Enhancing HIV/AIDS Prevention in Adolescents: An Information- Motivation-Behavioral Skills Approach

Authors

  • Muhtar Muthar
  • Julhana Julhana
  • Sri Djuwitaningsih
  • Komang Ayu Henny Achjar
  • Fadlurrahmi Fadlurrahmi

Keywords:

HIV-AIDS, Health Education, Cadre, Information, Adolescents

Abstract

OBJECTIVE: To determine how adolescents' knowledge and attitudes regarding HIV/AIDS prevention were affected by health education using a motivational information approach.

METHODOLOGY: This study employed a quasi-experimental design conducted in Bima, NTB, Indonesia, from July 2024 to January 2025. A cluster sampling technique was used, yielding a total of 374 students divided into two groups. The control group received HIV/AIDS educational materials in the form of textbooks without support from cadres. In contrast, the intervention group was given a booklet about HIV/AIDS and received guidance from a cadre. The intervention was carried out four times a week for six months. Data analysis was performed using a paired t-test.

RESULTS: The intervention significantly improved knowledge and attitudes towards HIV/AIDS prevention in adolescents, regardless of the control or intervention group. The intervention group showed a significant increase in knowledge scores about HIV/AIDS, with an average score of 13.74, compared to the control group's 8.04. The intervention group also showed a significant increase in attitude scores, with an average of 47.12, compared to the control group's average of 35.04. Both knowledge and attitude in the intervention group had p-values of <0.000.

CONCLUSION: The intervention proved to be more effective in improving knowledge and attitudes towards HIV/AIDS.

References

Eslami AA, Ebrahimi Z, Rahimi M, Fathian-Dastjerdi Z, Bagherikholenjani F. Family-Based Interventions In Youth To Prevent HIV/AIDS: A Systematic Review. J Educ Health Promot. 2023;12(1):1–9.

2. Archary M, Pettifor AE, Toska E. Adolescents And Young People At The Centre: Global Perspectives And Approaches To Transform HIV Testing, Treatment And Care. J Int Aids Soc. 2020;23(S5):1–4.

3. Shannon CI, Klausner JD. The Growing Epidemic Of Sexually Transmitted Infections In Adolescents: A Neglected Population. Curr Opin Pediatr. 2018;30(1):137–43.

4. Murali V, Jayaraman S. Substance Use Disorders And Sexually Transmitted Infections: A Public Health Perspective. Bjpsych Adv. 2018;24(3):161–6.

5. Maris Bakara S, Sahara Lubis E, Fitriani Y. Adolescent Knowledge And Perception Of HIV/ AIDS Stigmatization In The Indonesian Context. Jurnal Berkala Epidemiologi. 2023 Sep 15;11(3):287–94.

6. Siregar PA. Analysis AIDS Stigmation Of Adolescents In Medan City. Saintika Medika. 2021 Jun 10;17(1):61–70.

7. Agu IC, Mbachu CO, Okeke C, Eze I, Agu C, Ezenwaka U et al. Misconceptions About Transmission, Symptoms And Prevention Of HIV/AIDS among Adolescents In Ebonyi State, South-East Nigeria. BMC Res Notes. 2020 Dec 14;13(1):1–5.

8. Ratnawati D, Setiawan A, Sahar J, Widyatuti, Nursasi Ay, Siregar T. Improving Adolescents' Hiv/Aids Prevention Behavior: A Phenomenological Study Of The Experience Of Planning Generation Program (Genre) Ambassadors As Peer Educators. Belitung Nurs J. 2024;10(1):56–66.

9. Macounová P, Tomášková H, Šnajdrová A, Stanovská M, Polochová M, Tomášek I, Et Al. Education Of Adolescents In The Prevention Of HIV/AIDS In The Czech Republic. Int J Environ Res Public Health. 2021;18(11):1–12.

10. Moreira Mt, Rocha E, Lima A, Pereira L, Rodrigues S, Fernandes Cs. Knowledge About Sex Education In Adolescence: A Cross-Sectional Study. Adolescents. 2023;3(3):431–45.

11. Santos MJ De O, Ferreira EMS, Ferreira MC. Predictors Of Condom Use Among College Students. Int J Environ Res Public Health. 2024;21(4):433.

