Sexual Behavior and Rights in Indonesian Prisons: A Qualitative Study Based on the Theory of Planned Behavior
Abstract
ntroduction: This study aimed to explore the policies and institutional factors influencing the fulfillment of prisoners’ sexual needs in Indonesia, particularly within the context of correctional health. With overcrowding in Indonesian prisons reaching as high as 370%, such as in the Class IIA Jember Penitentiary, and the lack of clear regulations addressing sexual rights, the objective was to examine behavioral drivers and systemic gaps using the Theory of Planned Behavior (TPB) framework to address unmet needs and prevent deviant sexual behavior. The TPB guided a deductive thematic analysis. Attitudes were operationalized as participants’ beliefs about outcomes, subjective norms as perceived social approval or pressure, and perceived behavioral control as perceived capacity/resources to enact or resist sexual behavior.
Methods: This exploratory qualitative study was conducted at the Class IIA Jember Correctional Facility in 2022. A total of 15 informants were recruited using a snowball sampling technique, including the Head of the Correctional Facility, prison officers, health workers, and inmates. Data were collected through semi-structured interviews and analyzed thematically with deductive approach. Transcripts underwent verbatim transcription, TPB-focused line-by-line coding, coding matrices, and credibility checks (independent double-coding and member validation).Ethical approval was obtained from 173/KEPK/FKM-UNEJ/IV/2022 and both verbal and written informed consent were secured from all participants.
Results: The primary findings indicated that subjective norms and perceived behavioral control significantly influenced prisoners' intentions to engage in risky sexual behavior. Contributing factors included ambiguous regulations on sexual health education and inmate guidance, the suboptimal implementation of assimilation and reintegration policies, and the absence of a formal conjugal visit program. These regulatory shortcomings may increase the risk of sexually transmitted disease transmission within the prison environment.
Conclusion: This study contributes to the understanding of sexual health policy implementation within Indonesian correctional institutions by identifying key regulatory and systemic deficiencies. It offers critical insights into how institutional support, or its absence, influences inmates’ health-related behaviors. Future research should focus on developing and implementing policies that safeguard prisoners’ sexual health rights, thereby advancing knowledge in the fields of correctional health and human rights.
References
Pareke J. Reformulasi Penyediaan Ruang Asmara Sebagai Upaya Pemenuhan Kebutuhan Seksual Hak-Hak Narapidana di Lembaga Permasyarakatan (Suatu Wacana Pengaturan). IMR. 2019 Aug 20;4(1):41.
Maryani D, Fernando ZJ, Yusuf Akbar M. Psychological Study on the Sexual Needs of Prisoners. In: Meliala AJ, Azaria DP, Lydia J, Maratovich AA, Brown C, Cason C, editors. Proceedings of the International Conference on Law Studies (INCOLS 2022) [Internet]. Paris: Atlantis Press SARL; 2023 [cited 2024 Jun 3]. p. 105–14. Available from: https://www.atlantis-press.com/doi/10.2991/978-2-494069-23-7_10
Gross S, Stickle B. Policies on Consensual Sexual Activity in State Prisons. Criminal Justice Policy Review. 2021 Jun;32(5):546–61.
Kajawo SCR. Conjugal Visits in Prisons Discourse: The Prisoners’ Voice in Malawi. ijpb. 2021 Dec 24;7(1):3–19.
Firman CA, Ravena D, Priyatno D, Emaliawati E, Mulyana A. Sexual Needs of Indonesian Prisoners in The Aim of Punishment Perspective. MIMBAR, Jurnal Sosial dan Pembangunan. 2022 Jun 25;171–9.
Mahendra AI. Analisis Pemenuhan Kebutuhan Seksual Narapidana di Lapas X. USTITIA: Jurnal Ilmu Hukum dan Humaniora. 2020;7(3):14.
Ajzen I. The Theory of Planned Behavior. Academic Press; 1991.
Kemur SGC, Tendean L, Rattu AJM. Analisis Perilaku Pemenuhan Kebutuhan Seksual Penghuni di Lembaga Pemasyarakatan Perempuan Manado. Jurnal KESMAS. 2019;8(3).
Fichten CS, Heiman T, Jorgensen M, Nguyen MN, Havel A, King L, et al. Theory of Planned Behavior Predicts Graduation Intentions of Canadian and Israeli Postsecondary Students with and without Learning Disabilities/Attention Deficit Hyperactivity Disorder. IJHE. 2016 Jan 12;5(1):p208.
