RESEARCH ARTICLE


Knowledge, Attitude, and Practice Towards Sexually Transmitted Infections Among Women of Reproductive Age in an Urban Community Health Centre in Indonesia



Hariyono Winarto1, *, #
iD
, Muhammad Habiburrahman2, *, #
iD
, Fitriyadi Kusuma1
iD
, Kartiwa Hadi Nuryanto1
iD
, Tricia Dewi Anggraeni1
iD
, Tofan Widya Utami1
iD
, Andi Darma Putra1
iD
, Danny Maesadatu Syaharutsa1
iD

1 Department of Obstetrics and Gynaecology, Division of Gynaecologic Oncology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
2 Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia


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Creative Commons License
© 2023 Winarto et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia, Salemba Raya Street No. 6, Senen Subdistrict, Central Jakarta, DKI Jakarta, Indonesia; Tel: +622131930373; and Email: muhammad.habiburrahman51@ui.ac.id and Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia, Salemba Raya Street No. 6, Senen Subdistrict, Central Jakarta, DKI Jakarta, Indonesia; Telephone/Fax Number: +62 21-3914806; Email: hariyono.winarto@ui.ac.id
#These authors contributed equally to this paper


Abstract

Introduction:

Sexually transmitted infections (STIs), an emerging public health burden, are increasing due to a lack of understanding about their prevention.

Objective:

To understand the association between STI-related knowledge, attitudes, and practices (KAP) among women of reproductive age in an urban community health centre in Jakarta, Indonesia.

Material and Methods:

A cross-sectional study and consecutive sampling technique were employed on 50 women using a structured, self-administered questionnaire. All data were analysed using Spearman’s rank correlation, χ2, or Fisher’s exact test to test the hypothesis.

Results:

Encountered women had an average age of 26.80 ± 4.64 years, were married (74%), primiparous (46%), and with a high level of education (88%). The median scores for attitude and knowledge were 76.90 and 79.20, respectively, and there was a moderate correlation between these scores (ρ=0.482, p<0.001). Overall, 84% of individuals had good knowledge, and 88% of respondents had a positive attitude. Practical insight was moderate, with the rate of abstinence, using condoms, suggesting condoms, and stigmatising persons with HIV/AIDS being 54%, 32%, 2%, and 36%, respectively. Education level was a significant predictor of knowledge, and women’s attitudes toward STIs were associated with their knowledge (OR 7.80, p=0.044). There was no relationship between socio-demographic profiles and the KAP of STIs. Knowledge and attitude did not contribute significantly towards abstinence, using condoms, suggesting condoms, and HIV/AIDS-related stigmatisation due to the complexity of practice actualisation related to theories of planned behaviour.

Conclusion:

STI-related knowledge and attitude correlate well, but this study found that neither predicts STI-related practice.

Keywords: Attitude, Knowledge, Practice, Women of reproductive age, Sexually transmitted infection, Stigma, Urban community, Primary care, Community health centre, Socio-demographic characteristics.