RESEARCH PAPER
HIV/AIDS-related knowledge among Indonesian women: the role of media exposure and socio-demographic factors
 
More details
Hide details
1
Department of Communication Studies, Lampung University, Indonesia
 
2
Department of Sociology, Lampung University, Indonesia
 
3
Department of Sociology, Faculty of Social and Political Sciences, Universitas Airlangga, Indonesia
 
 
Submission date: 2021-03-06
 
 
Final revision date: 2021-04-20
 
 
Acceptance date: 2021-04-21
 
 
Publication date: 2023-01-12
 
 
HIV & AIDS Review 2023;22(1):43-52
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
This study aimed to determine the relationship of socio-demographic variables (type of residence, age, occupation, level of education, and wealth index) and media exposure variables, with knowledge about human immunodeficiency virus (HIV) among women.

Material and methods:
It uses secondary data from the 2017 Indonesian demographic and health survey (SKDI) section for fertile age women (WUS). The unit of analysis in this study was households in Indonesia consisting of mothers of reproductive age (range, 15-49 years), with a total sample of 49,627 individuals. Chi-square, correspondence, and t-test analyses were applied.

Results:
The results of the study indicated that socio-demographic factors, including type of residence, age, occupation, education level, and wealth index, and media exposure variables correlate with knowledge about HIV. However, there are still misconceptions and inaccurate knowledge about HIV among women.

Conclusions:
This study found that all socio-demographic variables (type of residence, wealth index, educational level, age group, and occupation) and media exposure variables had a significant relationship with knowledge about HIV. The correlation between education level variables and knowledge of HIV is the strongest correlation among other socio-demographic variables.

REFERENCES (78)
1.
Pinxten WJL, Tasya IA, Hospers HJ, et al. IMPACT-Bandung: a learning organization approach to build HIV prevention and care in Indonesia. Procedia Soc Behav Sci 2011; 15: 623-627.
 
2.
Bayu DJ. Indonesia occupy position three of the spread of HIV in Asia Pacific. Available at: https://katadata.co.id/berita/... (Accessed: 29.04.2019).
 
3.
Blogg S, Utomo B, Silitonga N, Hidayati DAN, Sattler G. Indonesian national inmate bio-behavioral survey for HIV and syphilis prevalence and risk behaviors in prisons and detention centers, 2010. SAGE Open 2014; doi: 10.1177/ 2158244013518924.
 
4.
Mesquita F, Winarso I, Atmosukarto II, et al. Public health the leading force of the Indonesian response to the HIV/AIDS crisis among people who inject drugs. Harm Reduct J 2007; 4: 9. doi: 10.1186/1477-7517-4-9.
 
5.
Nasir S, Rosenthal D. The Lorong as a risk environment: drug use and gangs among young men in the slums of Makassar, Indonesia. Contemp Drug Prob 2009; 36: 193-215.
 
6.
Stoicescu C, Cluver LD, Spreckelsen TF, Mahanani MM, Ameilia R. Intimate partner violence and receptive syringe sharing among women who inject drugs in Indonesia: a respondent-driven sampling study. Int J Drug Policy 2019; 63: 1-11.
 
7.
Friedman SR, Rossi D, Braine N. Theorizing “Big Events” as a potential risk environment for drug use, drug-related harm and HIV epidemic outbreaks. Int J Drug Policy 2009; 20: 283-291.
 
8.
Mishra P, Gupta P, Tyagi P. Impact of HIV/AIDS information education and communication material on population. International Research Journal of Engineering and Technology 2020; 7: 789-795.
 
9.
Mulyaningrum FM, Sudiyanto A, Anantanyu S, Demartoto A, Saputra Nasution A. Control of sexual transmitted infections in Indonesia. Indian Journal of Forensic Medicine & Toxicology 2021; 15: 2996-3003.
 
10.
Fauk NK, Mwanri L. Inequalities in addressing the HIV epidemic: the story of the Indonesian Ojek community. Int J Human Rights Healthcare 2015; 8: 144-159.
 
