Treatment seeking behaviors related to gonorrhea among female sex workers in 7 cities in Indonesia
Treatment seeking behaviors related to gonorrhea among female sex workers in 7 cities in Indonesia
Blog Article
Abstrak Latar belakang:Gonore merupakan salah satu infeksi menular seksual yang menjadi permasalahan besar kesehatan terutama pada wanita penjaja seks (WPS) di Indonesia.Tujuan dari artikel ini adalah untuk melihat hubungan antara pola pencarian pengobatan gonore.Metode:Data berasal dari studi potong lintang dengan responden WPS yang dipilih secara cluster random sampling dari 7 kota (Timika, Yogyakarta, Kupang, Samarinda, Pontianak, Makassar dan Tangerang) di Indonesia pada tahun 2007.Diagnosis gonore berdasarkan hasil pemeriksaan Polymerase Chain Reaction (PCR) menggunakan Amplicor CT/NG dari Roche yang telah disetujui oleh World Health Orgazation (WHO) sebagai alat skrining gonore.Hasil:Proporsi responden yang menderita gonore sebesar 26.
1% (404/1750).Persentase penderita gonore yang melakukan upaya pengobatan terdistribusi hampir sama dengan yang mengunjungi fasilitas kesehatan 2009 buick lucerne catalytic converter / dokter dengan yang membeli obat sendiri.Subyek yeng melakukan pengobatan tradisional memiliki risiko 44% lebih tinggi menderita gonore dibandingkan dengan subyek yang melakukan pengobatan di fasilitas kesehatan / dokter [risiko relatif suaian (RRa) = 1,44; P = 0.044].Sedangkan subyek yang tidak diobati dibandingkan dengan yang berobat ke fasilitas kesehatan / dokter lebih berisiko 55% menderita gonore (RRa = 1.
55; P = 0.002).Kesimpulan: Wanita penjaja seks yang melakukan maupun yang tidak pengobatan tradisional dibandingkan dengan yang mengunjungi fasilitas kesehatan/dokter memiliki risiko yang lebih tinggi menderita gonore.(Health Science Indones 2013;2:87-92)Kata kunci:gonore, wanita penjaja seks, IndonesiaAbstractBackground:Gonorrhea is one of sexually transmitted infections that have become a major health problem especially among female sex workers (FSW) in Indonesia.The objective of this article is to identify the relationship between treatment seeking behaviors, the sites of study and gonorrhea among FSW.
Methods: The data that analyzed derived from cross sectional study and the respondents were direct FSW (1286) and indirect FSW (464) chosen by cluster random sampling from 7 cities in Indonesia in 2007.Endoservical swab were collected from respondents who fulfilled the inclusion criteria.The Diagnosis of gonorrhea confirmed in accordance with the results of PCR by Amplicor CT / NG from Roche which has high sensitivity and has been approved by The World Health 1f2 paint Organization (WHO) as a screening test.Results:The proportion of respondents who had gonorrheae was 26.1% (404/1750).
The subjects had and who did have Gonorrhea were similarly distributed with respect to frequency of mode of treatment in term of health facility /medical doctor and buying drug by herself.Compared with those who had mode of treatment at health facility /medical doctor, those who had traditional treatment had 44% high risk to be gonorrheae [adjusted relative risk (RRa) = 1.44; P = 0.044]; and those who had not treated had 55% more risk to be gonorrhea (RRa = 1.55; P = 0.
002).Conclusion:Female sex worker who had traditional treatment, and did not have treatment had higher risk to be gonorrhea compared to subjects who visited health facility/medical doctor.(Health Science Indonesia 2013;2:87-92)Key word: gonorrhea, female sex worker, Indonesia.