Sexual Behavior Among Injection Drug Users in 3 Indonesian Cities Carries a High Potential for HIV Spread to Noninjectors

Pisani, Elizabeth; Dadun,; Sucahya, Purwa Kurnia; Kamil, Octavery; Jazan, Saiful

doi:10.1097/00126334-200312010-00007

Cited by 65 publications

(45 citation statements)

References 2 publications

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“…Accurate HIV data on incidence and prevalence and associated behavioral data from most-at-risk populations are essential for designing targeted prevention programs to reduce the further spread of the epidemic (Mills et al 2004;Pisani et al 2003;Zaba et al 2006). In most countries, however, HIV surveillance systems, the primary source of epidemiologic data, do not generate representative samples of most-at-risk populations.…”

Section: Introductionmentioning

confidence: 99%

Using Respondent-Driven Sampling Methodology for HIV Biological and Behavioral Surveillance in International Settings: A Systematic Review

et al. 2008

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To determine operational and analytical characteristics of respondent-driven sampling (RDS) in international settings and to explore factors that may affect recruitment of most-at-risk populations using RDS, we reviewed HIV biological and behavioral surveillance studies that used this method outside of the United States. We identified 123 eligible studies, 59 from Europe, 40 from Asia and the Pacific, 14 from Latin America, seven from Africa and three from Oceania. Studies collectively recruited 32,298 participants between 2003 and 2007; 53% of studies were conducted among injecting drug users, which generally had faster recruitment compared with studies among sex workers. All but 13 studies reached > or = 90% of their intended sample size, and six studies failed to reach equilibrium for key variables. This review has shown that RDS is an effective technique, when designed and implemented appropriately, to sample most-at-risk populations for HIV biological and behavioral surveys.

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Section: Introductionmentioning

confidence: 99%

Using Respondent-Driven Sampling Methodology for HIV Biological and Behavioral Surveillance in International Settings: A Systematic Review

et al. 2008

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“…However, despite growing numbers of studies of women injecting drug users, few have focused on the role of intimate male partners and the range of power relationships experienced by women who inject drugs with their male partners, particularly in lowincome countries such as Indonesia (Pisani et al 2003;Ford et al 2007;Pisani 2006;Indonesian Department of Health, Indonesian National AIDS Commission, and Family Health International 2007;Davis, Triwahyuono, and Alexander 2009;Nasir and Rosenthal 2009). An exception is a study conducted by several NGOs in eight cities in Indonesia,…”

Section: Introductionmentioning

confidence: 99%

Boyfriends and injecting: the role of intimate male partners in the life of women who inject drugs in Central Java

Lazuardi

Worth

Saktiawati

et al. 2012

Culture, Health & Sexuality

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The international literature shows that HIV-risk behaviour for women mostly occurs in the context of intimate relationships. Power imbalances in the social, economic and cultural spheres put women at risk. This paper addresses the roles of male partners in women's engagement in drug-use behaviour and drug-related HIV-risk behaviour in Indonesia. Data were gathered through in-depth interviews with 19 women who had injected drugs in the previous month in three sites in central Java. Most of the women had male partners who also injected drugs. Results show that male partners play a significant role in the initiation of drug use, the provision of drugs, injecting behaviour and in the constitution of women injectors' social networks. These findings suggest the need to develop couple-based interventions and to facilitate women-only groups as part of HIV prevention.

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“…Since married men may engage in risky behaviour, for example unprotected sex with extramarital partners, sex workers and/or same-sex partners (INAC 2001a, Pisani et al 2003, Riono and Jazant 2004 1 , the risk of HIV infection for married women is inextricably linked to the behaviour of their husbands (Center for International Community Health Studies 2003). According to behavioural studies conducted in the 1980s and 1990s, the majority of urban Thai men visited sex workers and had unprotected sex with their wives (Mahler 1997).…”

Section: Introductionmentioning

confidence: 99%

Marriage is not a safe place: Heterosexual marriage and HIV‐related vulnerability in Indonesia

Jacubowski¹

2008

Culture, Health & Sexuality

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This paper examines the link between heterosexual marriage and women's vulnerability to HIV in Indonesia. In this country, gender relations are currently dominated by traditional beliefs and practices and by religious morality. Data for the current study were collected by means of documentary analysis and archival research as well as by means of expert informant interviews. Findings suggest that traditional practices such as polygamy, early marriage and contract marriage (mut'a) play an important role in enhancing women's likelihood of acquiring HIV within the Indonesian context.

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Sexual Behavior Among Injection Drug Users in 3 Indonesian Cities Carries a High Potential for HIV Spread to Noninjectors

Abstract: The potential for the sexual spread of HIV from IDUs to noninjectors is extremely high in Indonesia. Interventions are urgently needed to reduce high levels of needle sharing, but a focus on needle cleaning and increasing condom use among IDUs is also essential.

Cited by 65 publications

References 2 publications

Using Respondent-Driven Sampling Methodology for HIV Biological and Behavioral Surveillance in International Settings: A Systematic Review

Using Respondent-Driven Sampling Methodology for HIV Biological and Behavioral Surveillance in International Settings: A Systematic Review

Boyfriends and injecting: the role of intimate male partners in the life of women who inject drugs in Central Java

Marriage is not a safe place: Heterosexual marriage and HIV‐related vulnerability in Indonesia

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