Abstract

Cases of Human Immunodeficiency Virus (HIV) infection in Pati District increase, particularly among housewives. The aim of this study was to analyse the risk factors of HIV infection among housewives in Pati District using case-control study design. The respondents were 90 housewives divided into case and control group. The case group consisted of 30 housewives living with HIV, while the control group comprised 60 housewives living in the similar area of the counterparts. The data collection was focused on demographic, sexual behaviour, and sociocultural variables possessed by housewives and their husbands. The study resulted that the risk factors of HIV infection among housewives based on bivariate analysis were housewife’s level of education, husband’s level of education, husband’s occupation, housewife’s sexual transmission disease (STD) record, husband’s STD record, husband’s participation in religious activities, and husband’s alcohol drinking habit. The risk factors that fitted to logistic regression model were education level and alcoholic behaviour of husbands that contributed to 29.1% HIV infection among housewives. In conclusion, the husband’s variables are proved having stronger and very significant correlation with HIV infection among housewives than housewife’s variables.

References

1. United Nation of Acquired Immunodeficiency Syndromes (UNAIDS). Factsheet- latest statistics on the status of the AIDS epidemic. 2016. [cited 2017 January 3]. Available at: www.unaids.org/en/resources/factsheet

2. United Nation of Acquired Immunodeficiency Syndromes (UNAIDS). Factsheet 2014 global statistic. 2014. [cited 2017 September 30]. Available at: http://www.unaids.org/sites/default/files/en/ media/unaids/contentassets/documents/factsheet/2014/20140716_FactSheet_en .pdf

3. Kementerian Kesehatan Republik Indonesia. Situasi dan analisis HIV AIDS. Jakarta: Kementerian Kesehatan Republik Indonesia; 2014.

4. Ostrach B, Singer M. At special risk: Biopolitical vulnerability and HIV/STI endemics among women. Health Sociology Review. 2012; 21(3): 258-71.

5. Rombo DO. Marital risk factors and HIV infection among women: a comparison between Ghana and Kenya [dissertation]. Minnesota: The University of Minnesota; 2009.

6. Quinn T, Overbaugh J. HIV/AIDS in women: an expanding epidemic. Science. 2005; 308 (5728): 1582-3.

7. Adaora AA, Ramirez C. Aurbach JD, Aral SO, Hodder S, Wingood G, El-sadr W, Bukusi EA. Preventing HIV infection in women. Journal AIDS. 2013; 63(2). [cited 2016 November 1]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4084712/pdf/nihms4 85473.pdf.

8. Arora U, Chopra S, Jindal N. HIV infection in families in and around Amritsar. Journal Indian Academic of Clinical Medicine. 2008; 9(3): 184-8.

9. Dinas Kesehatan Kabupaten Pati. Profil kesehatan Kabupaten Pati 2013. Pati: Dinas Kesehatan; 2014.

10. Dinas Kesehatan Kabupaten Pati. Profil kesehatan Kabupaten Pati 2014. Pati: Dinas Kesehatan; 2015.

11. United Nation Women. Beijing declaration and platform for action. Adopted by the United Nation Fourth World Conference on Women: Action for Equality. Beijing: United Nation Women; 1995.

12. Dewi DMSK, Wulandari LPL, Karmaya NM. Kerentanan perempuan terhadap penularan IMS dan HIV: Gambaran perilaku seksual berisiko di Kota Denpasar. Health and Preventive Medicine Archive. 2013; 1(1).

13. World Health Organization. Mother-to-child transmission of HIV. 2016. [cited 2017 June 20]. Available at: http://www.who.int/hiv/ topics/mtct/en/.

14. Muhaimin TB. Prevalensi HIV pada ibu hamil di delapan ibu kota provinsi di Indonesia tahun 2003-2010. Makara Kesehatan. 2011; 15(2): 93-100.

15. Thapa S, Bista N, Timilsina S, Buntinx F, Mathei C. Social behavioural risk factors for HIV infection among the wives of labour migrants in Nepal. International Journal of STD and AIDS. 2014; 25(11): 793 – 9.

16. United Nations Programme on HIV and AIDS. When women lead change happens: Women advancing the end of AIDS. Geneva: United Nations Programme on HIV and AIDS; 2017 [cited 2017 August 13]. Available at: http://www.unaids.org/sites/default/files/media_asset/ when-women-lead-change-happens_en.pdf.

17. Arista A, Murtiastutik D. Studi retrospektif: karakteristik papular pruritic eruption (PPE) pada pasien HIV/AIDS. Berkala Ilmu Kesehatan Kulit dan Kelamin. 2015; 27(3): 204-10.

18. Johnson L, Budlender D. HIV risk factors: A review of the demographic, socio-economic, biomedical and behavioral determinants of HIV prevalence in South Africa. Monograph Report. No. 8. Cape Town: Centre for Actuarial Study University of Cape Town; 2002.

19. Ward H, Ronn M. The contribution of STIs to the sexual transmission of HIV. Current Opinion in HIV and AIDS. 2010; 5(4): 305-10.

20. Miranda AE, Pinto VM, McFarland W, Page K. HIV infection among young pregnant women in Brazil: prevalence and associated risk factors. AIDS Behavior. 2014; 18: 50-2.

21. Johnson LF, Lewis D. The effect of genital tract infection on HVI-1 shedding in the genital tract: a systematic review and meta-analysis. Sexually Transmitted Diseases. 2008; 35(1): 946-59 [cited 2016 November 10]. Available at: http://journals.lww.com/stdjournal/ Fulltext/2008/11000/The_Effect_of_Genital_Tract_Infecti ons_on_HIV_1.11.aspx#P64.

22. Zuma K, Gouws, E, William B, Lurie M. Risk factors for HIV infection among women in Carletonville, South Africa: migration, demography, and sexually transmitted disease. International Journal of STD and AIDS. 2003; 14 (12): 814–7.

23. Lawi JDT, Mirambo MM, Magoma M, Mushi MF, Jaka HM, Gumadoka B, et al. Sero-conversion rate of syphilis and HIV among pregnant women attending anteranal clinic in Tanzania: A need for re-screening at delivery. BioMed Central Pregnancy and Childbirth. 2015; 15(3): 1- 7.

24. Rotchford K, Sturm AW, Wilkinson D. Effect of coinfection with STDs and of STD treatment on HIV shedding in genital-tract secretions: systematic review and data synthesis. Sexually Transmitted Disease. 2000; 27: 243–8.

25. Kagimu M, Guwatudde D, Rwabukwali C, Kaye S, Walakira Y, Ainomugisha D. Religiosity for HIV prevention in Uganda: a case study among muslim youth in Wakiso District. Journal of Religion and Health. 2012; 12(3): 282-290.

26. Ludema C, Doherty IA, White BL, Simpson CA, Villar-Loubet O, McLellan-Lemal E, et al. Religiosity and spirituality and HIV risk behaviors among African American women from four rural countries in the Southeastern United States. Journal Health Care Poor Underserved, 2015; 26(1): 168-81.

27. Baliunas D, Rehm J, Irving H, Shuper P. Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis. International Journal of Public Health. 2010; 55(3): 159-66.

28. Maguina JL, Konda KA, Leon SR, Lescano AG, Clark JL, Hall ER, et al. Relationship between alcohol consumption prior to sex, unprotected sex and prevalence of STI/HIV among socially marginalized men in three coastal cities of Peru. AIDS Behavior. 2013; 17(5): 1724-33.

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