UNUD Open Repository

UNUD Open Repository provides access and discovery to the University of Udayana publications and digital collections. It contains digitized and digital version of theses, dissertations, research reports, and articles produced by academic communities in this university.

Injecting drug use, sexual risk, HIV knowledge and harm reduction uptake in a large prison in Bali, Indonesia

dr. NI WAYAN SEPTARINI, MPH, NI WAYAN SEPTARINI (2016) Injecting drug use, sexual risk, HIV knowledge and harm reduction uptake in a large prison in Bali, Indonesia. International Journal of Prisoner Health, 12. ISSN 1744-9200

[img] Archive

Download (3MB)


Abstract Purpose – The purpose of this paper is to describe HIV-related risk behavior and knowledge of HIV among inmates of Kerobokan prison Bali, Indonesia. Design/methodology/approach – A cross-sectional survey of inmates of using a structured questionnaire and sample framework to reflect narcotic use among inmates and the prison gender mix. Findings – Among 230 inmates recruited to the study self-reported prevalence of injecting drug use was 7.4 percent (95 percent CI 4.0-10.8percent). Respondents who participated in a prison based methadone treatment program were all still injecting drugs, these made up 13/17 of the IDU. In total, 47 percent (95 percent CIs 45-55 percent) of respondents who reported injecting also reported sharing needles within the last week. Sexual intercourse while in prison was reported by 3.0 percent (95 percent CI 0.82-5.26 percent) of study respondents. One-third of non-injectors were unaware of the preventative role of condom use. This study suggests that despite harm reduction initiatives within Kerobokan prison HIV risk behavior continues and there is a considerable lack of awareness of the importance of condom use in preventing HIV. Research limitations/implications – The authors relied on self-reported risk behavior that may be subject to reporting bias. The sampling strategy may not reflect the true ratio inmates using or not using narcotics. Practical implications – The current harm reduction approach, including methadone substitution treatment should be optimized within the Indonesian prison setting. Originality/value – This is the first study reporting HIV-related risk behavior from an Indonesian prison with an established methadone substitution program.

Item Type: Article
Uncontrolled Keywords: HIV, Injecting drug use, Health in prison, Offender health, Public health, Harm reduction
Subjects: L Education > L Education (General)
Divisions: Faculty of Law, Arts and Social Sciences > School of Education
Depositing User: Mr. Repository Admin
Date Deposited: 07 Jun 2016 21:58
Last Modified: 21 Jun 2016 05:58
URI: http://erepo.unud.ac.id/id/eprint/8204

Actions (login required)

View Item View Item