Sexual transactions as a means of acquiring drugs among inmates in Papua, Indonesia

Authors

  • Mona Safitri Fatiah Universitas Cenderawasih
  • Yane Tambing Universitas Cenderawasih
  • Apriyana Irjayanti Universtas Cenderawasih
  • Sarni Rante Allo Bela Universitas Cenderawasih
  • Maxsi Irmanto Universitas Cenderawasih
  • Genoveva C C Mollet Universitas Cenderawasih
  • Evelyn Gyan Sirait Universitas Cenderawasih

DOI:

https://doi.org/10.12928/jcp.v7i2.13827

Keywords:

Drug Abuse, Juvenile Inmates, Sexual transaction, Papua Province

Abstract

Transactional sex has been recognized as a significant element hindering the reduction of drug usage in Papua, Indonesia. The national objective for drug usage reduction was established at 1.67% for 2024; nevertheless, this target remains unfulfilled. This research investigated the correlation between transactional sex and substance abuse among female and adolescent prisoners in Papua Province. A case-control approach was utilized, employing primary data gathered from May to September 2023 at the Special Correctional Institution for Juveniles (LPKA) and the Women’s Correctional Institution (LPP) in Papua. The research population consisted of 85 offenders incarcerated from 2021 to 2023. A total of 26 cases (drug users) and 59 controls (non-users) were included using total sampling, in a 1:2 ratio. Data were gathered using a modified version of the Rapid Survey Questionnaire on Injecting Drug User Behavior (SCP Penasun). Analysis was conducted using STATA version 14, employing multivariate logistic regression to identify related factors. In all, 30.6% of participants were identified as drug users according to case-control selection, rather than as an estimation of population-level prevalence. Inmates who indicated participation in transactional sex exhibited increased odds of drug acquisition (adjusted OR: 1.59; 95% CI: 0.46–5.39) after controlling for work status, past-year drug usage, and duration of use. The findings suggest a possible trend of heightened drug acquisition among inmates engaged in transactional sex, although the correlation remains ambiguous. Consequently, integrated therapies targeting both substance use and sexual risk behaviors are crucial in custodial environments.

References

NIH. Drug Use and Addiction: MedlinePlus [Internet]. MedlinePlus. 2023 [cited 2024 May 9]. Available from: https://medlineplus.gov/druguseandaddiction.html

UNODC. Executive Summary World Drug Report 2023 [Internet]. Vienna; 2023 [cited 2024 May 9]. Available from: https://www.unodc.org/res/WDR-2023/WDR23_Exsum_fin_SP.pdf

Kanato M, Sarasiri R, Leyatikul P. ASEAN Drug Monitoring Report 2022 [Internet]. AEAN-NARCO. Bangkok: ASEAN-NARCO; 2023 [cited 2024 May 9]. Available from: https://asean.org/wp-content/uploads/2023/11/Drug-Monitoring-Report-2022.pdf

SAMSHA. Addiction in Indonesia: Facts, Risks, and Treatment [Internet]. SAMSHA. 2023 [cited 2024 May 9]. Available from: https://www.addictioncenter.com/addiction/addiction-in-indonesia/

Pusdatin BNN. Indonesia Drugs Report in Paper Knowledge toward a Media History of Documents. 2022 [cited 2023 Aug 19]; Available from: https://puslitdatin.bnn.go.id/konten/unggahan/2022/07/IDR-2022.pdf

Hasin D. The Epidemiology of Cannabis Use and Cannabis Use Disorder. Marijuana Madness. 2023;31–42. https://doi.org/10.1017/9781108943246.005

UNODC. UNODC World Drug Report 2022 highlights trends on cannabis post-legalization, environmental impacts of illicit drugs, and drug use among women and youth [Internet]. UNODC. 2023 [cited 2024 May 9]. Available from: https://www.unodc.org/unodc/frontpage/2022/June/unodc-world-drug-report-2022-highlights-trends-on-cannabis-post-legalization--environmental-impacts-of-illicit-drugs--and-drug-use-among-women-and-youth.html

