Behavioral aspects of HIV prevention and care in Indonesia: A plea for a multi-disciplinary, theory- and evidence-based approach
Projections estimate 1,000,000 HIV infected by 2015 in Indonesia. Key behaviors to HIV prevention and care are determined by a complex set of individual/ environmental factors. This paper presents empirical data, local evidence and theoretical concepts to determine the role of social sciences in HIV...
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| Veröffentlicht in: | Acta medica Indonesiana 2009-07, Vol.41 Suppl 1, p.79-86 |
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| container_title | Acta medica Indonesiana |
| container_volume | 41 Suppl 1 |
| creator | Sumintardja, Elmira N Pinxten, Lucas W J Siregar, Juke R L Suherman, Harry Wisaksana, Rudy Iskandar, Shelly Tasya, Irma A Hinduan, Zahrotur Hospers, Harm J |
| description | Projections estimate 1,000,000 HIV infected by 2015 in Indonesia. Key behaviors to HIV prevention and care are determined by a complex set of individual/ environmental factors. This paper presents empirical data, local evidence and theoretical concepts to determine the role of social sciences in HIV prevention/care. Injecting Drug Use (IDU) is a social and very risky activity: 95% injected in the presence of peers and 49% reported needles sharing. 82% of IDUs do not use condoms consistently. Poor adherence to ARV treatment is related to a complex set of, mostly behavioral, factors beyond effective influence by standard professional skills of medical staff. Meta-analysis indicated that about 1/3 of the variance in behaviour can be explained by the combined effect of intention and perceived behavioral control, the two cornerstones of the Theory of Planned Behavior (TPB). It is advisable to adapt TPB in the light of the Indonesian context. Current theories of behavior and behavior change give professionals of all disciplines, working in HIV prevention and care, effective tools to change behavior and to improve HIV prevention and access and quality of HIV care. |
| format | Article |
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Key behaviors to HIV prevention and care are determined by a complex set of individual/ environmental factors. This paper presents empirical data, local evidence and theoretical concepts to determine the role of social sciences in HIV prevention/care. Injecting Drug Use (IDU) is a social and very risky activity: 95% injected in the presence of peers and 49% reported needles sharing. 82% of IDUs do not use condoms consistently. Poor adherence to ARV treatment is related to a complex set of, mostly behavioral, factors beyond effective influence by standard professional skills of medical staff. Meta-analysis indicated that about 1/3 of the variance in behaviour can be explained by the combined effect of intention and perceived behavioral control, the two cornerstones of the Theory of Planned Behavior (TPB). It is advisable to adapt TPB in the light of the Indonesian context. Current theories of behavior and behavior change give professionals of all disciplines, working in HIV prevention and care, effective tools to change behavior and to improve HIV prevention and access and quality of HIV care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Female</subject><subject>Health Behavior</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Male</subject><subject>Patient Compliance</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Substance Abuse, Intravenous - psychology</subject><subject>Substance Abuse, Intravenous - rehabilitation</subject><subject>Young Adult</subject><issn>0125-9326</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kL1OwzAURjOAaAV9BeSNBUtOHDsxW6mAVqrEAqzRjX2jGiW2sZNK3Xh0IijTt5z7c76LbMnyQlDFC7nIVil9MsZyxnldyatskStVMM7KZfb9iAc4Wh-hJ5AC6jER35Ht7oOEiEd0o_WOgDNEQ0RiHdk54x0mCw9kTUKPQDofCZBh6kdLjU3aht46iKd7Mh7QxxP9ncejNeg00hYSGgIhRA_6cJNddtAnXJ3zOnt_fnrbbOn-9WW3We9pmD1GWndaGik47-qKYYulqrVEmJ1kZYRhOi8LzcuOoSyFlKXhQrWihQqYQlSCX2d3f3vns18TprEZ5lex78Ghn1JTCVVXXMhqJm_P5NQOaJoQ7TDbNP-l8R_C9mjL</recordid><startdate>200907</startdate><enddate>200907</enddate><creator>Sumintardja, Elmira N</creator><creator>Pinxten, Lucas W J</creator><creator>Siregar, Juke R L</creator><creator>Suherman, Harry</creator><creator>Wisaksana, Rudy</creator><creator>Iskandar, Shelly</creator><creator>Tasya, Irma