11.
Schaefer R, Gregson S, Fearon E, Hensen B, Hallett TB, Hargreaves JR. HIV prevention cascades: a unifying framework to replicate the successes of treatment cascades. Lancet HIV 2019; 6: e60-e66. doi: 10.1016/S2352-3018(18)30327-8.
 
12.
Akuiyibo S, Anyanti J, Amoo B, Aizobu D, Idogho O. Effects of behaviour change communication on hypertension and diabetes related knowledge, attitude and practices in Imo and Kaduna States: a quasi-experimental study. BMC Public Health 2022; 22: 715. doi: 10.1186/s12889-022-13139-3.
 
13.
Sekar PG, Sukmawati IN, Arief F, et al. Pregnant women’s factor toward mother-to-child transmission of HIV practice. Saintika Medika 2021; 17: 191-203.
 
14.
Mahendradhata Y, Ahmad RA, Lefèvre P, Boelaert M, Van der Stuyft P. Barriers for introducing HIV testing among tuberculosis patients in Jogjakarta, Indonesia: a qualitative study. BMC Public Health 2008; 8: 385. doi: 10.1186/1471-2458-8-38.
 
15.
Ford K, Wirawan DN, Sumantera GM, Sawitri AA, Stahre M. Voluntary HIV testing, disclosure, and stigma among injection drug users in Bali, Indonesia. AIDS Educ Prev 2004; 16: 487-498.
 
16.
Diarsvitri W, Utomo ID, Neeman T, Oktavian A. Beyond sexual desire and curiosity: sexuality among senior high school students in Papua and West Papua Provinces (Indonesia) and implications for HIV prevention. Cult Health Sex 2011; 13: 1047-1060.
 
17.
Fajans P, Wirawan DN, Ford K. STD knowledge and behaviours among clients of female sex workers in Bali, Indonesia. AIDS Care 1994; 6: 459-475.
 
18.
Prabawanti C, Bollen L, Palupy R, et al. HIV, sexually transmitted infections, and sexual risk behavior among transgenders in Indonesia. AIDS Behav 2011; 15: 663-673.
 
19.
Safika I, Levy JA, Johnson TP. Sex work venue and condom use among female sex workers in Senggigi, Indonesia. Cult Health Sex 2013; 15: 598-613.
 
20.
Sugihantono A, Slidell M, Syaifudin A, et al. Syphilis and HIV prevalence among commercial sex workers in Central Java, Indonesia: risk-taking behavior and attitudes that may potentiate a wider epidemic. AIDS Patient Care STDS 2003; 17: 595-600.
 
21.
Simon S, Paxton SJ. Sexual risk attitudes and behaviours among young adult Indonesians. Cult Health Sex 2004; 6: 393-409.
 
22.
Arifin HS, Prasanti D, Fuady I. Communicating Inequalities: Social Disparity Phenomena in Health. E3S Web of Conferences. Vol. 73. EDP Sciences, 2018.
 
23.
Hughes AK, Admiraal KR. A systematic review of HIV/AIDS knowledge measures. Res Soc Work Practice 2012; 22: 313-322.
 
24.
Urbaeva Z, Warner L. Relationships between HIV testing, knowledge, and stigma among men: reports from Belarus, Moldova, and Ukraine. J HIV AIDS Soc Serv 2018; 17: 56-68.
 
25.
Turk T, Ewing MT, Newton FJ. Using ambient media to promote HIV/AIDS protective behaviour change. Int J Advertising 2006; 25: 333-359.
 
26.
Pohan MN, Hinduan ZR, Riyanti E, et al. HIV-AIDS prevention through a life-skills school based program in Bandung, West Java, Indonesia: evidence of empowerment and partnership in education. Proced Soc Behav Sci 2011; 15: 526-530.
 
27.
Cheema B. Combating HIV/AIDS in marginalized communities: Papua and West Papua Province, Indonesia. Master’s Theses. 2014; 125. https://repository.usfca.edu/t....
 
