who Have Vaginal Sex: Evidence of the Need for Extragenital Testing for Chlamydia and Gonorrhea. Sex Transm Dis. 2022;49(12):826–30.
Khosropour CM, Suchland R, Vojtech L, Coomes DM, LeClair A, Soge OO, et al. Oral sexual exposures can lead to viable rectal Chlamydia trachomatis infection. Sex Transm Dis. 2024;51(11):709–13.
Shi M, Zhang X, Chen M. Prevalence of herpes simplex virus 2 among MSM in Mainland China: a systematic review and meta-synthesis. AIDS Res Ther. 2022;19(1):1–20.
Wiyeh AB, Mome RKB, Mahasha PW, Kongnyuy EJ, Wiysonge CS. Effectiveness of the female condom in preventing HIV and sexually transmitted infections: A systematic review and meta-analysis. BMC Public Health. 2020;20(1):1–17.
Haider MR, Kingori C, Brown MJ, Battle-Fisher M, Chertok IA. Illicit drug use and sexually transmitted infections among young adults in the US: evidence from a nationally representative survey. Int J STD AIDS. 2020;31(13):1238–46.
Brookmeyer KA, Haderxhanaj LT, Hogben M, Leichliter J. Sexual risk behaviors and STDs among persons who inject drugs: A national study. Prev Med (Baltim). 2019;126(105779):1–7.
Dumchev K. Challenges of sexually transmitted infections and sexual health among people who inject drugs. Curr Opin Infect Dis. Februari 2022;35(1):55–60.
Kpelly E, Schauder S, Bohm MK, Sounga D, Moukouta C. Profiles and health risks (STIs, HCV, HIV) of injecting drug users. Rev Epidemiol Sante Publique. 2022;70(6):299–304.
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