DEA. A DEA Resources for Parents, Education & Caregivers, Why Do Teens Use Drugs? - Google Search [Internet]. 2023 [cited 2025 Aug 27]. Available from: https://www.getsmartaboutdrugs.gov/family/why-do-teens-use-drugs

Pusdatin BNN. Indonesia Drugs Report [Internet]. Pap. Knowl. Media Hist. Doc. Jakarta: BNN; 2022 p. 40–51. Available from: https://puslitdatin.bnn.go.id/konten/unggahan/2022/07/IDR-2022.pdf

Peter AA, Joseph A, History M. Factors Influencing Substance Abuse among Patients Admitted to the two Federal Neuro-Psychiatric Hospitals in the South-West of Nigeria. Afr J Health [Internet]. 2021 [cited 2024 May 9];4. https://doi.org/10.52589/AJHNM-IEQS9BNG

Jeffries S, Jefferson AM. Gender, Criminalization, Imprisonment and Human Rights in Southeast Asia - Google Search [Internet]. Emerald Publishing Limited; 2022 [cited 2025 Aug 27]. https://doi.org/10.1108/9781801172868

Alvarez MC. Women, incarceration and drug policies in South East Asia: Promoting humane and effective responses - A policy guide for the Philippines [Internet]. IDPC. 2018 [cited 2025 Aug 27]. Available from: https://idpc.net/publications/2018/10/women-incarceration-and-drug-policies-in-south-east-asia-promoting-humane-and-effective-responses-a-policy-guide-for-the-philippines

BNN-Provinsi Papua. Data Penyalahgunaan Narkotika di Kota Jayapura 2021-2022, Provinsi Papua. Kota Jayapura [Internet]. 2023. [cited 2024 May 9]. Available from: https://papua.bnn.go.id/

Sinaga M. Kejahatan Transnasional melalui Perdagangan Barter Narkoba di Kawasan Perbatasan RI-Papua New Guinea. Masy Indones. 2020;45:61–75. https://doi.org/10.14203/jmi.v45i1.841

Sitorus RJ. Risky Sexual Behavior of Narcotic Users. J Kesehat Masy Nas [Internet]. 2019 [cited 2024 May 9]; Available from: https://journal.fkm.ui.ac.id/kesmas/article/download/748/805

Matheson C, Bon L, Bowman L, Hannah A, Macleod K. Vulnerability, Risk and Harm for People Who Use Drugs and Are Engaged in Transactional Sex: Learning for Service Delivery. Int J Environ Res Public Health [Internet]. 2022 [cited 2024 May 9];19. https://doi.org/10.3390/ijerph19031840

Ditmore MH. When sex work and drug use overlap Considerations for advocacy and practice [Internet]. UK: Harm Reduction International; 2013. Available from: https://www.hri.global/files/2014/08/06/Sex_work_report_ƒ4_WEB.pdf

Ministry of Health. Integrated Biological and Behavioral Survey (IBBS) 2018-2019 [Internet]. Kementeri. Kesehat. Repub. Indones. Jakarta: Kementerian Kesehatan; 2020. Available from: https://hivaids-pimsindonesia.or.id/download/file/2018-2019_IBBS_Report_Supplement_eng.pdf

Pal K. Drug Abuse [Internet]. India: Indira Gandhi National Open University; 2019 [cited 2024 Feb 12]. Available from: https://www.researchgate.net/publication/335340625_DRUG_ABUSE

Moradinazar M, Najafi F, Jalilian F, Pasdar Y, Hamzeh B, Shakiba E, et al. Prevalence of drug use, alcohol consumption, cigarette smoking and measure of socioeconomic-related inequalities of drug use among Iranian people: findings from a national survey. Subst Abuse Treat Prev Policy [Internet]. 2020 [cited 2024 May 9];15. https://doi.org/10.1186/s13011-020-00279-1

Olanrewaju JA, Hamzat EO, Enya JI, Udekwu MO, Osuoya Q, Bamidele R, et al. An assessment of drug and substance abuse prevalence: a cross-sectional study among undergraduates in selected southwestern universities in Nigeria. J Int Med Res [Internet]. 2022 [cited 2024 May 9];50. https://doi.org/10.1177/03000605221130039

