Risky Behavior And The Precautions Of HIV / AIDS Trasnmission On Fisherman Community Of Nine Islands

The development of new cases of HIV in Indonesia increased significantly in 2013 and 2014, respectively by 29,037 and 32,711 cases. The results of the risky behavior survey (1996-2000) showed that truck drivers, sailors and fishermen and other port workers including workers which are often mobile (mobile population), are vulnerable to HIV because of their sexual behavior and the nature of their work. Sinjai District is one of the districts with a considerable population of fishermen (8,544 fishermen) in South Sulawesi. This research aims to analyze the relationship between level of knowledge with risky behavior and the precautions of HIV / AIDS transmission on fishermen in Sinjai District in 2016. Method of this research is an analytical research with cross sectional study approach. Population were the fisherman who registered in zero survey of Public Health Service of Sinjai District with 40 samples taken by simple random sampling. Data analysis uses statistical test of chi square. The research results showed that 72.5% of fishermen did not know about HIV / AIDS transmission, 75% had risky behavior, and 65% did not take the precautions of HIV / AIDS transmission. Chi square test results showed that there is no significant relationship between level of knowledge about HIV / AIDS transmission with risky behavior of fishermen (p count, 0,152 > p value 0,05). While there is a significant relationship between the level of knowledge with the precautions of HIV / AIDS transmission (p count, 0.034 < p value, 0.05).


INTRODUCTION
Human Immunodeficiency Virus or HIV is a virus that spreads through certain body fluids that attack the immune system, especially CD-4 cells or often called T cells. Risk behavior survey results (1996)(1997)(1998)(1999)(2000) show that truck drivers, sailors and fishermen and other port workers can be said to include workers who frequently move or move (mobile population) due to the nature of their work and are groups that are prone to contracting HIV because of their sexual behavior. In this group the consistency of condom use during sex with non-permanent partners was still low, averaging less than 11%. It has also been revealed that the use of condoms that is still low risks increasing the spread of HIV and AIDS to the general public, because groups of drivers, fishermen and workers at the seaport are mostly married. This situation is exacerbated by the rampant sex industry along the highways and fishing ports along the North coast of Java, Bali and Sumatra. 4 Various reports recommend that sex vendor customers including truck drivers, sailors and fishermen need to be the main target of HIV and AIDS prevention programs in several regions in Indonesia including several areas in South Sulawesi which are areas with quite a large fishing community, one of which is Sinjai district (8,544 fishermen).
The government and the community as well as various related institutions / organizations, including non-governmental organizations, have reacted in various ways and contributed to the prevention and control of HIV and AIDS. Efforts to reduce the risk of exposure to HIV can be done through behavioral change interventions. 4,5,6 There are 3 types of expected level of change, namely changes in the level of individuals, organizations and society. But in certain situations interventions cannot be done at one level only and must involve all levels of intervention. In the AIDS risk reduction model the first effort that needs to be done is labeling risk behavior. Secondary data collection is done through documentation and reports from the Health Office and demographic data from the Sembilan District Office, as well as from library study data by searching literature and similar research results. Data processing steps taken are checking the completeness of the data from the questionnaire, giving the code for each variable data that has been collected, entering data into the computer with the Statistical Program Social Science (SPSS) 21.0.0 and re-checking the data that has been entered to ensure that the data has been cleared of errors. Data analysis consisted  The results showed that 30 respondents (75%) had risk behaviors while only 10 respondents (25%) did not have risk behaviors. The most risky behavior carried out by fishermen is sex not on permanent partners (67.5%) and the lowest is the use of injecting narcotics (0% Preventive action is an effort made by fishermen not to contract HIV / AIDS in this case not doing risky behavior, especially risky sex and always using condoms for risky sex. The results showed that 26 respondents (65%) did not make prevention efforts.
There were 21 respondents (52.5%) who said they never used condoms in risky sex, only 4 respondents (10%) said they always used condoms.
Research conducted by Dadun, et.al also shows the same results, that of the 825 migrant workers, including ABK and fishermen, only 16% of respondents use condoms in sex in addition to permanent partners. The low use of condoms is related to their perception of condoms and the habit of consuming alcohol before sex. According to respondents, the decision to have sexual relations is usually under the influence of alcohol so that most sex does not use a condom. Most respondents said it was difficult to get condoms at stops, bases, terminals and ports. 4.5 From the results of the study it was found that more than half of the respondents  level, which mostly only reaches basic education. In addition, the lack of information obtained related to HIV / AIDS is caused by their work, which is mostly spent on ships.
Another factor is the limited access of fishermen in health services. NGOs and professional organizations to carry out more HIV / AIDS counseling programs with the main target of the fishing community. There needs to be an awareness in every fisherman to find out information and follow HIV / AIDS counseling.