Abstract
HIV testing behavior among men who have sex with men (MSM) is an important component of HIV prevention and control strategies because early detection enables individuals to receive timely diagnosis and access to treatment services. This study aimed to analyze factors associated with HIV testing behavior among MSM in Parepare City. A quantitative analytical study with a cross-sectional design was conducted among 316 respondents. The study population consisted of MSM aged ≥18 years residing in Parepare City, with an estimated population of approximately 1,500 individuals. The sample was determined using the Slovin formula and selected through non-probability purposive sampling. The research instrument met the required validity criteria, with correlation coefficients ranging from 0.480 to 0.760, exceeding the critical r value of 0.444, and reliability criteria with a Cronbach’s alpha value of [α value], indicating that the instrument was suitable for use. Data were analyzed using binary logistic regression. The results showed that age, stigma toward health services, HIV knowledge, and social environment were significantly associated with HIV testing behavior (p<0.05). HIV knowledge was the most dominant factor in increasing the likelihood of HIV testing. In contrast, education, access to health services, self-efficacy, and sex were not significantly associated with HIV testing behavior after controlling for other variables. These findings indicate that knowledge, psychosocial factors, and the social environment play important roles in HIV testing behavior among MSM in Parepare City.
References
Abrantes, R., Pimentel, V., Miranda, M., Silva, A. R., Diniz, A., Ascenção, B. B., Piñeiro, C., Koch, C., Rodrigues, C., Caldas, C., Morais, C., Faria, D., da Silva, E. G., Teófilo, E., Monteiro, F., Roxo, F., Maltêz, F., Rodrigues, F., Gaião, G., … Abecasis, A. (2024). Determinants Of HIV Late Presentation Among Men Who Have Sex With Men In Portugal (2014–2019): Who’s Being Left Behind? Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1336845
Adedimeji, A., d’Amour Sinayobye, J., Asiimwe‐Kateera, B., Chaudhry, J., Buzinge, L., Gitembagara, A., Murenzi, G., Mugenzi, P., Patel, V. V, Castle, P. E., Mutesa, L., Palefsky, J. M., & Anastos, K. (2019). Social Contexts As Mediator Of Risk Behaviors In Rwandan Men Who Have Sex With Men (MSM): Implications For HIV And STI Transmission. PLoS ONE, 14(1). https://doi.org/10.1371/journal.pone.0211099
Aytur, S., Carlino, S., Bernard, F., West, K., Dobrzycki, V., & Malik, R. (2021). Social‐Ecological Theory, Substance Misuse, Adverse Childhood Experiences, And Adolescent Suicidal Ideation: Applications For Community–Academic Partnerships. Journal of Community Psychology, 50(1), 265–284. https://doi.org/10.1002/jcop.22560
Dessie, Z. G., & Zewotir, T. (2024). HIV-related stigma and associated factors: a systematic review and meta-analysis. In Frontiers in Public Health (Vol. 12, p. 1356430). Frontiers Media. https://doi.org/10.3389/fpubh.2024.1356430
Dirawan, G. D., Gafur, A., Apriyanti, E., & Pertiwi, N. (2025). Health Literacy and Social Environment Analysis of HIV Carriers among Indonesian Youth and University Students. Pinisi Journal of Education. Pinisi Journal of Education, 5(6), 42–52.
