The influence of respondent characteristics and risk behavior on adherence to antiretroviral therapy based on the information-motivation behavioral skills (IMB) model in HIV-1-infected gay and bisexual people

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Dewi Ratna Sulistina, Linda Dewanti, Ronal Surya Aditya

2026 HIV and AIDS Review Vol. 25 Issue 1 Article Cited by 0

Abstract

Introduction: Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) is a global health problem. It is estimated that around 37.7 million people have been infected with HIV, with an additional 1.5 million of new HIV-infected cases, while a total of 680,000 have died from AIDS-related diseases. As reported in March 2021, the cumulative number of people living with HIV in Indonesia was 427,201, of whom 27.2% were homosexuals, including a group of male population who have sex with men (26.3%) and transgender people (0.9%). This research aimed to identify the influence of respondent characteristics and risk behavior on adherence to antiretroviral therapy (ART) based on the information-motivation-behavioral skills (IMB) model among HIV-1-infected gay and bisexual individuals living in Surabaya. Material and methods: Questionnaire data were collected from 57 HIV-1-infected gay and bisexual people. Questionnaire data were analyzed using the IMB model. Results: The respondent characteristics, such as age, initial HIV diagnosis, and viral load examination, had an influence on adherence to ART, with a moderate category path coefficient (0.476) using the IMB model. Conclusions: The characteristics of respondent have an influence on adherence to antiretroviral medication, with a medium category path coefficient according to the IMB model. © This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/).

Affiliations

Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, East Java, 60115, Indonesia; Department of Midwifery, Faculty of Medicine, Universitas Negeri Malang, Indonesia; Faculty of Medicine, Universitas Airlangga, East Java, Surabaya, Indonesia; Department of Nursing, Faculty of Nursing, Universitas Jember, Indonesia