Biopsychosocial Determinants of Pregnant Women’s Behavior in Conducting Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (Hiv/Aids) Tests in Madiun

Wida Rahma Arwiyantasari, Supriyadi Hari Respati, Eti Poncorini Pamungkasari

Muhammadiyah Midwifery Academy, Madiun
Department of Obstetrics and Gynecology, RSUD Dr. Moewardi, Surakarta
Faculty of Medicine, Sebelas Maret University


Background: Human Immunodeficiency Virus (HIV) is top ranked infectious disease which causes death with high mortality and morbidity rates, and requires diagnosis and long-term therapy (WHO, 2013). In October 2016, Health Office of Madiun City stated that in 2015, there were 2,772 pregnant women, among those only 1,120 conducted HIV-AIDS tests and 4 of them declared HIV positive. These numbers indicated that the participations of pregnant women in conducting HIV-AIDS tests are not optimal. This study aimed to discover biopsychosocial determinants in conducting HIV-AIDS tests on pregnant women in Madiun.

Subjects and Method:
This was an analytic observational study with case control design. A total of 108 samples of pregnant women in Madiun which consisted of 54 pregnant women who conducted HIV/AIDS tests as cases, and 54 pregnant women who did not conduct HIV/ AIDS tests as controls were collected by using fixed disease sampling. The device to gather the data was a set of questionnaire. Data analysis used Chi Square and path analysis.

Results: There were positive influence of family support (b= 1.57; 95% CI= 0.52 to 2.63; p= 0.004), information exposure (b= 1.14; 95% CI= 0.33 to 1.95; p= 0.006), perceived seriousness (b= 1.21; 95% CI= 0.14 to 2.28; p= 0.027), perceived vulnerability b= 1.12; 95% CI= 0.12 to 2.13; p= 0.028), perceived benefit (b= 1.28; 95% CI= 0.23 to 2.31; p= 0.017) on pregnant women‘s behavior in conducting HIV/ AIDS tests, and statistically significant. There were negative influence of family income (b= -0.73; 95% CI= -1.51 to 0.05; p= 0.067), perceived obstacles (b= -0.92; 95% CI= -1.99 to 0.15; p= 0.093) and statistically significant.

Conclusion: Family support, information exposure, family income, perceived seriousness, perceived vulnerability, perceived obstacles, and perceived benefit influence pregnant women in conducting HIV/ AIDS tests.

Keywords: determinants, bipsychosocial, HIV/ AIDS test

Correspondence: Wida Rahma Arwiyantasari. Muhammadiyah Midwifery Academy Madiun. Email: Mobile: +6285736709597.


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