Men who have sex with men(MSM) community had become one of the epicentrum of transmission of STIs and HIV / AIDS. The results of an integrated survey of biological behavior of MSM condom use are only less than 50%. The objective of this study is to determine the most dominant factors increasing condom use in MSM. Survey Cross sectional study on MSM with a sample of 58 people selected by snowball sampling when MSM examined the Buleleng Health Center 1. Data collection was done by interviewing a questionnaire related to: social demographic characteristics, internal, external factors, negotiation and condom use. Data were analyzed by chi square followed by logistic regression using software. The study found that several factors related to condom use in MSM namely marital status showed that the respondents were unmarried (AOR: 9.5, 96% CI 1.5-59.7). Then the perception of high MSM susceptibility was also related to condom use (AOR: 6.5, 96% CI 1.3-33.3). Subsequently the availability of condoms on site and carried by MSM (AOR: 6.8, 96% CI 1.1-45.6). Factors related to condom use in MSM in Buleleng Regency are unmarried status, condom availability and perceived susceptibility.
During the Covid-19 pandemic, many Tourism Destination Areas (DTW) were affected, one of which was a decrease in visits and a decline in the community's economy, causing many psychological problems, especially for groups of pregnant women. The handling of this problem has not been carried out by related parties. The aim is to determine the relationship between resilience and the anxiety level of pregnant women in the tourist destinations of Pemuteran Village and Pejarakan Village. The cross-sectional approach used a sample of 72 pregnant women. Sampling technique with non-probability sampling with purposive sampling. Data collection used a standardized questionnaire measuring anxiety levels Hamilton Anxiety Rating Scale (HARS), and resilience measurement using The Connor-Davidson Resilience questionnaire (CD-RISC). Univariate analysis to determine the characteristics data and demographic data, and bivariate analysis Spearman's Rank test. The results showed that most of the respondents showed an anxiety level in the mild category, 55 people (76.4%). The level of resilience of majority of respondents has a high level of resilience, namely 52 people (72.2%). There is a significant relationship between high resilience associated with decreased anxiety with a p-value of 0.001 <0.05 with a value of r = -606. The higher the resilience, the lower the anxiety level of pregnant women. Keywords: resilience; anxiety; pregnant mother; tourist destination area; the covid-19 pandemicResiliensi Dengan Tingkat Ansietas Ibu Hamil Selama Pandemi Covid-19 Di Daerah Tujuan Wisata Kabupayen BulelengABSTRAKMasa pandemi covid-19 banyak kawasan Daerah Tujuan Wisata (DTW) yang terdampak salah satunya yaitu penurunan kunjungan dan merosotnya perekonomian masyarakat sehingga banyak menimbulkan masalah psikologis terutama pada kelompok ibu hamil. Penanganan masalah ini belum dilaksanakan oleh pihak terkait. Tujuan untuk mengetahui hubungan resiliensi dengan tingkat ansietas ibu hamil pada daerah tujuan wisata Desa Pemuteran dan Desa Pejarakan. Pendekatan cross sectional menggunakan sampel sebanyak 72 ibu hamil. Teknik sampling dengan non probability sampling dengan purposive sampling. Pengumpulan data menggunakan kuesioner baku dari pengukuran tingkat cemas Harmilton Anxiety Rating Scale (HARS), data dan pengukuran resiliensi menggunakan kuesioner The Connor-Davidson Resilience (CD-RISC). Analisa univariat mengetahui data karakteristik dan data demografi, analisis bivariat uji Rank Spearman. Hasil menunjukkan sebagian besar responden menunjukkan tingkat ansietas dalam kategori ringan sebanyak 55 orang (76,4%). Tingkat resiliensi responden mayoritas memiliki tingkat resiliensi tinggi yaitu 52 orang (72,2%). Terdapat hubungan yang signifikan antara resiliensi yang tinggi berhubungan dengan penurunan kecemasan dengan nilai p 0.001 < 0.05 dengan nilai r = -606. Semakin tinggi resiliensi maka semakin rendah tingkat ansietas ibu hamil.Kata Kunci : resiliensi; ansietas; ibu hamil; daerah tujuan wisata; pandemi covid-19
Latar Belakang: Salah satu kelompok rentan yang merasakan dampak COVID-19 ini adalah kelompok ibu hamil. Ibu hamil mengalami berbagai perubahan, baik fisik, psikologis, dan sosial, sehingga lebih berisiko mengalami ansietas. Dalam mengelola ansietas, ibu hamil dapat melakukan teknik relaksasi Progesive Muscle Relaxation (PMR). Latihan tersebut diperlukan karena 6 dari 8 orang ibu hamil di Posyandu di Banjar Taman Sari, Desa Menyali mengalami ansietas pada tingkat sedang. Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk: 1) Meningkatkan pengetahuan ibu hamil tentang ansietas; 2) Meningkatkan kemampuan ibu hamil dalam melakukan latihan relaksasi PMR dalam mengelola ansietas; dan 3) Menurunkan tingkat ansietas yang dialami oleh ibu hamil selama pandemi COVID-19. Metode: Pelaksanaan kegiatan pengabdian kepada masyarakat yang dilakukan adalah pendampingan ibu hamil dalam melakukan latihan PMR. Kegiatan ini dilaksanakan dalam tiga (3) tahap, yaitu: 1) Penyuluhan tentang ansietas, 2) Demonstrasi dan Latihan terbimbing PMR, 3) Pengukuran ansietas (post-test). Hasil: Pengetahuan ibu hamil tentang ansietas telah meningkat. Selain itu, ibu hamil dapat mempraktikkan teknik relaksasi PMR secara runtut meskipun membutuhkan pendampingan. Tingkat ansietas ibu hamil (post-test) didapatkan mayoritas ibu hamil tidak mengalami ansietas (83,33%). Kesimpulan: Ibu hamil dapat melaksanakan latihan PMR secara mandiri dan rutin dalam rangka menurunkan tingkat ansietas yang dirasakan
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