A</creator><creator>Hinduan, Zahrotur</creator><creator>Hospers, Harm J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200907</creationdate><title>Behavioral aspects of HIV prevention and care in Indonesia: A plea for a multi-disciplinary, theory- and evidence-based approach</title><author>Sumintardja, Elmira N ; Pinxten, Lucas W J ; Siregar, Juke R L ; Suherman, Harry ; Wisaksana, Rudy ; Iskandar, Shelly ; Tasya, Irma A ; Hinduan, Zahrotur ; Hospers, Harm J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p125t-8fc6d6533f870ebe498c6ea01067d5d0c142c34f0e645664d359b5ba7a09ee953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Female</topic><topic>Health Behavior</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - psychology</topic><topic>Humans</topic><topic>Indonesia</topic><topic>Male</topic><topic>Patient Compliance</topic><topic>Risk-Taking</topic><topic>Sexual Behavior</topic><topic>Substance Abuse, Intravenous - complications</topic><topic>Substance Abuse, Intravenous - psychology</topic><topic>Substance Abuse, Intravenous - rehabilitation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sumintardja, Elmira N</creatorcontrib><creatorcontrib>Pinxten, Lucas W J</creatorcontrib><creatorcontrib>Siregar, Juke R L</creatorcontrib><creatorcontrib>Suherman, Harry</creatorcontrib><creatorcontrib>Wisaksana, Rudy</creatorcontrib><creatorcontrib>Iskandar, Shelly</creatorcontrib><creatorcontrib>Tasya, Irma A</creatorcontrib><creatorcontrib>Hinduan, Zahrotur</creatorcontrib><creatorcontrib>Hospers, Harm J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta medica Indonesiana</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sumintardja, Elmira N</au><au>Pinxten, Lucas W J</au><au>Siregar, Juke R L</au><au>Suherman, Harry</au><au>Wisaksana, Rudy</au><au>Iskandar, Shelly</au><au>Tasya, Irma A</au><au>Hinduan, Zahrotur</au><au>Hospers, Harm J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Behavioral aspects of HIV prevention and care in Indonesia: A plea for a multi-disciplinary, theory- and evidence-based approach</atitle><jtitle>Acta medica Indonesiana</jtitle><addtitle>Acta Med Indones</addtitle><date>2009-07</date><risdate>2009</risdate><volume>41 Suppl 1</volume><spage>79</spage><epage>86</epage><pages>79-86</pages><issn>0125-9326</issn><abstract>Projections estimate 1,000,000 HIV infected by 2015 in Indonesia. Key behaviors to HIV prevention and care are determined by a complex set of individual/ environmental factors. This paper presents empirical data, local evidence and theoretical concepts to determine the role of social sciences in HIV prevention/care. Injecting Drug Use (IDU) is a social and very risky activity: 95% injected in the presence of peers and 49% reported needles sharing. 82% of IDUs do not use condoms consistently. Poor adherence to ARV treatment is related to a complex set of, mostly behavioral, factors beyond effective influence by standard professional skills of medical staff. Meta-analysis indicated that about 1/3 of the variance in behaviour can be explained by the combined effect of intention and perceived behavioral control, the two cornerstones of the Theory of Planned Behavior (TPB). It is advisable to adapt TPB in the light of the Indonesian context. Current theories of behavior and behavior change give professionals of all disciplines, working in HIV prevention and care, effective tools to change behavior and to improve HIV prevention and access and quality of HIV care.</abstract><cop>Indonesia</cop><pmid>19920304</pmid><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0125-9326 |
| ispartof | Acta medica Indonesiana, 2009-07, Vol.41 Suppl 1, p.79-86 |
| issn | 0125-9326 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Female Health Behavior HIV Infections - complications HIV Infections - drug therapy HIV Infections - prevention & control HIV Infections - psychology Humans Indonesia Male Patient Compliance Risk-Taking Sexual Behavior Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - psychology Substance Abuse, Intravenous - rehabilitation Young Adult |
| title | Behavioral aspects of HIV prevention and care in Indonesia: A plea for a multi-disciplinary, theory- and evidence-based approach |
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