Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia
Introduction: HIV remains a significant global public health issue, with East Java, Indonesia, contributing 15–20% of the national HIV cases. Voluntary Counseling and Testing (VCT) is a critical strategy for early detection and prevention, yet its uptake among adolescents is influenced by multifacet...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Muhammadiyah Palu University
2025
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| Online Access: | http://psasir.upm.edu.my/id/eprint/121058/ http://psasir.upm.edu.my/id/eprint/121058/1/121058.pdf |
| _version_ | 1848868285214359552 |
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| author | Sari, Jayanti Dian Eka Rudiansyah, Fajrinia Putri Fadhillah, Farah Yuvianti, Yeshita Alifia Qurniyawati, Eny Muhamad Saliluddin, Suhainizam Muthmainnah, Muthmainnah Salsabila, Annisa Clara |
| author_facet | Sari, Jayanti Dian Eka Rudiansyah, Fajrinia Putri Fadhillah, Farah Yuvianti, Yeshita Alifia Qurniyawati, Eny Muhamad Saliluddin, Suhainizam Muthmainnah, Muthmainnah Salsabila, Annisa Clara |
| author_sort | Sari, Jayanti Dian Eka |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction: HIV remains a significant global public health issue, with East Java, Indonesia, contributing 15–20% of the national HIV cases. Voluntary Counseling and Testing (VCT) is a critical strategy for early detection and prevention, yet its uptake among adolescents is influenced by multifaceted factors. This study aimed to identify the determinants of adolescents' attitudes towards VCT for HIV in East Java. Methods: An observational analytic cross-sectional study was conducted from July to December 2024, involving 329 adolescents aged 18–24 years selected through random sampling. Data were collected via a validated online questionnaire assessing demographic, socio-economic, knowledge, psychosocial, and institutional factors. Binary logistic regression analysis was employed to determine significant predictors of VCT attitudes. Results: Nine factors were significantly associated with positive attitudes toward VCT: younger age (OR = 0.81), male gender (OR = 2.34), higher parental income (OR = 1.86), higher HIV-related knowledge (OR = 2.18), better VCT knowledge (OR = 1.72), low-risk sexual activity (OR = 1.95), service availability (OR = 2.48), family support (OR = 1.77), and institutional support (OR = 1.63). Conversely, stigma remained a significant barrier (OR = 0.49). Conclusion: Addressing stigma, enhancing institutional and family support, and improving access to VCT services are crucial for increasing VCT uptake among adolescents. Targeted interventions, including family-based approaches and comprehensive sexual education, are recommended to foster positive attitudes and reduce HIV transmission in East Java. |
| first_indexed | 2025-11-15T14:49:57Z |
| format | Article |
| id | upm-121058 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:49:57Z |
| publishDate | 2025 |
| publisher | Muhammadiyah Palu University |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1210582025-10-24T01:31:19Z http://psasir.upm.edu.my/id/eprint/121058/ Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia Sari, Jayanti Dian Eka Rudiansyah, Fajrinia Putri Fadhillah, Farah Yuvianti, Yeshita Alifia Qurniyawati, Eny Muhamad Saliluddin, Suhainizam Muthmainnah, Muthmainnah Salsabila, Annisa Clara Introduction: HIV remains a significant global public health issue, with East Java, Indonesia, contributing 15–20% of the national HIV cases. Voluntary Counseling and Testing (VCT) is a critical strategy for early detection and prevention, yet its uptake among adolescents is influenced by multifaceted factors. This study aimed to identify the determinants of adolescents' attitudes towards VCT for HIV in East Java. Methods: An observational analytic cross-sectional study was conducted from July to December 2024, involving 329 adolescents aged 18–24 years selected through random sampling. Data were collected via a validated online questionnaire assessing demographic, socio-economic, knowledge, psychosocial, and institutional factors. Binary logistic regression analysis was employed to determine significant predictors of VCT attitudes. Results: Nine factors were significantly associated with positive attitudes toward VCT: younger age (OR = 0.81), male gender (OR = 2.34), higher parental income (OR = 1.86), higher HIV-related knowledge (OR = 2.18), better VCT knowledge (OR = 1.72), low-risk sexual activity (OR = 1.95), service availability (OR = 2.48), family support (OR = 1.77), and institutional support (OR = 1.63). Conversely, stigma remained a significant barrier (OR = 0.49). Conclusion: Addressing stigma, enhancing institutional and family support, and improving access to VCT services are crucial for increasing VCT uptake among adolescents. Targeted interventions, including family-based approaches and comprehensive sexual education, are recommended to foster positive attitudes and reduce HIV transmission in East Java. Muhammadiyah Palu University 2025-09-11 Article PeerReviewed text en cc_by_sa_4 http://psasir.upm.edu.my/id/eprint/121058/1/121058.pdf Sari, Jayanti Dian Eka and Rudiansyah, Fajrinia Putri and Fadhillah, Farah and Yuvianti, Yeshita Alifia and Qurniyawati, Eny and Muhamad Saliluddin, Suhainizam and Muthmainnah, Muthmainnah and Salsabila, Annisa Clara (2025) Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia. Media Publikasi Promosi Kesehatan Indonesia, 8 (9). pp. 842-852. ISSN 2597-6052 https://jurnal.unismuhpalu.ac.id/index.php/MPPKI/article/view/7828 10.56338/mppki.v8i9.7828 |
| spellingShingle | Sari, Jayanti Dian Eka Rudiansyah, Fajrinia Putri Fadhillah, Farah Yuvianti, Yeshita Alifia Qurniyawati, Eny Muhamad Saliluddin, Suhainizam Muthmainnah, Muthmainnah Salsabila, Annisa Clara Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia |
| title | Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia |
| title_full | Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia |
| title_fullStr | Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia |
| title_full_unstemmed | Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia |
| title_short | Behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (VCT) for HIV in East Java, Indonesia |
| title_sort | behavioral and structural predictors of adolescents' attitudes towards voluntary counseling and testing (vct) for hiv in east java, indonesia |
| url | http://psasir.upm.edu.my/id/eprint/121058/ http://psasir.upm.edu.my/id/eprint/121058/ http://psasir.upm.edu.my/id/eprint/121058/ http://psasir.upm.edu.my/id/eprint/121058/1/121058.pdf |