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" Social risk networks and HIV/AIDS among fishing boat crews in Benoa Port, Bali "
I. Made Setiawan
J. Levy
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Latin Dissertation
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English
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| Record Number
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54560
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| Doc. No
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TL24514
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| Call number
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3316560
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| Main Entry
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I. Made Setiawan
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| Title & Author
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Social risk networks and HIV/AIDS among fishing boat crews in Benoa Port, Bali\ I. Made Setiawan
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| College
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University of Illinois at Chicago, Health Sciences Center
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| Date
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2008
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Ph.D.
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2008
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| Page No
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416
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| Abstract
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Since the late 1990s, the Indonesian government acknowledged that the national HIV/AIDS epidemic had escalated from a "low-level" to a "concentrated" epidemic. National adult prevalence was reported as 0.1% for 2001, while the 2007 estimate for Bali province is 0.2%. Indonesia is the world's largest archipelago, with approximately 17,500 islands and 755 fishing ports. Benoa Port in Bali is one of Indonesia's major fishing ports with at least 800 fishing boats. A social network approach was used to investigate STD- and HIV/AIDS-related risk among fishermen at this port. The intent was to determine if social networks among the fishermen correlate with the types of risk-taking practices, and/or with their level of HIV/AIDS/STD knowledge and attitudes. Twenty-nine fishermen participated in a formal semi-structured interview, including almost every crewmember of three small fishing boats. The participants ranged in age from 19 to 44 years old, and all were migrant workers from Java. Participant observations were also conducted among sex-buying fishermen. Findings show that social isolation among Benoa Port fishermen leads to formation of new cliques, as well as strengthening of existing cliques, among fishermen, other port people, and prostitutes at nearby brothels. Most of the sample of fisherman had used sex workers, and almost all of those respondents had acquired an STD at some point in life. Fishermen define their illnesses as "natural" or "self-inflicted." The major self-inflicted illness known to all fishermen is genital disease commonly known as sifilis. Sex-buying fishermen argue that pleasure and fun is a priority while their risk of getting infected with HIV is negligible, compared to the occupational risks they face at sea. Sharing information about brothels, prostitutes, penile implant methods, stamina-prolonging ointments, and penile enlargement injections are common discussion themes on land and at sea. Many Benoa-based fishermen have visited foreign fishing ports including Thailand and South Africa, using local sex workers there. Condoms are rarely if ever used. Fishermen at Benoa are similarly vulnerable to HIV infection as other mobile populations, particularly males engaged in circular migration, including the potential to contract and bring HIV back to their hometowns.
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| Subject
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Health and environmental sciences; Social sciences; AIDS; Fishermen; Indonesia; Migration; Cultural anthropology; Public health; Sociology; Human immunodeficiency virus--HIV; Acquired immune deficiency syndrome--AIDS; Fishing; Society; 0326:Cultural anthropology; 0573:Public health; 0626:Sociology
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J. Levy
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University of Illinois at Chicago, Health Sciences Center
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