Fauk, N. K., Ward, P., Hawke, K., & Mwanri, L. (2021). HIV Stigma and Discrimination: Perspectives and Personal Experiences of Healthcare Providers in Yogyakarta and Belu, Indonesia. Frontiers in Medicine, 8. https://doi.org/10.3389/fmed.2021.625787
Fotso, A. S., Findley, S. E., Chisumpa, V. H., Sachathep, K., & Mulenga, L. (2020). The Impact of the Quality of Sexual Education on HIV/AIDS in Zambia: Evidence from a Natural Experiment. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-43605/v1
Hong, C., Feinstein, B. A., Holloway, I. W., Yu, F., Huang, W., Sullivan, P. S., Siegler, A. J., & Mi, G. (2022). Differences in Sexual Behaviors, HIV Testing, and Willingness to Use PrEP between Gay and Bisexual Men Who Have Sex with Men in China. International Journal of Sexual Health, 34(3), 424–431. https://doi.org/10.1080/19317611.2022.2053922
Hong, P., Li, S., Yu, Y., & Deng, Q. (2021). How to Enhance the Motivation for Drug Detoxification: Consciousness Guidance and Behaviour Restriction of Family Intergenerational Ethics. International Journal of Environmental Research and Public Health, 19(1), 366. https://doi.org/10.3390/ijerph19010366
Jumu, L. (2024). Perbandingan Tingkat Pengetahuan Siswa Kelas Xi Sma Sebelum Dan Setelah Edukasi Komplikasi Penyakit Sosial Terhadap Kejadian Hiv/Aids Di Biak Numfor Tahun 2021. HEALTHY Jurnal Inovasi Riset Ilmu Kesehatan, 3(1), 20–29. https://doi.org/10.51878/healthy.v3i1.2673
Katirayi, L., Tchendjou, P., Tchounga, B., Awolu, M. M., Wicks, M., & Conserve, D. F. (2023). Changing attitudes towards HIV testing and treatment among three generations of men in Cameroon: a qualitative analysis using the Fogg Behavior Model. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-15139-3
Leluțiu-Weinberger, C., Wilton, L., Koblin, B. A., Hoover, D. R., Hirshfield, S., Chiasson, M. A., Nandi, V., Usher, D., & Frye, V. (2020). The Role of Social Support in HIV Testing and PrEP Awareness among Young Black Men and Transgender Women Who Have Sex with Men or Transgender Women. Journal of Urban Health, 97(5), 715–727. https://doi.org/10.1007/s11524-019-00396-8
Li, K., Thaweesee, N., Kimmel, A. L., Dorward, E., & Dam, A. (2024). Barriers And Facilitators To Utilizing HIV Prevention And Treatment Services Among Migrant Youth Globally: A Scoping Review. In PLOS Global Public Health (Vol. 4, Issue 2). Public Library of Science. https://doi.org/10.1371/journal.pgph.0002851
Li, M., & Li, N. (2023). A study of the factors influencing HIV-preventive intentions among “hookup” application users. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.1048226
Lin, B., Liu, J., Ma, Y., & Zhong, X. (2022). Factors Influencing HIV Testing And Counselling Services Among Men Who Have Sex With Men In Western China: A Cross-Sectional Study Based On Andersen’s Behavioral Model. Environmental Health and Preventive Medicine, 27, 21. https://doi.org/10.1265/ehpm.22-00066
Mahardani, P. N. T. Y., Merati, T. P., Kumbara, C. I. Y. K., & Widiana, I. G. R. (2022). Hubungan Pengetahuan Dan Persepsi Terhadap Perilaku Pencegahan Hiv/Aids Pada Remaja Di Sekolah Menengah Atas. E-Jurnal Medika Udayana, 11(11), 61. https://doi.org/10.24843/mu.2022.v11.i11.p11
Mokgatle, M., & Madiba, S. (2023). Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa. International Journal of Environmental Research and Public Health, 20(14), 6389. https://doi.org/10.3390/ijerph20146389
Mustanski, B., Moskowitz, D., Moran, K. O., Rendina, H. J., Newcomb, M. E., & Macapagal, K. (2021). Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men. In American Academy of Pediatrics eBooks (pp. 31–39). American Academy of Pediatrics. https://doi.org/10.1542/9781610025409-factors
Nugroho, A., Erasmus, V., Krier, S. E., Reviagana, K. P., Laksmono, P. A., Widihastuti, A., & Richardus, J. H. (2020). Client Perspectives On An Outreach Approach For HIV Prevention Targeting Indonesian MSM And Transwomen. Health Promotion International, 35(5), 916–924. https://doi.org/10.1093/heapro/daz075
Nursinah, A., Suabey, S., Kadir, E., Asmi, A. S., Purba, E. R. ., Henderika Litaay, S. C., & Pannyiwi, R. (2023). Environmental Sociology Approach From A Social Risk Perspective. International Journal of Health Sciences, 1(2), 102–110. https://doi.org/10.59585/ijhs.v1i2.59
