Multimedialna platforma wiedzy medycznej Internetowa Księgarnia Medyczna Kalendarium Konferencji
International Maritime Health
MENU
Shortcuts Submit an article Author Guidelines Reviewers 2023

open access

Vol 62, No 4 (2010)
Original article
Submitted: 2013-02-18
Published online: 2011-02-24
View PDF Download PDF file
Get Citation

The organization of STI/HIV risk-taking among long-line fishermen in Bali, Indonesia

I Made Setiawan, Jane H Patten
IMH 2010;62(4):201-208.

open access

Vol 62, No 4 (2010)
MARITIME MEDICINE Original article
Submitted: 2013-02-18
Published online: 2011-02-24

Abstract

We report on selected findings of a qualitative social network study investigating STI/HIV-related risk among migrant fishermen based at one of Indonesia’s major fishing ports in Bali. Their activities between fishing trips include drinking parties, watching pornographic videos, and visiting brothels, while condom use is rare. While on board, they plan and anticipate these activities and many insert penile implants. These fishermen run a high personal risk of contracting STI/HIV, and, with their circular migration patterns among Indonesian and foreign ports such as Thailand and South Africa, and with visits back to their rural hometowns and wives or girlfriends in Java, there is a serious risk of disease transmission to the general population. This paper argues that the role that social interactions play in HIV/AIDS-related risks should be considered as important as (if not more important than) individual knowledge, attitudes, and practices in the design of effective STI/HIV prevention programs. (Int Marit Health 2010; 61; 4: 201-208)

Abstract

We report on selected findings of a qualitative social network study investigating STI/HIV-related risk among migrant fishermen based at one of Indonesia’s major fishing ports in Bali. Their activities between fishing trips include drinking parties, watching pornographic videos, and visiting brothels, while condom use is rare. While on board, they plan and anticipate these activities and many insert penile implants. These fishermen run a high personal risk of contracting STI/HIV, and, with their circular migration patterns among Indonesian and foreign ports such as Thailand and South Africa, and with visits back to their rural hometowns and wives or girlfriends in Java, there is a serious risk of disease transmission to the general population. This paper argues that the role that social interactions play in HIV/AIDS-related risks should be considered as important as (if not more important than) individual knowledge, attitudes, and practices in the design of effective STI/HIV prevention programs. (Int Marit Health 2010; 61; 4: 201-208)

Full Text:

View PDF Download PDF file
Get Citation

Keywords

HIV/AIDS; STI; fishermen; Indonesia; structural barrier; social networks

About this article
Title

The organization of STI/HIV risk-taking among long-line fishermen in Bali, Indonesia

Journal

International Maritime Health

Issue

Vol 62, No 4 (2010)

Article type

Original article

Pages

201-208

Published online

2011-02-24

Page views

1071

Article views/downloads

1799

Bibliographic record

IMH 2010;62(4):201-208.

