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ABSTRAK
Jumlah penderita penyakit menular seksual dan HIV/AIDS seperti fenomena gunung es. Data Profil Kesehatan Kabupaten Deli Serdang tahun 2011 menunjukkan bahwa jumlah penderita infeksi menular seksual (IMS) sebanyak 2.203 orang. Jumlah orang yang diidentifikasi HIV sebanyak 73 orang sedangkan jumlah penderita AIDS sebanyak 78 orang. Data yang diperoleh dari 33 puskesmas se-Kabupaten Deli Serdang, jumlah penderita HIV/AIDS tertinggi pada tahun 2011 yaitu di Bandar Baru sebanyak 15 orang
Jenis penelitian ini adalah analitik atau explanatory dengan desain cross sectional yang bertujuan menganalisis determinan penggunaan kondom. Penelitian dilaksanakan di wilayah kerja Puskesmas Bandar Baru. Populasi penelitian sebanyak 84 orang dan seluruhnya dijadikan sampel. Analisis data menggunakan analisis univariat, analisis bivariat dengan uji chi-square, dan analisis multivariat dengan uji regresi logistik ganda.
Hasil penelitian dengan uji regresi logistik variabel yang berpengaruh terhadap penggunaan kondom yaitu persepsi (p=0,013), sikap (p=0,032), dan kenyamanan pelanggan (p=0,0001). Variabel yang paling tinggi pengaruhnya terhadap penggunaan kondom yaitu kenyamanan pelanggan (OR=35,421), persepsi (OR=6,674), dan sikap (OR=5,114). Pekerja seks komersial (PSK) dengan persepsi baik, sikap positif, dan pelanggan merasa nyaman mempunyai peluang menggunakan kondom sebesar 97,49%.
Saran bagi Kepala Puskesmas Bandar Baru agar membuat kebijakan tentang program penyuluhan dan pemeriksaan kesehatan kepada PSK di wilayah kerjanya dengan meningkatkan frekuensi menjadi 2-4 kali dalam sebulan.
Kata Kunci: Penggunaan Kondom, Pekerja Seks Komersial (PSK).
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ABSTRACT
The number of people who are affected by contagious venereal diseases and HIV/AIDS is like an iceberg phenomenon. The data of health profile in Deli Serdang District n 2010 indicated that 2,203 people were infected by contagious venereal diseases. There were 73 people were affected by HIV, and 78 people were affected by AIDS. The data from 33 puskesmas (community health center) in Deli Serdang District showed that there were 15 people who were affected by HIV/AIDS at Bandar Baru in 2011.
The type of the research was analytic or explanatory with cross sectional design which was aimed to analyze the determinants of using condoms. The research was conducted in the working area of Bandar Baru Puskesmas. The population was 84 people and all of them were used as the samples. The data were analyzed by using univariate analysis, bivariate analysis with chi-square test, and with multiple logistic regression tests.
The result of the research with logistic regression test showed that the variables which influenced the use of condoms were perception (p=0,013), attitude (p=0.0032), and customer comfort (p=0,0001). The variables which had the most dominant influence on the use of condoms were costumer comfort (OR=35.421), perception (OR=6.674), and attitude (OR=5.114). Prostitutes with good perception, positive attitude, and customer comfort in using condoms were 97.49%.
It is recommended that the Head of Bandar Baru Puskesmas should make a policy about counseling and health examination program to the prostitutes in his working area by increasing the frequency two to four times a month.
Keywords: Using Condoms, Prostitutes
