JMERC
Owner
Janbazan Medical and Engineering Research Center (JMERC) is the owner of IJWPH.
0.4
Cite Score
SJR: 0.114 / SNIP: 0.090
Volume 16, Issue 4 (2024)
Iran J War Public Health 2024, 16(4): 341-346 |
Back to browse issues page
Article Type:
Subject:
Ethics code: 116/UN29.20.1/ETIK/2024
History
Received: 2024/10/27 | Accepted: 2024/11/29 | Published: 2024/12/5
Received: 2024/10/27 | Accepted: 2024/11/29 | Published: 2024/12/5
How to cite this article
Kusnan A, DP Sartiah, Majid R, Asriati A, Jumu L, Rahmawati R. Utilization of Voluntary Counselling and Testing Clinic in Elderly Male HIV/AIDS Patients. Iran J War Public Health 2024; 16 (4) :341-346
URL: http://ijwph.ir/article-1-1538-en.html
URL: http://ijwph.ir/article-1-1538-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rights and permissions
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
1- Department of Nursing, Faculty of Medical, Halu Oleo University, Kendari, Indonesia
2- Department of Public Health, Faculty of Public Health, Halu Oleo University, Kendari, Indonesia
3- Department of Medical Community, Faculty of Medical, Halu Oleo University, Kendari, Indonesia
4- Department of Nursing, Health Polytechnic of Ministry of Health Jayapura, Papua, Indonesia
2- Department of Public Health, Faculty of Public Health, Halu Oleo University, Kendari, Indonesia
3- Department of Medical Community, Faculty of Medical, Halu Oleo University, Kendari, Indonesia
4- Department of Nursing, Health Polytechnic of Ministry of Health Jayapura, Papua, Indonesia
Abstract (334 Views)
Aims: The increasing prevalence of HIV/AIDS in Indonesia, particularly among the male sex group (MSM), poses a significant public health challenge. A crucial approach to tackling this challenge involves offering Voluntary Counseling and Testing (VCT) services. Despite their availability, the utilization of VCT services among men who have sex with men (MSM) faces significant obstacles, such as stigma, inadequate awareness, and apprehension about receiving test outcomes. This study sought to investigate the determinants affecting the use of VCT services among MSM living with HIV/AIDS at Kendari City Hospital.
Instrument & Methods: This research utilized an observational analytic design with a cross-sectional methodology. Eighty-two respondents were chosen through a simple random sampling method from a population of 428 individuals. Data was collected using a structured and validated questionnaire encompassing knowledge, attitudes, family support, peer support, and behaviors. Data analysis involved univariate analysis, bivariate testing using the Chi-Square method, and multivariate analysis employing logistic regression.
Findings: A positive attitude (aOR=10.78; p=0.005) and positive actions (aOR=8.63; p=0.009) significantly influenced the utilization of VCT services. In the univariate analysis, family and peer support exhibited significant associations. However, the multivariate analysis did not identify these factors as significant predictors. Similarly, knowledge initially demonstrated a notable relationship but did not retain its significance after adjusting for other variables.
Conclusion: Individual attitudes and actions are the main factors influencing MSM's utilization of VCT services.
Instrument & Methods: This research utilized an observational analytic design with a cross-sectional methodology. Eighty-two respondents were chosen through a simple random sampling method from a population of 428 individuals. Data was collected using a structured and validated questionnaire encompassing knowledge, attitudes, family support, peer support, and behaviors. Data analysis involved univariate analysis, bivariate testing using the Chi-Square method, and multivariate analysis employing logistic regression.
Findings: A positive attitude (aOR=10.78; p=0.005) and positive actions (aOR=8.63; p=0.009) significantly influenced the utilization of VCT services. In the univariate analysis, family and peer support exhibited significant associations. However, the multivariate analysis did not identify these factors as significant predictors. Similarly, knowledge initially demonstrated a notable relationship but did not retain its significance after adjusting for other variables.
Conclusion: Individual attitudes and actions are the main factors influencing MSM's utilization of VCT services.
