背景:街头儿童的知识水平,态度,关于性传播感染(STIs)和艾滋病毒相关疾病的实践(KAP)仍然是一个挑战,因为很难覆盖所有关键人群。这项研究旨在概述性传播感染病例的发现及其与雅加达和万丹街头儿童KAP的关联。
方法:我们对259名男性流浪儿童(10-21岁)进行了横断面研究。我们通过问卷调查收集数据,历史,体检,以及用于性传播感染和艾滋病毒检测的样本收集。
结果:发现了5.8%(n=15)的性传播感染病例,由乙型肝炎(n=6)组成,丙型肝炎(n=1),HIV(n=2),衣原体(n=3),梅毒(n=1),和淋病(n=1)。街头艺人(44.4%)和其他职业,如帮助父母出售商品,停车场服务员,擦鞋,或聚集(44.8%)主导了社会人口统计学特征。无避孕套性行为占主导地位的危险性行为,尽管有些学科已经有了很好的知识。
结论:印度尼西亚街头儿童的社会人口统计学特征和KAP各不相同。街头儿童的KAP水平与性传播感染病例之间的联系很难描述。需要对印度尼西亚更多地区进行进一步研究。
BACKGROUND: Street children\'s level of knowledge, attitudes, and practice (KAP) regarding sexually transmitted infections (STIs) and HIV-related diseases remains a challenge since it is difficult to reach all key populations. This study aims to provide an overview of the findings of STI cases and their association with the KAP of street children in Jakarta and Banten.
METHODS: We conducted a cross-sectional study on 259 male street children (aged 10 -21 years old). We collected the data through questionnaire interviews, history taking, physical examination, and specimen collection for STI and HIV testing.
RESULTS: 5.8% (n = 15) STI cases were discovered, consisting of Hepatitis B (n = 6), Hepatitis C (n = 1), HIV (n = 2), Chlamydia (n = 3), Syphilis (n = 1), and Gonorrhea (n = 1). Buskers (44.4%) and other occupations like helping parents sell their wares, parking lot attendants, shoe shiners, or gathering (44.8%) dominated the sociodemographic characteristics. Condomless sex predominated risky sexual behavior, despite some subjects already having good knowledge.
CONCLUSIONS: Sociodemographic characteristics and the KAP of street children in Indonesia are varied. The association between the KAP level and STI cases in street children is challenging to describe. Further studies covering more areas in Indonesia are required.