12. Obeagu EI, Obeagu GU, Ede MO, Odo EO, Buhari HA. Translation Of HIV/AIDS Knowledge Into Behavior Change Among Secondary School Adolescents In Uganda: A Review. Medicine. 2023;102(49):1–4.

13. Ren Z, Zhou Y, Liu Y. Factors Associated With Unsafe Sexual Behavior Among Sexually Active Chinese University Students, Hebei Province, 2019. BMC Public Health. 2021;21(1):1904.

14. Kawuki J, Gatasi G, Sserwanja Q, Mukunya D, Musaba MW. Comprehensive Knowledge About HIV/AIDS And Associated Factors Among Adolescent Girls In Rwanda: A Nationwide Cross-Sectional Study. Bmc Infect Dis. 2023 Jun 7;23(1):382.

15. George G, Beckett S, Reddy T, Govender K, Cawood C, Khanyile D et al. Role Of Schooling And Comprehensive Sexuality Education In Reducing HIV And Pregnancy Among Adolescents In South Africa. J Acquired Immune Deficiency Syndromes. 2022 Jul 1;90(3):270–5.

16. Mbizvo MT, Kasonda K, Muntalima NC, Rosen JG, Inambwae S, Namukonda ES et al. Comprehensive Sexuality Education Linked To Sexual And Reproductive Health Services Reduces Early And Unintended Pregnancies Among In-School Adolescent Girls In Zambia. BMC Public Health. 2023;23(1):348.

17. Todesco M, Breman J, Haryanto NN, Kok G, Massar K. Effect Evaluation Of A Comprehensive Sexuality Education Intervention Based On Socio-Emotional Learning Among Adolescents In Jakarta, Indonesia. Front Public Health. 2023 Oct 2;11.

18. Pengpid S, Peltzer K. Psychological Distress And Its Associated Factors Among School-Going Adolescents In Tanzania. Psychol Stud (Mysore). 2020 Jun 28;65(2):174–81.

19. Raghupathi V, Raghupathi W. The Influence Of Education On Health: An Empirical Assessment Of OECD Countries For The Period 1995–2015. Archives Of Public Health. 2020 Dec 6;78(1):20.

20. Alhasawi A, Grover Sb, Sadek A, Ashoor I, Alkhabbaz I, Almasri S. Assessing HIV/AIDS Knowledge, Awareness, And Attitudes Among Senior High School Students In Kuwait. Medical Principles And Practice. 2019;28(5):470–6.

21. Yang D, Allen J, Mahumane A, Riddell J, Yu H. Knowledge, Stigma, And HIV Testing: An Analysis Of A Widespread Hiv/Aids Program. J Dev Econ. 2023;160:102958.

22. Kassie AA, Gudayu TW, Araya BM. Knowledge, Attitude, And Preventive Practices Towards Sexually Transmitted Infections Among Preparatory School Students In West Gojjam Zone, Ethiopia. Adv Public Health. 2020 May 12;2020:1–9.

23. Pavlopoulou Id, Dikalioti Sk, Gountas I, Sypsa V, Malliori M, Pantavou K et al. High-Risk Behaviors And Their Association With Awareness Of Hiv Status Among Participants Of A Large-Scale Prevention Intervention In Athens, Greece. BMC Public Health. 2020 Dec 28;20(1):105.

24. Bouabida K, Chaves BG, Anane E. Challenges And Barriers To HIV Care Engagement And Care Cascade: Viewpoint. Frontiers In Reproductive Health. 2023 Jul 20;5.

25. Masenga Sk, Mweene Bc, Luwaya E, Muchaili L, Chona M, Kirabo A. HIV Host Cell Interactions. Cells. 2023;12(10):1351.

26. Jocelyn, Nasution FM, Nasution NA, Asshiddiqi MH, Kimura NH, Siburian MHT et al. HIV/AIDS in Indonesia: Current Treatment Landscape, Future Therapeutic Horizons, And Herbal Approaches. Front Public Health. 2024;12.

27. Gandhi RT, Bedimo R, Hoy JF, Landovitz RJ, Smith DM, Eaton EF et al. Antiretroviral Drugs For Treatment And Prevention Of HIV Infection In Adults. JAMA. 2023;329(1):63.

