The Effect of Self Efficacy on Voluntary Counseling and Testing of Hiv in Homosexual: A Meta-Analysis

Yuli Astuti1), Yulia Lanti Retno Dewi2), Bhisma Murti1)


1)Masters Progam in Public Health, Universitas Sebelas Maret

2)Department of Nutrition, Faculty of Medicine, Universitas Sebelas Maret



Background: HIV-related stigma has been noted as a significant barrier to test acceptance in many contexts. Previous studies identified an individual’s confidence in their ability to cope with HIV infection, including the social consequence of potential stigma as important to the testing decision. HIV coping self-efficacy may increase opportunities to address the impact of HIV-related stigma on testing through interventions at the individual level. This study aimed to examine the effect of self-efficacy on voluntary counseling and testing of HIV in homosexual.

Subjects and Method: This was meta-analysis and systematic review. Articles were collected from Google Scholar, PubMed, Springer Link, and Research Gate databases. Keywords used “Health belief model” OR “HBM” OR “Self efficacy” AND “VCT HIV” OR “HIV counseling” AND “Homosexual” OR “Gay” OR “MSM”. The inclusion criteria were full text, published articles from 2011 to 2020, and using cross-sectional study design. The articles were selected using PRISMA flow chart. The quantitative data were analyzed from Rebman 5.3.

Results: A meta-analysis from 6 studies showed that strong self-efficacy improved VCT uptake in homosexual (aOR= 1.10; 95% CI= 1.06 to 1.14; p<0.001) with I2=54%.

Conclusion: Strong self-efficacy improves VCT uptake in homosexual.

Keywords: self-efficacy, voluntary counseling and testing, HIV, homosexual

Correspondence: Yuli Astuti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: Mobile: 083821875621.


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