28.
Paxton S, Stephens D. Challenges to the meaningful involvement of HIV-positive people in the response to HIV/AIDS in Cambodia, India and Indonesia. Asia Pac J Public Health 2007; 19: 8-13.
 
29.
Spooner C, Saktiawati AMI, Lazuardi E, Worth H, Subronto YW, Padmawati RS. Impacts of stigma on HIV risk for women who inject drugs in Java: a qualitative study. Int J Drug Policy 2015; 26: 1244-1250.
 
30.
Sukarja IM, Sutedja E, Nursiswati, Sukawana IW, Sundayana IM. Experiences of people with HIV/AIDS (PLWHA) at the critical condition due to AIDS. Int J Res Med Sci 2017; 5: 1357-1362.
 
31.
LaCroix JM, Snyder LB, Huedo-Medina TB, Johnson BT. Effectiveness of mass media interventions for HIV prevention, 1986-2013: a meta-analysis. J Acquir Immune Def Syndr 2014; 66: S329-S340.
 
32.
Mitra A, Sarkar D. Gender inequality and the spread of HIV‐AIDS in India. Int J Soc Econom 2011; 38: 557-572.
 
33.
Manfrin-Ledet L, Porche DJ. The state of science: violence and HIV infection in women. J Assoc Nurses AIDS Care 2003; 14: 56-68.
 
34.
Lichtenstein B. Domestic violence, sexual ownership, and HIV risk in women in the American deep south. Soc Sci Med 2005; 60: 701-714.
 
35.
Ghosh J, Wadhwa V, Kalipeni E. Vulnerability to HIV/AIDS among women of reproductive age in the slums of Delhi and Hyderabad, India. Soc Sci Med 2009; 68: 638-642.
 
36.
Farr AC, Witte K, Jarato K, Menard T. The effectiveness of media use in health education: Evaluation of an HIV/AIDS radio campaign in Ethiopia. J Health Commun 2005; 10: 225-235.
 
37.
Jha PK, Narayan P, Nair S, Ganju D, Sahu D, Pandey A. An assessment of comprehensive knowledge of HIV/AIDS among slum and non-slum populations in Delhi, India. Open J Prev Med 2015; 5: 259-268.
 
38.
Kamal SMM. Vulnerable sexuality and HIV/AIDS prevention knowledge among ethnic tribal male youth in Bangladesh. Sex Educ 2012; 12: 127-145.
 
39.
Kaufman MR, Rimal RN, Carrasco M, et al. Using social and behavior change communication to increase HIV testing and condom use: the Malawi BRIDGE Project. AIDS Care 2014; 26 Suppl 1: S46-S49.
 
40.
Magnussen L, Ehiri JE, Ejere HOD, Jolly PE. Interventions to prevent HIV/AIDS among adolescents in less developed countries: are they effective? Int J Adolescent Med Health 2004; 16: 303-323.
 
41.
Muli I, Lawoko S. The relationship between access to mass media and HIV/AIDS related knowledge, beliefs and behaviours in Kenya. Psychology 2014; 5: 736-743.
 
42.
Nanda S, Pramanik A. Media exposure, gender stereotype and contextual stigma perceptions about HIV and AIDS: evidences from Gujarat, India. J Health Manag 2010; 12: 461-481.
 
43.
Peltzer K, Parker W, Mabaso M, Makonko E, Zuma K, Ramlagan S. Impact of national HIV and AIDS communication campaigns in South Africa to reduce HIV risk behaviour. Sci World J 2012; 2012: 384608. doi: 10.1100/2012/384608.
 
44.
Pinkleton BE, Weintraub Austin E, Cohen M, Chen YCY, Fitzgerald E. Effects of a peer-led media literacy curriculum on adolescents’ knowledge and attitudes toward sexual behavior and media portrayals of sex. Health Commun 2008; 23: 462-472.
 
