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Culture, local construct of masculinity and HIV-risk practices among young male IDU in a slum area in Makassar, Indonesia
Bibliografi
Author:
Nasir, Sudirman
Topik:
HIV RISK
;
Injecting Drug Users
;
IDU
Bahasa:
(EN )
Tahun Terbit:
0
Jenis:
Others (lainnya)
Fulltext:
nasir_culture_hiv_risk_makassar.pdf
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Abstract
This study explored the social context of HIV-risk practices among young male injecting drug users (IDU) in a slum area, commonly named lorong, in the city of Makassar, South Sulawesi, Indonesia. HIV-risk practices are defined as risky injecting practices such as the sharing of needles and other injecting equipment and unsafe sexual practices i.e. having multiple sexual partners and low level of condoms use. Employing qualitative approach, in-depth interviews were conducted with 21 young men (aged between 15 to 29 years) who were recruited in several hanging out spots in the lorong as well as participant observation aimed to document the lived experience of young men in this locale. The interviews and participant observation revealed the crucial role of socioeconomic
deprivation in the lorong and the intersection of Siri’ (a local concept of dignity and esteem) and Rewa (a local construct of masculinity) as well as participation in gangs in stimulating young men in this area to be engaged in HIV-risk practices. These intersections push many members of the lorong to be involved in risky drug use and drug injecting practices as well as unsafe sexual practices that render them vulnerable to HIV infection. Furthermore, risky drug use and unsafe sexual activities that potentially leads to HIV infection is not an isolated behaviour and must be understood in the social context of the lorong. I argue that to be more effective, the individualization of risk that characterize the existing harm reduction programs in Makassar need to be complemented with wider community based programs that address socio-economic deprivation in the
lorong. Additionally, harm reduction programs in the lorong should be cognizant to the cultural and structural constraints hindering young men in this locality to apply safer drug injecting practices and safer sexual practices.
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