Path Analysis on the Factors Associated With Mobile VCT of HIV Service Uptake among Men Who Have Sex with Men in Surakarta, Central Java

Nadia Ayu Irma Nindiyastuti1), Hanung Prasetya2), Bhisma Murti1)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)School of Health Polytechnics, Ministry of Health Surakarta



Background: Men who have sex with men (MSM) are the most vulnerable risk group for HIV infection. This study aimed to examine factors associated with mobile vo­lun­tary and counselling test (VCT) of HIV service uptake among MSM in Surakarta using the Theory of Planned Beha­vior (TPB) and path analysis model.

Subjects and Method: A cross sectional study was conducted in Surakarta, Central Java, from October to November 2018. A sample of 200 MSM was selected by fixed di­sease sampling, including 50 MSM who used mobile VCT service and 150 MSM who did not use mobile VCT service. The dependent variable was mobile VCT use. The in­dependent variables were intention, attitude, cues to action, perceived benefit, per­cei­ved barrier, and perceived susceptibility. The data were collected by questionnaire and ana­lyzed by path analysis

Results: Mobile VCT of HIV service uptake was positively and directly associated with strong intention (b= 1.81; 95% CI= 0.91 to 2.72; p<0.001), positive attitude (b= 1.84; 95% CI= 0.78 to 2.90; p= 0.001), self-efficacy (b= 2.17; 95% CI= 1.22 to 3.12; p<0.001), and peer support (b= 1.31; 95% CI= 0.43 to 2.18; p= 0.003). It was indirectly associated with peer support through intention, attitude, and self-efficacy.

Conclusion: Mobile VCT service uptake is positively and directly associated with strong in­ten­tion, positive attitude, self-efficacy, and peer support. It is indirectly asso­ciated with peer sup­port through intention, attitude, and self-efficacy.

Keywords: mobile VCT service uptake, Theory of Planned Behavior

CorrespondenceNadia Ayu Irma Nindiyastuti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: Mobile: 081252097440.


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