Biopsychosocial Determinants of Pregnant Women’s Behaviour in Conducting Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) Tests in Madiun
Abstract
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.
Subject and Methods: 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 behaviour 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: widarahmaarwiyantasari@ymail.com. Mobile: 085736709597.
Journal of Health Promotion and Behavior (2017), 2(2): 112-123
https://doi.org/10.26911/thejhpb.2017.02.02.02
References
Afifah FN (2011). Faktor-Faktor yang Berhubungan dengan Perilaku Pencegahan HIV/AIDS di Kalangan Remaja SMA dan Sederajat diKota Cilacap Tahun 2011. Tesis. Universitas Indonesia.
Bakthari AF, Nuri ZR, Suhebi L (2012). Effect of Education Based on Health Belief Model on Believe Promotion and Screening Behaviours of Breast Cancer among Women Reffered to Tabriz Health Centers. Medl J Tabriz Uni Medl Sci 33: 25-31. In Persian, “n.d. Diakses 7 Januari 2017.
Bock (2008). Factors Influencing The Up-take of Voluntary Counceling And Testing In Namibia. Netherlands; University Amsterdam.
Browning CJ, Thomas SA (2005). Be-havioural Change An Evidence-Based HandBook For Social and Public Health. Sidney.
Budiman NA, Istiarti T, Hadi S (2008). Faktor Yang Berhubungan dengan Praktek WPS Jalanan dalam Upaya Pencegahan IMS dan HIV-AIDS di Sekitar Alun-Alun dan Candi Prambanan Kabupaten Klaten. Promkes Indonesia 3: 108.
Chartika W, Hermawan AD, Ridha A (2013). Hubungan antara Pengetahuan, Sikap, Akses Informasi HIV/ AIDS dan Dukungan Keluarga dengan Perilaku Pencegahan HIV/AIDS Pada Pengguna Napza Suntik di Kota Pontianak. JuManTik: 163-172.
Dinas Kesehatan Kota Madiun (2015). Profil Kesehatan Kota Madiun
Faulina R (2009). Perilaku Seks Waria Kaitannya dengan Penularan HIV-AIDS di Kota Tarakan Provinsi Kalimantan Timur. Semarang: Tesis, Universitas Diponegoro.
Gilarso T (2008). Pengantar Ilmu Ekonomi Mikro Edisi 5. Yogyakarta : Kanisius.
Kementrian Kesehatan RI Direktorat Jendral PP & PL (2011). Rencana Aksi Kegiatan Pengendalian HIV/AIDS dan IMS Tahun 2010 – 2014. Jakarta
Lamarque KJ (2013). HIV Testing of Pregnant Women in Fort Daphin Region Of Madagascar. Tesis: Stellenbosh University.
Mulyanti S (2012). Faktor-Faktor yang Berkontribusi pada Perilaku Ibu Hamil Trimester 2 dan 3 dalam Pemeriksaan HIV di Empat Puskesmas Kota Pontianak Tahun 2012. Skripsi : Fakultas Kesehatan Masyarakat, Program Kebidanan Komunitas, Universitas Indonesia.
Murti B (2016). Riset Epidemiologi. Surakarta : UNS Press
Naido J, Wills J (2004). Health Promotion. New York: Bailliere Tindal Royal Col-lege of Nursing.
Notoatmodjo S (2010). Promosi Kesehatan dan Ilmu Perilaku. Jakarta : Rineka Cipta.
Oemiati R, Rahajeng E, Kristanto AY (2007). Prevalensi tumor dan bebe-rapa faktor yang mempengaruhinya di Indonesia. Buletin Penelitian Kesehatan 39 (4): 190-204.
Prasetyawati AE (2011). Ilmu Kesehatan Masyarakat untuk kebidanan holistik (integrasi community oriented ke family oriented). Yogyakarta: Nuha Medika.
Spiritia (2009). Dasar AIDS. http://spiritia. or.id/art/pdf/a1001.pdf. Diakses tanggal 8 November 2016.
Tasa Y, RatuLudji, Ina D, Paun, Rafael (2016). Pemanfaatan Voluntary Counselling and Testing Oleh Ibu Rumah Tangga Terinfeksi Human Immuno deficiency Virus. Jurnal Kesehatan Masyarakat. KEMAS 11 (2)
Towsen C (2008). HIV Research. London: The Kaiser Daily HIV/ AIDS
UNAIDS (2015). UNAIDS Report On The Global AIDS Epidemic 2015. Global Report. UNAIDS
Undang - Undang No. 52 (2009). Undang – Undang Republik Indonesia Nomor 52 tahun 2009 tentang perkembangan kependudukan dan pembangunan keluarga.
Walgito B (2010). Pengantar Psikologi Umum. Yogyakarta: Ani Offset.
World Health Oganization (2013). UNAIDS and UNODC. Policy Brief: Reduction of HIV Transmission In Prions. Geneva: WHO.
Wulansari A. (2014). Faktor - Faktor yang Berhubungan dengan Niat Ibu Hamil untuk Memanfaatkan Layanan VCT (Voluntary Counseling and Testing) di Wilayah Kerja Puskesmas Ciputat Kota Tangerang Provinsi Banten Tahun 2014. Skripsi: Fakultas Kedokteran dan Ilmu Kesehatan Universitas Islam Negeri Syarif Hidayatullah Jakarta.