45.
Marum E, Morgan G, Hightower A, Ngare C, Taegtmeyer M. Using mass media campaigns to promote voluntary counseling and HIV-testing services in Kenya. AIDS 2008; 22: 2019-2024.
 
46.
Jung M, Arya M, Viswanath K. Effect of media use on HIV/AIDS-related knowledge and condom use in sub-Saharan Africa: a cross-sectional study. PLoS One 2013; 8: e68359.
 
47.
Sznitman S, Vanable PA, Carey MP, et al. Using culturally sensitive media messages to reduce HIV-associated sexual behavior in high-risk African American adolescents: results from a randomized trial. J Adolescent Health 2011; 49: 244-251.
 
48.
Kerr JC, Valois RF, DiClemente RJ, et al. The effects of a mass media HIV-risk reduction strategy on HIV-related stigma and knowledge among African American adolescents. AIDS Patient Care STDS 2015; 29: 150-156.
 
49.
Ackerson LK, Ramanadhan S, Arya M, Viswanath K. Social disparities, communication inequalities, and HIV/AIDS-related knowledge and attitudes in India. AIDS Behav 2012; 16: 2072-2081.
 
50.
Tsala Dimbuene Z, Kuate Defo B. Fostering accurate HIV/AIDS knowledge among unmarried youths in Cameroon: do family environment and peers matter? BMC Public Health 2011; 11: 348. doi: 10.1186/1471-2458-11-348.
 
51.
Thabo TF, Kangara Lucy W, Ntonghanwah F. Predictors of knowledge about HIV/AIDS among young people: lessons from Botswana. J AIDS HIV Res 2010; 2: 116-130.
 
52.
Gebremedhin SA, Wang Y, Tesfamariam EH. Predictors of HIV/AIDS knowledge and attitude among young women of Nigeria and Democratic Republic of Congo: cross-sectional study. J AIDS Clin Res 2017; 8: 677. doi: 10.4172/2155-6113.1000677.
 
53.
Saud M. Civic engagement, youth socialisation and participation in public spheres in Indonesia. Children and Youth Services Review 2020; 119: 105669. doi: 10.1016/j.childyouth.2020.105669.
 
54.
Saud M, Margono H. Indonesia’s rise in digital democracy and youth’s political participation. Journal of Information Technology & Politics 2021; 18: 443-454.
 
55.
Asaduzzaman M, Higuchi M, Sarker MAB, Hamajima N. Awareness and knowledge of HIV/AIDS among married women in rural Bangladesh and exposure to media: a secondary data analysis of the 2011 Bangladesh Demographic and Health Survey. Nagoya J Med Sci 2016; 78: 109-118.
 
56.
Babalola S, Fatusi A, Anyanti J. Media saturation, communication exposure and HIV stigma in Nigeria. Soc Sci Med 2009; 68: 1513-1520.
 
57.
Bekalu MA, Eggermont S. Media use and HIV/AIDS knowledge: a knowledge gap perspective. Health Prom Int 2014; 29: 739-750.
 
58.
Bessinger R, Katende C, Gupta N. Multi-media campaign exposure effects on knowledge and use of condoms for STI and HIV/AIDS prevention in Uganda. Evaluation and Program Planning 2004; 27: 397-407.
 
59.
Sano Y, Sedziafa AP, Amoyaw JA, et al. Exploring the linkage between exposure to mass media and HIV testing among married women and men in Ghana. AIDS Care 2016; 28: 684-688.
 
60.
Rahman MS, Lutfor Rahman M. Media and education play a tremendous role in mounting AIDS awareness among married couples in Bangladesh. AIDS Res Ther 2007; 4: 1-7. doi: 10.1186/1742-6405-4-10.
 
61.
Hutchinson PL, Mahlalela X, Yukich J. Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa. AIDS Educ Prev 2007; 19: 489-510.
 
62.
Hendricks M, Nair G, Staunton C, et al. Impact of an educational video as a consent tool on knowledge about cure research among patients and caregivers at HIV clinics in South Africa. J Virus Erad 2018; 4: 103-107.
 
