RURAL URBAN DISPARITY OF CONDOM USE AT THE LAST SEX AMONG INDONESIAN MALE ADOLESCENTS

Disparity of Condom Use among Male Adolescents

Authors

  • Fadhaa Aditya Kautsar Murti Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia, Jl. Lingkar Kampus Raya, Depok City, West Java, 16424, Indonesia
  • Kencana Sari National Research and Innovation Agency, Jl. M. H. Thamrin No. 8, Central Jakarta, 10340, Indonesia https://orcid.org/0000-0003-1382-1492

DOI:

https://doi.org/10.58185/jkr.v14i2.105

Keywords:

condom use at last sex, rural urban, adolescents

Abstract

Introduction: Several studies has established the urgency to use condom, however in Indonesia, condom use remains low and the gap is more distinct in different living setting. Since condom at the last sex is a predictor for frequency due to its recency, this research aims to understand condom use at the last sex. Methods: This study uses data from Indonesian Demographic Health Survey (IDHS) 2017, the latest survey to capture sexual behaviour. The population for this study is Indonesian male adolescents. The data is analysed using logistics regression using complex-sample approach. In addressing the disparity, this research will separate the result according to rural-urban areas. Results: Internet use is associated with condom use at the last sex for adolescents in rural areas (p-value= 0.013, aOR= 3.851 (1.332—11.128)). Age (p-value= 0.005, aOR= 2.004 (1.232—3.257)), education (p-value= 0.001, aOR= 2.672 (1.493—4.784)), and read newspaper/magazine (p-value= 0.044, a0R= 0.449 (0.238—0.847) and 0.669 (0.405—1.106)) are associated with condom use at the last sex for adolescents in urban areas. Attitude towards condom use is found to be significant in both living setting (p-values= 0.03, a0R= 4.360 (1.661—11.446) for rural areas and p-values= 0.011, aOR= 2.058 (1.184—3.576) for urban areas) and acts as the strongest predictor in both rural-urban areas. Conclusion: Further intervention should address the disparity of rural-urban areas and taking mass media consumption, age, and education into an account as well as shaping a better attitude towards condom.

References

Wiyeh AB, Mome RKB, Mahasha PW, Kongnyuy EJ, Wiysonge CS. Effectiveness of the female condom in preventing HIV and sexually transmitted infections: A systematic review and meta-analysis. BMC Public Health. 2020 Mar 12;20(1).

Okeke SR. “It was protected, except, it wasn’t [with] a condom": a mixed- methods study of BBVs/STIs protective practices among International University Students in Sydney, Australia. BMC Public Health. 2022 Dec 1;22(1).

National Population and Family Planning Board (BKKBN), Statistics Indonesia (BPS), Ministry of Health (Kemenkes), ICF. Indonesia Demographic and Health Survey 2017: Adolescent Reproductive Health. Jakarta and Maryland; 2018.

Lindberg LD, Firestein L, Beavin C. Trends in U.S. adolescent sexual behavior and contraceptive use, 2006- 2019. Contracept X. 2021;

Institute for Public Health. National Health and Morbidity Survey 2017: Adolescent Health Survey. Kuala Lumpur; 2017.

Ross J, Hardee K. Use of Male Methods of Contraception Worldwide. Vol. 49, Journal of Biosocial Science. Cambridge University Press; 2017. p. 648–63.

Jean Simon D, Paul B, Kiragu A, Olorunsaiye CZ, Joseph F, Joseph G, et al. Prevalence and factors associated with condom use among sexually active young women in Haiti: evidence from the 2016/17 Haiti demographic and health survey. BMC Womens Health. 2023 Dec 1;23(1):146.

Madiba S, Ngwenya N. Cultural practices, gender inequality and inconsistent condom use increase vulnerability to HIV infection: narratives from married and cohabiting women in rural communities in Mpumalanga province, South Africa. Glob Health Action. 2017;10(sup2).

Statistik Indonesia (BPS), National Population and Family Planning Board (BKKBN), Ministry of Health Indonesia, ICF International. Indonesia Demographic Health Survey 2012: Adolescent Reproductive Health. Jakarta; 2013.

Tumwesigye NM, Ingham R, Holmes D. Condom use at first and latest sexual events among young people: Evidence from a rural and peri-urban setting in Uganda. Afr Health Sci. 2013;13(2):407–14.

Pinyaphong J, Srithanaviboonchai K, Chariyalertsak S, Phornphibul P, Tangmunkongvorakul A, Musumari PM. Inconsistent Condom Use Among Male University Students in Northern Thailand. J Public Health (Bangkok). 2018;30(2):147–57.

Chialepeh WN, Susuman AS. Risk Factors of Inconsistent Condom Use among Sexually Active Youths: Implications for Human Immunodeficiency Virus and Sexual Risk Behaviours in Malawi. J Asian Afr Stud. 2017 Jun 1;52(4):484–96.

Ajayi AI, Ismail KO, Akpan W. Factors associated with consistent condom use: A cross-sectional survey of two Nigerian universities. BMC Public Health. 2019 Sep 2;19(1).

Noll M, Noll PRES, Gomes JM, Soares Júnior JM, Silveira EA, Sorpreso ICE. Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE). Reprod Health. 2020 Sep 7;17(1).

Elshiekh HF, Hoving C, de Vries H. Psychosocial determinants of consistent condom use among university students in Sudan: findings from a study using the Integrated Change Model. BMC Public Health. 2023 Dec 1;23(1).

