Vol 62, No 4 (2010)
Original article
Published online: 2011-02-24
The organization of STI/HIV risk-taking among long-line fishermen in Bali, Indonesia
IMH 2010;62(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)
Keywords: HIV/AIDSSTIfishermenIndonesiastructural barriersocial networks
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