Theory of Planned Behavior on Factors Associated with Safe Sex Behavior among Female Sex Workers in Surakarta, Central Java

Saras Vati Manvatarini Sugma1), Aris Sudiyanto2), Argyo Demartoto3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Psychiatry, Faculty of Medicine, Universitas Sebelas Maret

3)Department of Sociology, Faculty of Social and Political Sciences, Universitas Sebelas Maret



Background: Practising safe sex is important in order to ensure health and safety. Safe sex means exactly that “safe” is in terms of having sex without getting a contagious disease from your sex partner(s). Safe sex has the following out­comes: (1) It acts as a contraception to prevent pregnancy; (2) It prevents the trans­­­­mission of sexually transmitted infections and infestations; and (3) It pre­vents the transmission of HIV, viral hepatitis, and other blood-borne viruses. This stu­dy aimed to analyze factors associated with safe sex behavior among female sex workers in Surakarta, Central Java, using Theory of Planned Behavior.

Subjects and Method: This was a cross-sectional study carried out in Sura­karta, Central Java, from April to May 2018. A sample of 134 female sex wor­kers was selected by simple random sampling. The dependent variable was safe sex behavior. The independent variables were subjective norm, perceived beha­vior control, intention, attitude, education, and age. The data were collected by question­naire and analyzed by path analysis.

Results: Safe sex behavior was directly affected by intention (b= 0.96; 95% CI= 0.26 to 1.66; p= 0.007). It was indirectly affected by attitude perceived behavior con­trol, subjective norm, education, and age.

Conclusion: Safe sex behavior is directly affected by intention. It is indirectly affec­ted by attitude perceived behavior control, subjective norm, education, and age.

Keywords: safe sex behavior, female sex worker, theory of planned behavior

Correspondence: Saras Vati Manvatarini Sugma. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: Mobile: +6282186653675



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