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Nastiti AA, Triharini M, Pradanie R, Nursalam N, Qur'aniati N, Hutton A, Syulthoni ZB, Arifin H. Sociodemographic factors and their association with HIV risk behaviors among Indonesian females aged 15-24 years: A nationwide study. J Pediatr Nurs 2024:S0882-5963(24)00378-6. [PMID: 39426871 DOI: 10.1016/j.pedn.2024.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Revised: 10/09/2024] [Accepted: 10/09/2024] [Indexed: 10/21/2024]
Abstract
PURPOSE This study aimed to evaluate the determinants of human immunodeficiency virus (HIV) risk behaviors among Indonesian females aged 15-24 years from 2012 to 2017. DESIGN AND METHODS Secondary data from the Indonesian Demographic and Health Survey conducted in 2012 and 2017 were analyzed and explored. A total of 23,210 respondents were included in the analysis, which focused on female individuals aged 15-24 years. Binary logistic regression was used to analyze the data. RESULTS Out of 23,210 females aged 15-24 years, HIV risk behaviors increased from 80.2 % in 2012 to 86.2 % in 2017. In 2012, HIV risk behaviors were associated with age (AOR: 1.38; 95 % CI: 1.27-1.51), education (AOR: 0.67; 95 % CI: 0.60-0.75), wealth quintiles (AOR: 1.21; 95 % CI: 1.05-1.39), employment (AOR: 1.10; 95 % CI: 1.01-1.20), sexual activity (AOR: 1.63; 95 % CI: 1.13-2.31), residence (AOR: 1.63; 95 % CI: 1.13-2.31), and visiting health facilities (AOR: 1.16; 95 % CI: 1.07-1.27). In 2017, HIV risk behaviors were associated with age (AOR: 1.24; 95 % CI: 1.13-1.37), education (AOR: 0.65; 95 % CI: 0.53-0.81), wealth quintiles (AOR: 1.30; 95 % CI: 1.14-1.48), employment (AOR: 1.11; 95 % CI: 1.02-1.19), and sexual activity (AOR: 1.17; 95 % CI: 1.30-2.44). CONCLUSION The findings emphasize the intricate sociodemographic and related factors influencing HIV risk among Indonesian females aged 15-24 years and highlight the need for multifaceted interventions that consider these demographics in addressing HIV risk behaviors in this age group and population. PRACTICE IMPLICATIONS Targeted interventions addressing specific sociodemographic and related factors are crucial for reducing HIV risk behaviors among Indonesian females aged 15-24. These interventions should be integrated into national health strategies, with a focus on improving healthcare access and providing comprehensive sexual education.
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Affiliation(s)
- Aria Aulia Nastiti
- Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Research Group in Maternity Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
| | - Mira Triharini
- Department of Advance Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Research Group in Maternity Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
| | - Retnayu Pradanie
- Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Research Group in Maternity Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
| | - Nursalam Nursalam
- Department of Advance Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
| | - Nuzul Qur'aniati
- Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Research Group in Pediatric Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
| | - Alison Hutton
- School of Nursing and Midwifery, College of Health Medicine and Wellbeing, The University of Newcastle, Australia.
| | - Zain Budi Syulthoni
- Medical Study Program, Faculty Medicine and Health, Institut Teknologi Sepuluh Nopember, Surabaya, Indonesia.
| | - Hidayat Arifin
- Department of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Research Group in Medical-Surgical Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
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Qur'aniati N, Sweet L, De Bellis A, Hutton A. Social determinants of health on human immunodeficiency virus care quality in Indonesia. J Adv Nurs 2022; 79:1778-1788. [PMID: 35986589 DOI: 10.1111/jan.15422] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 07/12/2022] [Accepted: 08/05/2022] [Indexed: 11/29/2022]
Abstract
AIMS The aim was to examine the social determinants of health on human immunodeficiency virus care quality for children in Indonesia. DESIGN A qualitative design using constructivist grounded theory methods was utilized. METHODS Data were collected between 2019 and 2020 using in-depth- interviews and memo writing. In total, 23 semi-structured individual interviews with healthcare professionals, 12 with children with human immunodeficiency virus, and eight family members were conducted. Data were analysed with the two-step initial coding and focused coding, along with the constant comparative method, theoretical sensitivity and memo writing. RESULTS Five themes were constructed from participants' perspectives on human immunodeficiency virus care for children: (1) living with a low-socioeconomic status, (2) lacking instrumental support, (3) experiencing complicated procedures for public health insurance, (4) limited Human Immunodeficiency Virus care services for children and (5) lacking care coordination, policies and practices. CONCLUSION Children living with human immunodeficiency virus had poor health outcomes, due to having a low-socioeconomic status, reduced access to healthcare, coupled with a lack of social support services. IMPACT This study demonstrated how the social determinants of health negatively impact the quality of care for Indonesian children with human immunodeficiency virus and their families. Understanding these determinants would benefit health professionals, in particular nurses, to consider these factors in their assessment to create a holistic care plan for children living with human immunodeficiency virus and their families. Addressing the social determinants of health would beneficially enhance outcomes and well-being of children living with human immunodeficiency virus health in Indonesia.
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Affiliation(s)
| | - Linda Sweet
- School of Nursing and Midwifery Deakin University Geelong Australia
- Centre for Quality and Patient Safety Research, Western Health Partnership Melbourne Australia
| | - Anita De Bellis
- College of Nursing and Health Sciences Flinders University Adelaide Australia
| | - Alison Hutton
- School of Nursing and Midwifery, College of Health Medicine and Wellbeing The University of Newcastle Callaghan Australia
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