Tinner L, Caldwell D, Hickman M, MacArthur GJ, Gottfredson D, Lana Perez A, et al. Examining subgroup effects by socioeconomic status of public health interventions targeting multiple risk behaviour in adolescence. BMC Public Health. 2018 Oct 16;18(1).

Hu L, Luo Y, Zhong X, Lu R, Wang Y, Sharma M, et al. Condom Use and Related Factors among Rural and Urban Men Who Have Sex With Men in Western China: Based on Information- Motivation-Behavioral Skills Model. Am J Mens Health. 2020 Jan 1;14(1).

Izudi J, Kadengye DT. Effect of comprehensive knowledge of HIV on risky sexual behaviours associated with HIV transmission among adult Ugandans: a propensity score-matched analysis. BMJ Open. 2022 Dec 12;12(12):e064011.

Parajuli B, Adhikari C, Tripathi N. Determinants of condom use during last sexual intercourse among male college youth of Kaski, Nepal: A cross-sectional survey. PLoS One. 2021 Dec 1;16(12 December).

Sharma B, Nam EW. Condom use at last sexual intercourse and its correlates among males and females aged 15–49 years in Nepal. Int J Environ Res Public Health. 2018 Mar 16;15(3).

Marcotte K, McSween MP, Pouliot M, Martineau S, Pauzé AM, Wiseman- Hakes C, et al. Normative study of the functional assessment of verbal reasoning and executive strategies (FAVRES) test in the French-Canadian population. Journal of Speech, Language, and Hearing Research. 2017;60(8):2217–27.

Kistiana S, Fajarningtiyas DN, Lukman S. Differentials in Reproductive Health Knowledge among Adolescents in Indonesia. Media Kesehatan Masyarakat Indonesia [Internet]. 2023 Mar 31;19(1):19–29. Available from: https://journal.unhas.ac.id/index.php/m kmi/article/view/23641

Rahmatania LD, Adisasmita A. Association Between Knowledge of Condom Functions and Condom Use among Sexually-Active Unmarried Male Adolescents in Indonesia. Jurnal Epidemiologi Kesehatan Indonesia [Internet]. 2018;2(2).

Longest KC, Uecker JE. Moral Communities and Sex. Perspectives (Montclair). 2018;61(3):361–82.

Hamid SHA, Fallon D, Callery P. Influence of religion on healthcare professionals’ beliefs toward teenage sexual practices in Malaysia. Makara Journal of Health Research. 2020;24(1).

Alomair N, Alageel S, Davies N, Bailey J V. Factors influencing sexual and reproductive health of Muslim women: A systematic review. Vol. 17, Reproductive Health. BioMed Central Ltd.; 2020.

Zhang D, Zhang G, Jiao Y, Wang Y, Wang P. “Digital Dividend” or “Digital Divide”: What Role Does the Internet Play in the Health Inequalities among Chinese Residents? Int J Environ Res Public Health. 2022 Nov 1;19(22).

Chen X, Orom H, Hay JL, Waters EA, Schofield E, Li Y, et al. Differences in Rural and Urban Health Information Access and Use. Journal of Rural Health. 2019 Jun 1;35(3):405–17.

Zhang G. Study on the Problem of Anti- Poverty in Rural Education of Yunnan. Advances in Social Science, Education, and Humanities Research. 2018;238.

Li F, Hou Y. Differences in Educational Expectations between Urban and Rural Junior High School Students: Individual, Family, and Social Structures. Best Evidence in Chinese Education. 2022 Jan 31;10(1):1315–35.

Yulianti K, Denessen E, Droop M. Indonesian Parents’ Involvement in Their Children’s Education: A Study in Elementary Schools in Urban and Rural Java, Indonesia [Internet]. Vol. 29, School Community Journal. 2019. Available from:http://www.schoolcommunitynetwork. org/SCJ.aspx

Putra IGNE, Astuti D, Widyastari DA, Phuengsamran D. Prevalence and determinants of condom use among male adolescents in Indonesia. Int J Adolesc Med Health. 2018 Apr 1;33(2).

Xu W, Tang W, Zhang J, Shi X, Zheng Y, Kaufman MR. Cigarette Smoking and Its Associations with Substance Use and HIV-Related Sexual Risks among Chinese Men Who Have Sex with Men. Int J Environ Res Public Health. 2020 Mar 5;17(5).

Piersiala K, Krajewski J, Dadej D, Loroch A, Czerniak W, Rozpłochowski B, et al. Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross- sectional study. Int J STD AIDS. 2020 Aug 1;31(9):894–902.

Lotfi R, Salehifar D, Jahromi AG. Predictors of condom use among people living with HIV in Karaj: A cross- sectional study. Shiraz E Medical Journal. 2020 Jan 1;21(1).

Shuper PA, Varatharajan T, Kinitz DJ, Gesink D, Joharchi N, Bogoch II, et al. Perceived influence of alcohol consumption, substance use, and mental health on PrEP adherence and condom use among PrEP-prescribed gay, bisexual, and other men-who-have-sex- with-men: a qualitative investigation. BMC Public Health. 2022 Dec 1;22(1).

Agegnehu CD, Tesema GA. 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 Sep 17;20(1)

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Published

2023-12-13

How to Cite

Murti, F. A. K., & Sari, K. (2023). RURAL URBAN DISPARITY OF CONDOM USE AT THE LAST SEX AMONG INDONESIAN MALE ADOLESCENTS: Disparity of Condom Use among Male Adolescents. JURNAL KESEHATAN REPRODUKSI, 14(2), 105–114. https://doi.org/10.58185/jkr.v14i2.105