Prihaswan P, Laurel M; International Conference on AIDS.
Int Conf AIDS. 1998; 12: 370 (abstract no. 23147).
JL. Tentara Rakyat Mataram GG. Kapas JTI/705 Yogyakarta-55231, Indonesia.
ISSUES: Evaluating strategies to reduce sexual risk of STD and HIV infection within an outreach program targeting transvestite in Yogyakarta, Indonesia. PROJECT: The project reaches transvestite through outreach, providing a risk reduction training, condom distribution, and educational and empowerment support group meeting. RESULT: A survey of sexual behavior done in October 1996 showed that more than 50% of transvestites engaged in anal sex, both receptive (88%) and penetrative (54%). The survey showed that condom use in this community is higher for receptive anal sex (88%) than for penetrative anal sex (52%), as a result of Lentera's "protect yourself" message, so they are asking their clients/sex partners to use condoms. However, the message haven't effectively taken them through a risk reduction process that helps them understand and take responsibility for their role in potentially transmitting HIV to others. Barriers to condom use given included partner rejection, fear of offending partner and not having a condom. Transvestite have a potential role as a core community in Yogyakarta because they have so many partners (an avarage 2-5 clients/sex partners per night) and their partners are extremely difficult to reach with prevention messages because they are so closeted and our prevention strategy does not seem to be adapted with the psychology of transvestite. LESSON LEARNED: Lentera needs to develop wider reaching messages, aside from "protect yourself" which can encourage transvestite to help prevent HIV transmission to clients/sex partners. Also needed is a safe sex campaign, which supports, for example, non penetrative sex as a method of reducing risk, for both transvestite and clients. A more neutral campaign also needs to be developed, which can reach the transvestites clients/sex partners.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Condoms
- HIV Infections
- HIV Seropositivity
- Humans
- Indonesia
- Safe Sex
- Sexual Behavior
- Sexual Partners
- education
Other ID:
UI: 102228571
From Meeting Abstracts