Keywords:
References
1. Sadarang RAI. Prevalence and factors affecting discrimination towards people living with HIV/AIDS in Indonesia. J Prev Med Public Health. 2022;55(2):205-12. [Link] [DOI:10.3961/jpmph.21.502]
2. Riono P, Jazant S. The current situation of the HIV/AIDS epidemic in Indonesia. AIDS Educ Prev. 2004;16(3 Suppl A):78-90. [Link] [DOI:10.1521/aeap.16.3.5.78.35531]
3. Ali A, Osman E. Factors influencing HIV voluntary counseling and testing (Vct) among pregnant women in Kassala, Eastern Sudan. J Womens Health Care. 2014;3(6):198. [Link]
4. Wardhani BDK, Grulich AE, Kawi NH, Prasetia Y, Luis H, Wirawan GBS, et al. Very high HIV prevalence and incidence among men who have sex with men and transgender women in Indonesia: A retrospective observational cohort study in Bali and Jakarta, 2017-2020. J Int AIDS Soc. 2024;27(11):e26386. [Link] [DOI:10.1002/jia2.26386]
5. Sherr L, Lopman B, Kakowa M, Dube S, Chawira G, Nyamukapa C, et al. Voluntary counselling and testing: Uptake, impact on sexual behaviour, and HIV incidence in a rural Zimbabwean cohort. AIDS. 2007;21(7):851-60. [Link] [DOI:10.1097/QAD.0b013e32805e8711]
6. Challacombe SJ. Global inequalities in HIV infection. Oral Dis. 2020;26 Suppl 1:16-21. [Link] [DOI:10.1111/odi.13386]
7. Govender RD, Hashim MJ, Khan MAB, Mustafa H, Khan G. Global epidemiology of HIV/AIDS: A resurgence in North America and Europe. J Epidemiol Glob Health. 2021;11(3):296-301. [Link] [DOI:10.2991/jegh.k.210621.001]
8. Kirichenko A, Kireev D, Lopatukhin A, Murzakova A, Lapovok I, Saleeva D, et al. Prevalence of HIV-1 drug resistance in Eastern European and Central Asian countries. PLoS One. 2022;17(1):e0257731. [Link] [DOI:10.1371/journal.pone.0257731]
9. Nevendorff L, Schroeder SE, Pedrana A, Bourne A, Stoove M. Prevalence of sexualized drug use and risk of HIV among sexually active MSM in East and South Asian countries: Systematic review and meta‐analysis. J Int AIDS Soc. 2023;26(1):e26054. [Link] [DOI:10.1002/jia2.26054]
10. Van De Laar TJW, Van Der Bij AK, Prins M, Bruisten SM, Brinkman K, Ruys TA, et al. Increase in HCV incidence among men who have sex with men in Amsterdam most likely caused by sexual transmission. J Infect Dis. 2007;196(2):230-8. [Link] [DOI:10.1086/518796]
11. Loue S. Defining men who have sex with men (MSM). In: Health issues confronting minority men who have sex with men. New York: Springer; 2008. p. 3-37. [Link] [DOI:10.1007/978-0-387-74539-8_1]
12. Beyrer C, Baral SD, Van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367-77. [Link] [DOI:10.1016/S0140-6736(12)60821-6]
13. Dinas Kesehatan Provinsi Sulawesi Tenggara. Health Profile of Southeast Sulawesi. Kendari: Dinas Kesehatan Provinsi Sulawesi Tenggara; 2021. [Indonesian] [Link]
14. Obeagu EI, Obeagu GU. Human immunodeficiency virus and tuberculosis infection: A review of prevalence of associated factors. Int J Adv Multidiscip Res. 2023;10(10):56-62. [Link]
15. Apanga PA, Akparibo R, Awoonor-Williams JK. Factors influencing uptake of voluntary counselling and testing services for HIV/AIDS in the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana: A cross-sectional household survey. J Health Popul Nutr. 2015;33:23. [Link] [DOI:10.1186/s41043-015-0035-8]
16. Epule ET, Mirielle MW, Peng C, Nguh BS, Nyagero JM, Lakati A, et al. Utilization rates and perceptions of (VCT) services in Kisii central district, Kenya. Glob J Health Sci. 2012;5(1):35-43. [Link] [DOI:10.5539/gjhs.v5n1p35]
17. Ekanem EE, Gbadegesin A. Voluntary counselling and testing (VCT) for human immunodeficiency virus: A study on acceptability by Nigerian women attending antenatal clinics. Afr J Reprod Health. 2004;8(2):91-100. [Link] [DOI:10.2307/3583183]
18. Admassu M, Fitaw Y. Factors affecting acceptance of VCT among different professional and community groups in North and South Gondar Administrative zones, north west Ethiopia. Ethiop J Health Dev. 2006;20(1):24-31. [Link] [DOI:10.4314/ejhd.v20i1.10008]