Keywords

HIV/AIDS
STI
fishermen
Indonesia
structural barrier
social networks

Authors

I Made Setiawan
Jane H Patten

References (32)
  1. Fisher y Por t Authority, Directorate General of Capture Fisheries of Maritime and Fishery Department of Indonesia. Information Centre for Fishery Port: Profile of Fishery Por t in Indonesia [Ditjen Perikanan Tangkap Departemen Kelautan dan Perikanan Republik Indonesia: Pusat Informasi Pelabuhan Perikanan: Profil Pelabuhan Perikanan Indonesia]. http://www.www.pipp.dkp.go.id. (08.01.2008).
  2. Kissling E, Allison EH, Seeley JA, et al. Fisherfolk are among groups most at risk of HIV: cross-country analysis of prevalence and numbers infected. AIDS. 2005; 19(17): 1939–1946.
    PubMed
  3. National AIDS Commission Indonesia (KPA Nasional). Strategi dan Rencana Aksi Nasional Penanggulangan HIV dan AIDS Tahun 2010–2014 [National Strategy and Action Plan for Management of HIV and AIDS 2010–2014]. Coordinating Ministry for People’s Welfare Jakarta, 2010.
  4. Bali AIDS Commission (BAC). Estimation of number of people with HIV/AIDS in Districts/Cities of the Province of Bali in 2007 [KPA-D Bali. Estimasi orang dengan HIV/ /AIDS di Kabupaten/Kota provinsi Bali tahun 2007] Bali, 2007.
  5. Kerti Praja Foundation. Final Report (Period 1 February– –31 December 2001): Management of Sexually Transmitted Infections (STIs) and HIV/AIDS among Sex Workers, their Clients, and Sailors in Denpasar [Yayasan Kerti Praja. Laporan Akhir (Periode 1 Pebruari — 31 Desember 2001): Penanggulangan Infeksi Menular Seksual (IMS) dan HIV/AIDS pada Pekerja Seks, Pelanggannya serta Anak Buah Kapal (ABK) di Denpasar]. Denpasar undated. Denpasar,.
  6. Seeley JA, Allison EH. HIV/AIDS in fishing communities: challenges to delivering antiretroviral therapy to vulnerable groups. AIDS Care. 2005; 17(6): 688–697.
    CrossRefPubMed
  7. Hugo G. Population Mobility and HIV/AIDS in Indonesia: Internal and International Population Mobility: Implications for the Spread of HIV/AIDS, UNDP South East Asia HIV and Development Programme; UNAIDS Indonesia; ILO Indonesia 11.2001.
  8. Press B. Untangling Vulnerability. A Study on HIV/AIDS Prevention Programming for Migrant Fishermen and Related Populations in Thailand. Raks Thai Foundation Bangkok, 2004.
  9. Entz A, Prachuabmoh V, van Griensven F, et al. STD history, self treatment, and healthcare behaviours among fishermen in the Gulf of Thailand and the Andaman Sea. Sex Transm Infect. 2001; 77(6): 436–440.
    PubMed
  10. Entz AT, Ruffolo VP, Chinveschakitvanich V, et al. HIV-1 prevalence, HIV-1 subtypes and risk factors among fishermen in the Gulf of Thailand and the Andaman Sea. AIDS. 2000; 14(8): 1027–1034.
    PubMed
  11. Allison E, Seeley J. HIV and AIDS among fisherfolk: a threat to 'responsible fisheries'? Fish and Fisheries. 2004; 5(3): 215–234.
    CrossRef
  12. Samnang Po, Leng HB, Kim A, et al. HIV prevalence and risk factors among fishermen in Sihanouk Ville, Cambodia. Int J STD AIDS. 2004; 15(7): 479–483.
    CrossRefPubMed
  13. Ford K, Wirawan DN, Muliawan P. Social influence, AIDS/STD knowledge, and condom use among male clients of female sex workers in Bali. AIDS Educ Prev. 2002; 14(6): 496–504.
    PubMed
  14. Rothenberg RB, Woodhouse DE, Potterat JJ, et al. Social networks and infectious disease: the Colorado Springs Study. Soc Sci Med. 1994; 38(1): 79–88.
    PubMed
  15. Aral SO. Sexual network patterns as determinants of STD rates: paradigm shift in the behavioral epidemiology of STDs made visible. Sex Transm Dis. 1999; 26(5): 262–264.
    PubMed
  16. Patton MQ. Qualitative Research & Evaluation Methods (3 Edition). Sage Publications, Inc 2002.
  17. LeCompte MD, Schensul JJ. Designing & Conducting Ethnographic Research. 1 Ethnographer’s Toolkit. Altamira Press 1999.
  18. Miles MB, Huberman AMA. Qualitative Data Analysis, 2 nd Edition: Expanded Sourcebook. Sage Publications 1994.
  19. Muhr T. ATLAS/ti-Visual Qualitative Data Analysis-Management-Model Building-Release 4.1. Scientific Software Development, Berlin 1997.
  20. Campbell C. Migrancy, masculine identities and AIDS: the psychosocial context of HIV transmission on the South African gold mines. Soc Sci Med. 1997; 45(2): 273–281.
    PubMed
  21. Campbell C, Williams B. Beyond the biomedical and behavioural: towards an integrated approach to HIV prevention in the southern African mining industry. Soc Sci Med. 1999; 48(11): 1625–1639.
    PubMed
  22. Meekers D. Going underground and going after women: trends in sexual risk behaviour among gold miners in South Africa. Int J STD AIDS. 2000; 11(1): 21–26.
    CrossRefPubMed
  23. Gysels M, Pool R, Bwanika K. Truck drivers, middlemen and commercial sex workers: AIDS and the mediation of sex in south west Uganda. AIDS Care. 2001; 13(3): 373–385.
    CrossRefPubMed
  24. Lee RL, Norella LB. Between the Thighs: Penile Circumcision, Implants and Sexual Gadgets. Supported by the Ford Foundation/Jakarta, through the Australian National University Demography Department 06.2002.
  25. Hull TH, Budiharsana M. Male circumcision and penis enhancement in Southeast Asia: matters of pain and pleasure. Reprod Health Matters. 2001; 9(18): 60–67.
    PubMed
  26. Lurie MN, Williams BG, Zuma K, et al. The impact of migration on HIV-1 transmission in South Africa: a study of migrant and nonmigrant men and their partners. Sex Transm Dis. 2003; 30(2): 149–156.
    PubMed
  27. Macqueen KM. The epidemiology of HIV transmission: trends, structure and dynamics. Annu Rev Anthropol. 1994; 23: 509–526.
    CrossRefPubMed
  28. Farmer P. Culture, Poverty, and HIV Transmission. The Case of Rural Haiti. In: van der Geest S, Rienks A. ed. The Art of Medical Anthropology Readings. Het Spinhuis Publishers, Amsterdam 1998: 215–228.
  29. Parker RG, Easton D, Klein CH. Structural barriers and facilitators in HIV prevention: a review of international research. AIDS. 2000; 14 Suppl 1: S22–S32.
    PubMed
  30. Sumartojo E, Doll L, Holtgrave D, et al. Enriching the mix: incorporating structural factors into HIV prevention. AIDS. 2000; 14 Suppl 1: S1–S2.
    PubMed
  31. Sedyaningsih-Mamahit ER, Sedyaningsih-Mamahit ER. Clients and brothel managers in Kramat Tunggak, Jakarta, Indonesia: interweaving qualitative with quantitative studies for planning STD/AIDS prevention programs. Southeast Asian J Trop Med Public Health. 1997; 28(3): 513–524.
    PubMed
  32. Månsson SA. Men’s demand for prostitutes. Sexologies. 2006; 15(2): 87–92.
    CrossRef

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, ul. Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl