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Original Articles
- Open Communication About Reproductive Health Is Associated With Comprehensive HIV Knowledge and a Non-stigmatising Attitude Among Indonesian Youth: A Cross-sectional Study
- Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Pande Putu Januraga
- J Prev Med Public Health. 2022;55(4):342-350. Published online June 13, 2022
- DOI: https://doi.org/10.3961/jpmph.21.581
- 12,315 View
- 207 Download
- 5 Web of Science
- 6 Crossref
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Abstract
PDF - Objectives
Human immunodeficiency virus (HIV) prevention among youth seems under-prioritised compared to other key populations. HIV knowledge and stigma are important parts of HIV prevention. To inform HIV prevention among youths, this study quantitatively analysed the associations between open communication regarding sexuality and sexual health, comprehensive HIV knowledge, and non-stigmatising attitudes in Indonesia.
Methods
This study used data from the Indonesian Demographic and Health Survey (IDHS) 2017. The analysis included unmarried men and women aged 15-25 years old. Comprehensive HIV knowledge and a stigmatising attitude were defined according to the IDHS 2017. Open communication about sexuality and sexual health was defined as the number of people with whom participants could openly discuss these topics in their direct network of friends, family, and service providers, with a scale ranging from 0 to a maximum of 7. Primary analysis used binomial logistic regression with weighting adjustments.
Results
The final analysis included 22 864 respondents. Twenty-two percent of youth had no one in their direct network with whom to openly discuss sexual matters, only 14.1% had comprehensive HIV knowledge, and 85.9% showed stigmatising attitudes. Youth mostly discussed sex with their friends (55.2%), and were less likely to discuss it with family members, showing a predominant pattern of peer-to-peer communication. Multivariate analysis showed that having a larger network for communication about sexuality and sexual health was associated with more HIV knowledge and less stigmatising attitudes.
Conclusions
Having more opportunities for open sex communication in one’s direct social network is associated with more HIV knowledge and less stigmatising attitudes. -
Summary
Citations
Citations to this article as recorded by
- Sources of HIV information and women’s HIV knowledge in Southwest Sumba Indonesia: a cross-sectional study with mediation analysis
Angela Kurniadi, Judith A. Levy, Timothy P. Johnson
BMC Public Health.2025;[Epub] CrossRef - Manifestation and Markings of HIV Stigma in Indonesia: A Scoping Review
Ni Kadek Sudastri, Luh Putu Lila Wulandari, Pande Putu Januraga
International Journal of Environmental Research and Public Health.2025; 22(6): 840. CrossRef - Assessment of Perceived HIV Vulnerability, Knowledge Regarding HIV Transmission, and Associated Sociodemographic Factors Among Urban Slum Dweller Adults in Bangladesh: A Cross‐Sectional Study
Abu Bakkar Siddique, Md Golam Morshed, Md. Amirul Haque, Mintia islam Austha, Md. Mehedy Hassan, Samia Sultana, Mukta Moni, Md Mehedi Hasan, Rehnuma Abdullah, Md. Kaium Hossain, Md. Tajuddin Sikder
Health Science Reports.2025;[Epub] CrossRef - Cerdas (Cegah, Edukasi, Sayangi Diri): Program Remaja Sehat Bebas Penyakit Menular Seksual
Dini Rahmayani, Winda Ayu Fazraningtyas, Umi Hanik Fetriyah, Namira Talitha Yamani, Neli Maulida, Neni Grencia, Ni Nyoman Jero Andini, Niluh Putu Asti Purnama Sari, Normala, Nur Anisa, Nurlina Nazmi, Putri Salsabila, Ranisa Mukti, Renaldy Fad
Majalah Cendekia Mengabdi.2025; 3(4): 261. CrossRef - Behavioral Intervention to Prevent HIV/AIDS Among Young Adults Using Motivational Culture-Based Communication: Protocol for a Research and Development Study
Moh Khotibul Umam, Agus Setiawan, Henny Permatasari, Muchtaruddin Mansyur
JMIR Research Protocols.2025; 14: e72996. CrossRef - A Scoping Review of Knowledge, Awareness, Perceptions, Attitudes, and Risky Behaviors of Sexually Transmitted Infections in Southeast Asia
Vimala Balakrishnan, Kok Khuen Yong, Chiong Kian Tiong, Nicholas Jian Shen Ng, Zhao Ni
Healthcare.2023; 11(8): 1093. CrossRef
- Women’s Empowerment Facilitates Complete Immunization in Indonesian Children: A Cross-sectional Study
- Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Putu Harrista Indra Pramana, Made Yuliantari Dwi Astiti, Jovvita Jonathan, Fitriana Melinda, Teo Wijaya
- J Prev Med Public Health. 2022;55(2):193-204. Published online March 8, 2022
- DOI: https://doi.org/10.3961/jpmph.21.592
- 7,069 View
- 145 Download
- 6 Web of Science
- 6 Crossref
-
Abstract
PDF
- Objectives
The primary objective of this study was to examine the effect of women’s empowerment on the immunization of Indonesian children. The secondary objective was to examine the effect of wealth as a factor modifying this association.
Methods
We utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). The subjects were married women with children aged 12-23 months (n=3532). Complete immunization was defined using the 2017 IDHS definition. Multiple components of women’s empowerment were measured: enabling resources, decision-making involvement, and attitude toward intimate partner violence. The primary analysis was conducted using binomial logistic regression. Model 1 represented only the indicators of women’s empowerment and model 2 controlled for socio-demographic variables. Subgroup analyses were conducted for each wealth group.
Results
The primary analysis using model 1 identified several empowerment indicators that facilitated complete immunization. The analysis using model 2 found that maternal education and involvement in decision-making processes facilitated complete immunization in children. Subgroup analyses identified that wealth had a modifying effect. The indicators of women’s empowerment were strong determinants of complete immunization in lower wealth quintiles but insignificant in middle-income and higher-income quintiles.
Conclusions
To our knowledge, this study is the first to explore women’s empowerment as a determinant of child immunization in Indonesia. The results indicate that women’s empowerment must be considered in Indonesia’s child immunization program. Women’s empowerment was not found to be a determinant in higher wealth quintiles, which led us to rethink the conceptual framework of the effect of women’s empowerment on health outcomes. -
Summary
Citations
Citations to this article as recorded by- Public and private antenatal care access and utilisation as determinants of triple antenatal test for HIV, syphilis, and HBV: Evidence from the Indonesian Health Survey
Gede Benny Setia Wirawan, Angela Kelly-Hanku, Rabiah Al Adawiyah, Alegra Wolter, Benjamin Hegarty, Yuyun Yuniar, Rinaldi Ridwan, Pande Putu Januraga, Heny Lestary, Luh Putu Lila Wulandari
Women and Birth.2026; 39(1): 102153. CrossRef - Factors associated with decision-making autonomy in healthcare utilization among married women from the Indonesia demographic health survey 2017
Sofa D. Alfian, Meliana Griselda, Mochammad A. A. Pratama, Sameer Alshehri, Rizky Abdulah
Scientific Reports.2025;[Epub] CrossRef - Assessing the joint effects of education, economic status, empowerment, and employment (4Es) disparities on the co-coverage of maternal, newborn and child health care services in sub-Saharan Africa: an application of the intersectionality approach
Fati Kirakoya-Samadoulougou, Lucresse Corine Fassinou, Mahaman Lawali Inoussa Garba, Abdoulaye Maïga, Scott L Zeger, Agbessi Amouzou
Journal of Global Health.2025;[Epub] CrossRef - The behavioral and social drivers of HPV vaccination among parents and young people in Indonesia: a scoping review
Aisya Athifa, Yasmin Mohamed, Isabella Overmars, Margie Danchin, Jessica Kaufman
Cancer Causes & Control.2025; 36(11): 1275. CrossRef - Of Money and Men: A Scoping Review to Map Gender Barriers to Immunization Coverage in Low- and Middle-Income Countries
Anna Kalbarczyk, Natasha Brownlee, Elizabeth Katz
Vaccines.2024; 12(6): 625. CrossRef - Health Beliefs and Socioeconomic Determinants of COVID-19 Booster Vaccine Acceptance: An Indonesian Cross-Sectional Study
Gede Benny Setia Wirawan, Ngakan Putu Anom Harjana, Nur Wulan Nugrahani, Pande Putu Januraga
Vaccines.2022; 10(5): 724. CrossRef
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