19. Mwangi R, Ngure P, Thiga M, Ngure J. Factors influencing the utilization of voluntary counselling and testing services among university students in Kenya. Glob J Health Sci. 2014;6(4):84-93. [Link] [DOI:10.5539/gjhs.v6n4p84]
20. Alem AT, Sisay MM, Alemayehu AM. Factors affecting voluntary HIV/AIDS counseling and testing service utilization among Youth in Gondar City, Northwest Ethiopia. HIV AIDS. 2020;12:667-73. [Link] [DOI:10.2147/HIV.S267494]
21. Wang Y, Li B, Zheng J, Sengupta S, Emrick CB, Cohen MS, et al. Factors related to female sex workers' willingness to utilize VCT service: A qualitative study in Jinan city, northern China. AIDS Behav. 2009;13(5):866-72. [Link] [DOI:10.1007/s10461-008-9446-5]
22. Van Dyk AC, Van Dyk PJ. "To know or not to know": Service-related barriers to voiuntary HIV counseling and testing (VCT) in South Africa. Curationis. 2003;26(1):4-10. [Link] [DOI:10.4102/curationis.v26i1.1289]
23. Shitaye A, Abseno N, Degu G, Wondmikun Y, Amsalu S. Knowledge and attitude towards voluntary counseling and testing for HIV: A community based study in northwest Ethiopia. Ethiop J Health Dev. 2004;18(2). [Link] [DOI:10.4314/ejhd.v18i2.9942]
24. Mahato PK, Bi P, Burgess T. Voluntary counseling and testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal. South East Asian J Public Health. 2013;3(1):10-6. [Link] [DOI:10.3329/seajph.v3i1.17705]
25. Ditekemena J, Matendo R, Koole O, Colebunders R, Kashamuka M, Tshefu A, et al. Male partner voluntary counselling and testing associated with the antenatal services in Kinshasa, Democratic Republic of Congo: A randomized controlled trial. Int J STD AIDS. 2011;22(3):165-70. [Link] [DOI:10.1258/ijsa.2010.010379]
26. Purwaningsih P, Misutarno M, Imamah SN. Analysis factor related to VCT utilization for the high risk person of HIV/AIDS. Nurs J. 2011;6(1):58-67. [Link] [DOI:10.20473/jn.v6i1.3966]
27. Hirut BM. Factors influencing HIV voluntary counseling and testing (VCT) service utilization among youth of Hawassa town: A health belief model approach, southern Ethiopia. J Sci Dev. 2014;2(1):49-58. [Link]
28. Ndwiga T, Omwono M. A study of factors influencing VCT service utilization among the youths: A case study of kapsabet division, Nandi County, Kenya. World J AIDS. 2014;4:281-6. [Link] [DOI:10.4236/wja.2014.43032]
29. Teklehaimanot HD, Teklehaimanot A, Yohannes M, Biratu D. Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: A cross sectional study. BMC Public Health. 2016;16:239. [Link] [DOI:10.1186/s12889-016-2918-z]
30. Ernawati E, Hairuddin K, Palallo UD. Factors that influence the use of voluntary counseling and testing (VCT) clinics by people living with HIV/AIDS in MSM group. JURNAL ILMIAH KESEHATAN SANDI HUSADA. 2024;13(2):353-9. [Link] [DOI:10.35816/jiskh.v13i2.1223]
31. Mandagi AM, Sari JDE, Prayoga D, Lailiyah S, Rahman VN, Khoirunnisa A. The role of pregnant women's perception and social support on the utilization of VCT services. J Educ Health Community Psychol. 2022;11(2):479-96. [Link] [DOI:10.12928/jehcp.v11i2.23726]
32. Perdana MV, Demartoto A, Indarto D. Effects of predisposing, enabling, and reinforcing factors on the uptake of voluntary counselling and testing among female sex workers in Grobogan, Central Java. J Health Promot Behav. 2017;2(3):242-56. [Link] [DOI:10.26911/thejhpb.2017.02.03.05]
33. Suryani AI, San Sao MM. The determinants perception of male sex with man (MSM) concerning the utilization of VCT (voluntary counselling and testing) HIV/AIDS in Dili Municipality, Timor-Leste. JURNAL ILMU KESEHATAN. 2021;9(1):22-30. [Link] [DOI:10.30650/jik.v9i1.1952]
34. Shrestha R. Determinants of voluntary HIV counseling and testing (VCT) uptake among men who have sex with men (MSM) in Nepal. Bergen: The University of Bergen; 2015. [Link]