63.
Jesmin SS, Chaudhuri S, Abdullah S. Educating women for HIV prevention: does exposure to mass media make them more knowledgeable? Health Care Women Int 2013; 34: 303-331.
 
64.
Kefale B, Damtie Y, Yalew M, Adane B, Arefaynie M. Predictors of comprehensive knowledge of HIV/AIDS among people aged 15-49 years in Ethiopia: a multilevel analysis. HIV AIDS (Auckl) 2020; 12: 449-456.
 
65.
Medina C. An alternate HIV preventive strategy: sex scripts in media for women of color. Soc Work Public Health 2011; 26: 260-277.
 
66.
Agegnehu CD, Antehunegn Tesema G. Effect of mass media on comprehensive knowledge of HIV/AIDS and its spatial distribution among reproductive-age women in Ethiopia: a spatial and multilevel analysis. BMC Public Health 2020; 20: 1420. doi: 10.1186/s12889-020-09536-1.
 
67.
Asamoah CK, Oppong Asamoah B, Agardh A. A generation at risk: a cross-sectional study on HIV/AIDS knowledge, exposure to mass media, and stigmatizing behaviors among young women aged 15-24 years in Ghana. Glob Health Action 2017; 10: 1331538. doi: 10.1080/16549716.2017.1331538.
 
68.
Chandler R, Canty-Mitchell J, Kip KE, et al. College women’s preferred HIV prevention message mediums: Mass media versus interpersonal relationships. J Assoc Nurses AIDS Care 2013; 24: 491-502.
 
69.
Davis KC, Uhrig J, Rupert D, Fraze J, Goetz J, Slater M. Effectiveness of a mass media campaign in promoting HIV testing information seeking among African American women. J Health Commun 2011; 16: 1024-1039.
 
70.
Etuk SJ, Ekanem EI. Impact of mass media campaigns on the knowledge and attitudes of pregnant Nigerian women towards HIV/AIDS. Trop Doct 2005; 35: 101-102.
 
71.
Seid A, Ahmed M. What are the determinants of misconception about HIV transmission among ever-married women in Ethiopia? HIV AIDS (Auckl) 2020; 12: 441-448.
 
72.
Ismail R, Voss JG, Fugate Woods N, et al. A content analysis study: concerns of Indonesian women infected with HIV by husbands who used intravenous drugs. J Assoc Nurses AIDS Care 2018; 29: 914-923.
 
73.
Zunner B, Dworkin SL, Neylan TC, et al. HIV, violence and women: unmet mental health care needs. J Affect Dis 2015; 174: 619-626.
 
74.
Brandt CP, Paulus DJ, Jardin C, Heggeness L, Lemaire C, Zvolensky MJ. Examining anxiety sensitivity as an explanatory construct underlying HIV-related stigma: relations to anxious arousal, social anxiety, and HIV symptoms among persons living with HIV. J Anxiety Disord 2017; 48: 95-101.
 
75.
Cuca YP, Asher A, Okonsky J, Kaihura A, Dawson-Rose C, Webel A. HIV stigma and social capital in women living with HIV. J Assoc Nurses AIDS Care 2017; 28: 45-54.
 
76.
Peltzer JN, Ogawa L, Tusher S, Farnan R, Gerkovich MM. A quali­tative description of HIV-infected African American women’s experiences of psychological distress and their coping strategies. J Assoc Nurses AIDS Care 2017; 28: 226-237.
 
77.
Kemppainen JK, MacKain S, Alexander M, Reid P, Parks Jackson M. Posttraumatic stress disorder and stressful life events among rural women with HIV disease. J Assoc Nurses AIDS Care 2017; 28: 216-225.
 
78.
Ezugwu EC, Iyoke CA, Nkwo PO, Ezegwui HU, Akabueze JC, Agu PU. Unintended pregnancy among HIV-positive pregnant women in Enugu, southeast Nigeria. Int J Gynecol Obstet 2016; 132: 60-63.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top