Qin, Q., Qiao, N., Zhu, H., Mei, Y., Zhang, Q., & Fan, Y. (2023). HIV Associated Factors Among Men Who Have Sex With Men In Maanshan, China: A Cross-Sectional Study. AIDS Research and Therapy, 20(1). https://doi.org/10.1186/s12981-023-00539-7
Sitorus, R. J., Ramiwati, A., Purba, I. G., & Aerosta, D. (2024). Increasing Coverage of Voluntary HIV Testing Through Educational Videos: Counseling and Testing for Men Sexually Men. Jurnal SOLMA, 13(3). https://doi.org/10.22236/solma.v13i3.16164
Tayebwa, C., Patrick, Nakimbugwe, M., Ssemanganda, A., Basajja, V., Kaffero, P., Kabarambi, A., Nyantaro, M., Kusemererwa, S., & Kibengo, F. M. (2025). Community engagement as a pillar for successful HIV vaccine trials: Insights from rural Uganda. Journal of Interventional Epidemiology and Public Health, 8(ConfProc6). https://doi.org/10.37432/JIEPH-CONFPRO6-00017
Tetteh, J. K., Frimpong, J. B., Budu, E., Adu, C., Mohammed, A., Ahinkorah, B. O., & Seidu, A. (2021). Comprehensive HIV/AIDS knowledge and HIV testing among men in sub-Saharan Africa: a multilevel modelling. Journal of Biosocial Science, 54(6), 975–990. https://doi.org/10.1017/s0021932021000560
Topping, K. J. (2022). Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews. International Journal of Environmental Research and Public Health, 19(10), 6064. https://doi.org/10.3390/ijerph19106064
UNAIDS. (2025). UNAIDS Global AIDS Update 2025. In UNAIDS global AIDS update. https://doi.org/10.18356/9789211544350
Vashisht, S., Rai, S., Kant, S., Haldar, P., Goswami, K., Misra, P., Reddy, D. V., & Panda, S. (2023). Utilization Of HIV Testing Services Among Men Who Have Sex With Men in New Delhi, India: A Qualitative Study On Barriers And Facilitators. Research Square (Research Square). https://doi.org/10.21203/rs.3.rs-3329750/v1
Veenstra, R. (2025). Harnessing Peer Influence: A Summary And Synthesis Of Social Network And Peer-Led Intervention Research. International Journal of Behavioral Development. https://doi.org/10.1177/01650254251331201
Watson, D. L., Bonett, S., Meanley, S., Wood, S., Brady, K. A., & Bauermeister, J. A. (2025). Acceptability And Feasibility Of HIV Self-Testing Integration into Publicly Funded HIV Prevention Services: Perspectives From HIV Testing Agency Staff That Provide HIV Testing Services To Sexual And Gender Minority Youth In Philadelphia County. PLoS ONE, 20(3). https://doi.org/10.1371/journal.pone.0320290
Yenny, S. W., Liza, R. G., Putra, S. P., Asri, R. C., Julia, D. S., & Windasari, N. (2025). Knowledge, attitude, and behaviour toward same-sex sexual intercourse and HIV/AIDS prevention: A cross-sectional survey in Indonesia. Asian Pacific Journal of Tropical Medicine, 18(3), 131–138. https://doi.org/10.4103/apjtm.apjtm_200_24
Yiğit, İ., Wilson, T. E., Taylor, T., Kassaye, S., Weiser, S. D., Cohen, M. H., Gange, S. J., Pence, B. W., Ofotokun, I., Wingood, G. M., Metsch, L. R., Brown-Friday, J., Floris-Moore, M., Kempf, M.-C., Turan, J. M., & Turan, B. (2025). Association Of Experienced Stigma In Healthcare Settings With Health Outcomes Among Black Women Living With HIV: Mediating Roles Of Internalized Stigma, Anticipated Stigma, And Trust In HIV Care. Social Science & Medicine, 366, 117699. https://doi.org/10.1016/j.socscimed.2025.117699
Zhang, C., & Liu, Y. (2022). Understanding the Association between PrEP Stigma and PrEP Cascade Moderated by the Intensity of HIV Testing. Tropical Medicine and Infectious Disease, 7(5), 74. https://doi.org/10.3390/tropicalmed7050074
Zhang, X., & Warner, M. E. (2023). Linking Urban Planning, Community Environment, and Physical Activity: A Socio-Ecological Approach. International Journal of Environmental Research and Public Health, 20(4), 2944. https://doi.org/10.3390/ijerph20042944
Zhao, P., Zhou, Y., Ni, Y., Lu, Y., Huang, S., Yang, J., & Tang, W. (2022). Testing Together Behaviors in Secondary Distribution of HIV/Syphilis Self-testing Program Among Men Who Have Sex with Men in China. Carolina Digital Repository (University of North Carolina at Chapel Hill). https://doi.org/10.17615/g93m-9p98

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