Scchippers EE. How does sexual deviance develop? [Internet]. maastricht university; 2024 [cited 2025 Apr 22]. Available from: https://cris.maastrichtuniversity.nl/en/publications/2e171f6a-cdea-4a02-8bf9-be813e06ceda
Crowe S, Cresswell K, Ann R. The case study approach. BMC Medical Research Methodology [Internet]. 2011;11(100). Available from: http://www.biomedcentral.com/1471-2288/11/100
Howitt D. Introduction to Qualitative Methods in Psychology. Pearson Education Limiter. 2010;
Suryono E, Chariri A. Sikap, Norma Subjektif, dan Intensi Pegawai Negeri Sipil untuk Mengadukan Pelanggaran (Whistle-Blowing). JAKI. 2016;13(1):102–16.
Luthviatin N, Rokhmah D, Septyanarindri S. Hubungan Antara Sikap Remaja dan Peran Guru Bimbingan Konseling dengan Upaya Tindakan Preventif HIV/AIDS pada Remaja. 2012;
Kusumasari. Lingkungan Sosial dalam Perkembangan Psikologis Anak. Jurnal Ilmu Komunikasi. 2015;
Mcleod S. Maslow’s Hierarchy of Needs [Internet]. Simply Psychology; 2007 [cited 2025 Apr 22]. Available from: https://zenodo.org/doi/10.5281/zenodo.15240896
Surtiretna N. Remaja dan Problema Seks : Tinjauan Islam dan Medis. Bandung: Remaja Rosdakarya; 2006.
Berkowitz L. Frustration-aggression hypothesis: Examination and reformulation. Germany: Psychological Bulletin; 1989.
Lazarus RS, Folkman S. Stress, Appraisal, and Coping. Springer Publishing Company; 1984.
McLennan S, Meyer L, Wangmo T, Gaab J, Elger B, Seaward H. Psychological stressors of imprisonment and coping of older incarcerated persons: a qualitative interview study. BMC Public Health. 2025 Jan 27;25(1):328.
Abdullah F, Rahman NAA, Muhammad NA, Zainuddin NA, Samsudin S. Association between social-cognitive factors and intention towards sexual activity among school-going late adolescents in Kuantan, Malaysia. International Journal of Adolescence and Youth. 2020 Dec 31;25(1):1000–8.
Ibrahim AI. Deviant Sexual Behavior in Men’s Prisons. Crime & Delinquency. 1974 Jan;20(1):38–44.
Setiowati TA, Pamungkasari EP, Faculty of Medicine, Universitas Sebelas Maret, Prasetya H, School of Health Polytechnics Surakarta. Application of Theory of Planned Behavior on Sexual Behavior in Female Adolescents. J HEALTH PROMOT BEHAV. 2019;4(2):126–36.
Bandura A. Self-efficacy: The exercise of control. W H Freeman/Times Books/ Henry Holt & Co.; 1977.
Spears R. Social Influence and Group Identity. Annu Rev Psychol. 2021 Jan 4;72(1):367–90.
Zanden JWV. Sociology: The Core. 4th ed. McGraw-Hill; 1996. 492 p.
Fleisher MS, Krienert JL. The Culture of Prison Sexual Violence: (574832006-001) [Internet]. 2006 [cited 2024 Jun 5]. Available from: https://doi.apa.org/doi/10.1037/e574832006-001
Ajzen I. The Theory of Planned Behavior. 2nd ed. Vol. 50. Organizational behavior and human decision processes; 1991. 179–211 p.
Ratifa D, Suhartini T, Supriyadi B. The Relationship Between Fulfillment of Sexual Needs With Sexual Behavior Deviation to Male Prisoners at Second Class Prison on Bondowoso. HTechJ. 2023 Aug 5;1(4):342–9.
Schuman-Olivier Z, Trombka M, Lovas DA, Brewer JA, Vago DR, Gawande R, et al. Mindfulness and Behavior Change. Harv Rev Psychiatry. 2020 Nov;28(6):371–94.