28. Du X, Zhang L, Luo H, Rong W, Meng X, Yu H et al. Factors Associated With Risk Sexual Behaviours Of HIV/STDS Infection Among University Students In Henan, China: A Cross-Sectional Study. Reprod Health. 2021;18(1):1–11.

29. Wirawan GBS, Gustina NIZ, Januraga PP. Open Communication About Reproductive Health Is Associated With Comprehensive Hiv Knowledge And A Non-Stigmatizing Attitude Among Indonesian Youth: A Cross-Sectional Study. Journal Of Preventive Medicine And Public Health. 2022 Jul 31;55(4):342–50.

30. Seyedalinaghi S, Mirzapour P, Pashaei Z, Afzalian A, Tantuoyir MM, Salmani R et al. The Impacts Of Covid-19 Pandemic On Service Delivery And Treatment Outcomes In People Living With Hiv: A Systematic Review. Aids Res Ther. 2023 Jan 6;20(1):4.

31. Shoko C, Chikobvu D. A Superiority Of Viral Load Over CD4 Cell Count When Predicting Mortality In Hiv Patients On Therapy. BMC Infect Dis. 2019 Dec 15;19(1):169.

32. Fauk NK, Merry MS, Mwanri L, Hawke K, Ward PR. Mental Health Challenges And The Associated Factors In Women Living With HIV Who Have Children Living With Hiv In Indonesia: A Qualitative Study. Int J Environ Res Public Health. 2022 Jun 4;19(11):6879.

33. Ahmed S, Chase LE, Wagnild J, Akhter N, Sturridge S, Clarke A et al. Community Health Workers And Health Equity In Low- And Middle-Income Countries: Systematic Review And Recommendations For Policy And Practice. Int J Equity Health. 2022 Apr 11;21(1):49.

34. Fauk NK, Ward PR, Hawke K, Mwanri L. HIV Stigma And Discrimination: Perspectives And Personal Experiences Of Healthcare Providers In Yogyakarta And Belu, Indonesia. Front Med (Lausanne). 2021 May 12;8.

35. Crocker BCS, Pit SW, Hansen V, John-Leader F, Wright M. A Positive Approach To Adolescent Sexual Health Promotion: A Qualitative Evaluation Of Key Stakeholder Perceptions Of The Australian Positive Adolescent Sexual Health (Pash) Conference. BMC Public Health. 2019 Dec 3;19(1):681.

36. Arias-Colmenero T, Pérez-Morente MA, Ramos-Morcillo AJ, Capilla-Díaz C, Ruzafa-Martínez M, Hueso-Montoro C. Experiences And Attitudes Of People With Hiv/Aids: A Systematic Review Of Qualitative Studies. Int J Environ Res Public Health. 2020 Jan 19;17(2):639.

37. Akyirem S, Salifu Y, Bayuo J, Duodu PA, Bossman IF, Abboah?Offei M. An Integrative Review Of The Use Of The Concept Of Reassurance In Clinical Practice. Nurs Open. 2022 May 11;9(3):1515–35.

38. Bogart Lm, Kgotlaetsile K, Phaladze N, Mosepele M. HIV Self-Testing May Overcome Stigma And Other Barriers To HIV Testing Among Higher-Socioeconomic Status Men In Botswana: A Qualitative Study. African Journal Of Aids Research. 2021 Oct 2;20(4):297–306.

39. Smith DK, Henny KD, Weidle PJ. The Evidence Base for Initial Intervention Strategies for Ending the HIV Epidemic in the U.S. Am J Prev Med. 2021 Nov; 61(5): S1–5.

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Published

31-12-2025

How to Cite

1.
Muthar M, Julhana J, Sri Djuwitaningsih, Komang Ayu Henny Achjar, Fadlurrahmi Fadlurrahmi. Enhancing HIV/AIDS Prevention in Adolescents: An Information- Motivation-Behavioral Skills Approach. J Liaq Uni Med Health Sci [Internet]. 2025 Dec. 31 [cited 2025 Dec. 31];24(04):340-6. Available from: http://121.52.154.205/index.php/jlumhs/article/view/1620

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