Fentaw KD, Fenta SM, Biresaw HB. Prevalence and Associated Factors of Substance Use Male Population in East African Countries: A Multilevel Analysis of Recent Demographic and Health Surveys From 2015 to 2019. Subst Abuse Res Treat [Internet]. 2022 [cited 2024 May 9];16. https://doi.org/10.1177/11782218221101011

Fatiah MS, Tambing Y, Irjayanti A, Irab SP, Tompul RB, Matui A, et al. Sharing dan Penyuluhan tentang Bahaya Narkoba di Lembaga Pemasyarakatan Khusus Anak (LPKA) Provinsi Papua. -Com Indones Community J [Internet]. 2024; https://doi.org/10.33379/icom.v4i1.4007

Ho W. For “Them”, Not Us: A Qualitative Study Of Asian American Pacific Islander Perceptions Of Substance Use And Harm Reduction. 2023; Available from: https://elischolar.library.yale.edu/cgi/viewcontent.cgi?article=2260&context=ysphtdl

Adams ZW, Dellucci TV, Agley J, Bixler K, Sullivan M, Hinckley JD, et al. Estimated Prevalence of Substance Use Disorders Among US Adolescents and Emerging Adults by Substance Class, Severity, and Age, 2022. JAACAP Open [Internet]. 2025 [cited 2025 Aug 27]; https://doi.org/10.1016/j.jaacop.2025.01.002

Mukherjee T, Terlikbayeva A, El-Bassel N. Association of gender-based violence with sexual and drug-related HIV risk among female sex workers who - Google Search [Internet]. 2023 [cited 2025 Aug 27]. https://doi.org/10.1177/09564624231170902

Beattie TS, Adhiambo W, Kabuti R, Beksinska A, Ngurukiri P, Babu H, et al. The epidemiology of HIV infection among female sex workers in Nairobi, Kenya: A structural determinants and life-course perspective. PLOS Glob Public Health [Internet]. 2024 [cited 2025 Aug 27];4. https://doi.org/10.1371/journal.pgph.0001529

Rhodes T. The ‘risk environment’: a framework for understanding and reducing drug-related harm - ScienceDirect. 3 [Internet]. 2002 [cited 2025 Aug 27];12. https://doi.org/10.1016/S0955-3959(02)00007-5

Kågesten A, Chandra-Mouli V. Gender-transformative programmes: implications for research and action. The Lancet [Internet]. 2020 [cited 2025 Aug 27];159–160. Available from: https://doi.org/10.1016/S2214-109X(19)30528-5

Gharaei HA, Fararouei M, Mirzazadeh A, Sharifnia G, Rohani-Rasaf M, Bastam D, et al. The global and regional prevalence of hepatitis C and B co-infections among prisoners living with HIV: a systematic review and meta-analysis - Google Search. Infect Dis Poverty [Internet]. 2021 [cited August 27, 2025]; https://doi.org/10.1186/s40249-021-00876-7

Lu W, Lopez-Castro T, Vu T. Population-based examination of substance use disorders and treatment use among US young adults in the National Survey on Drug Use and Health, 2011–2019. Drug Alcohol Depend Rep [Internet]. 2023 [cited 2024 May 9]; https://doi.org/10.1016/j.dadr.2023.100181/

Heimer R, Black AC, Lin H, Grau LE, Fiellin DA, Howell BA, et al. Receipt of opioid use disorder treatments prior to fatal overdoses and comparison to no treatment in Connecticut, 2016–17. Drug Alcohol Depend [Internet]. 2024 [cited 2025 Aug 27];254. https://doi.org/10.1016/j.drugalcdep.2023.111040

Leadbeater B, Ames ME, Contreras A. Male-Dominated Occupations and Substance Use Disorders in Young Adulthood. Am J Mens Health [Internet]. 2020 [cited 2024 May 9];14. https://doi.org/10.1177/1557988320908105

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2025-08-28

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