Sukmawati B, Istiningtyas A, Rizqiea NS. Hubungan Hasrat Seksual Terhadap Stres Narapidana di Rumah Tahanan Kelas I Surakarta. UNDERGRADUATE NURSING STUDY PROGRAM AND NERS PROFESSION FACULTY OF HEALTH SCIENCE UNIVERSITY OF KUSUMA HUSADA SURAKARTA. 2020;
Umar F, Musyahid A. Masturbasi Sebagai Pemenuhan Kebutuhan Seksual Janda Perspektif Hukum Islam. Shautuna: Jurnal Ilmiah Mahasiswa Perbandingan Mazhab. 2020;1(1).
Indonesia R. Undang-Undang Nomor No.36 Tahun 2009 tentang Kesehatan.
Satria HD, Musthofa SB, Adi MS. Health Promotion Strategies in Correctional Institution to Achieve Sustainable Development Goals (SDGs’). JPK. 2024 Jan 26;12(SI 1):57–64.
Indonesia R. Permenkes Nomor 33 Tahun 2015.
Indonesia R. Permenkumham Nomor 8 Tahun 2024.
Valentiner DS. The Human Right to Sexual Autonomy. German Law Journal. 2021 Aug;22(5):703–17.
Einat T, Rabinovitz S. A Warm Touch in a Cold Cell: Inmates’ Views on Conjugal Visits in a Maximum-Security Women’s Prison in Israel. Int J Offender Ther Comp Criminol. 2013 Dec;57(12):1522–45.
Azis MA, Putri RAK, Rahman N. KEPING PUZZLE YANG HILANG: MENELAAH HAK YANG SIRNA TERHADAP NARAPIDANA. Jurnal Hukum & Pembangunan. 2022;52(3):7.
Singh D. The Causes of Police Corruption and Working towards Prevention in Conflict-Stricken States. Laws. 2022 Aug 30;11(5):69.
Firman CA, Ravena D, Priyatno D, Emaliawati, Mulyana A. Sexual Needs Of Indonesian Prisoners In The Aim Of Punishment Perspective. MIMBAR : Jurnal Sosial dan Pembangunan [Internet]. 2022 Jun 25 [cited 2025 Aug 20];38(1):171–9. Available from: https://ejournal.unisba.ac.id/index.php/mimbar/article/view/9327
Terry AN. Sexual Behavior in Prison Populations Understood Through the Framework of Rational Choice and Exchange Theory. Inquiries Journal [Internet]. 2016 [cited 2025 Aug 20];8(01). Available from: http://www.inquiriesjournal.com/articles/1328/sexual-behavior-in-prison-populations-understood-through-the-framework-of-rational-choice-and-exchange-theory
Claire M. Renzetti, Jeffrey L. Edleson, Raquel K. Bergen. Sourcebook on Violence Against Women, 3rd Edition [Internet]. Thousand Oaks, California, USA: SAGE Publications, Inc; 2018 [cited 2025 Aug 26]. Available from: https://in.sagepub.com/sites/default/files/upm-assets/81657_book_item_81657.pdf
Vladu A, Kalebic N, Audley J, Stevens A, Taylor PJ, Pamela Taylor. Benefits and risks of conjugal visits in prison: A systematic literature review. Criminal Behaviour and Mental Health [Internet]. 2021 [cited 2025 Aug 26];31(5):343–61. Available from: https://orca.cardiff.ac.uk/id/eprint/144858/1/Stevens_Benefits%20and%20risks%20of%20conjugal%20visits%20in%20prison.pdf
Gunst A, Ryömä I, Andersson M, Laine M, Jern P. Sexual Behaviors and Desires of Inmates in a Finnish Prison: A Survey Study With Population-Based Comparisons. Prison J [Internet]. 2023 Jan 1 [cited 2025 Aug 26];103(1):91–121. Available from: https://journals.sagepub.com/doi/abs/10.1177/00328855221139867
Bryan A, Ruiz MS, O’Neill D. HIV-Related Behaviors among Prison Inmates: A Theory of Planned Behavior Analysis. J Appl Soc Psychol [Internet]. 2003 [cited 2025 Aug 26];33(12):2565–86. Available from: https://www.researchgate.net/publication/247678046_HIV-Related_Behaviors_among_Prison_Inmates_A_Theory_of_Planned_Behavior_Analysis
Forste R, Clarke L, Bahr S. Staying out of trouble: intentions of young male offenders. Int J Offender Ther Comp Criminol [Internet]. 2011 May [cited 2025 Aug 26];55(3):430–44. Available from: https://pubmed.ncbi.nlm.nih.gov/20110427/
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