Moderating Structural Equation Modelling dengan Partial Least Square pada Faktor Perilaku Ibu Hamil terhadap Pemeriksaan VCT di Puskesmas Deket

Firdaus, Adzra Taqia Salsabillah (2025) Moderating Structural Equation Modelling dengan Partial Least Square pada Faktor Perilaku Ibu Hamil terhadap Pemeriksaan VCT di Puskesmas Deket. Other thesis, Institut Teknologi Sepuluh Nopember.

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Abstract

Human Immunodeficiency Virus merupakan salah satu penyakit menular yang masih menjadi masalah kesehatan global yang serius, termasuk di Indonesia yang mengalami peningkatan pada tahun 2022. Di Kabupaten Lamongan, rendahnya partisipasi ibu hamil dalam pemeriksaan Voluntary Counseling and Testing (VCT) menjadi perhatian khusus, dimana banyak ibu hamil menganggap tes ini tidak perlu dilakukan tanpa adanya gejala. Selain itu, rasa ketakutan yang besar terhadap hasil tes dan stigma sosial yang mungkin timbul jika status HIV positif diketahui serta kurangnya dukungan keluarga, baik secara ekonomi maupun moral, yang menjadi penghalang utama dalam mengakses layanan VCT. Penularan dari ibu ke anak Mother to Child Transmission (MTCT) menjadi salah satu penyebab utama kasus HIV pada anak. Pemeriksaan HIV secara sukarela melalui layanan Voluntary Counseling and Testing (VCT) pada ibu hamil sangat penting untuk mencegah penularan tersebut. Oleh karena itu, penelitian ini membahas terkait faktor perilaku ibu hamil terhadap pemeriksaan VCT dengan SEM-PLS dengan tujuan mengetahui variabel laten yang signifikan memengaruhi pemeriksaan VCT di Puskesmas Deket serta indikator yang valid dan reliabel terhadap variabel laten pada model ini. Selain itu, penelitian ini menggunakan efek moderasi dengan variabel moderate adalah dukungan keluarga dengan menggunakan metode Ping. Data yang digunakan dalam penelitian ini merupakan data primer hasil wawancara kepada ibu hamil yang terdiri dari lima variabel laten yaitu pengetahuan, sikap, program PPIA, dukungan keluarga, pemeriksaan VCT. Hasil analisis dengan SEM-PLS menunjukkan bahwa semua indikator valid dan reliabel setelah dilakukan penghapusan indikator X1.3 dan X1.4 yang tidak valid. Berdasarkan hasil pemodelan menunjukkan bahwa variabel sikap berpengaruh secara positif dan signifikan terhadap variabel pemeriksaan VCT. Variabel dukungan keluarga tidak menunjukkan pengaruh terhadap pemeriksaan VCT, baik secara langsung maupun sebagai moderator. Sehingga variabel dukungan keluarga tidak bersifat memoderasi antara pengetahuan, sikap, dan program PPIA terhadap pemeriksaan VCT.
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The Human Immunodeficiency Virus (HIV) remains a serious global health concern, including in Indonesia where cases increased in 2022. In Lamongan Regency, the low participation of pregnant women in Voluntary Counseling and Testing (VCT) is particularly concerning, as many pregnant women consider HIV testing unnecessary in the absence of symptoms. Additionally, significant fear of test results and potential social stigma associated with an HIV-positive status, coupled with lack of family support (both economic and moral), serve as major barriers to accessing VCT services. Mother-to-Child Transmission (MTCT) is one of the primary causes of HIV cases in children. Voluntary HIV testing through VCT services for pregnant women is crucial to prevent such transmission. This study examines behavioral factors influencing pregnant women's participation in VCT using Partial Least Squares Structural Equation Modeling (PLS-SEM) to identify significant latent variables affecting VCT uptake at Deket Community Health Center, as well as valid and reliable indicators for these latent variables. Furthermore, the study incorporates a moderation effect, with family support as the moderating variable, analyzed using Ping's method. The research utilizes primary data collected through interviews with pregnant women, focusing on five latent variables: knowledge, attitude, Prevention of Mother-to-Child Transmission (PMTCT) program awareness, family support, and VCT participation. The PLS-SEM analysis revealed that all indicators were valid and reliable after removing invalid indicators X_1.3 and X_1.4. The modeling results demonstrated that attitude has a positive and significant influence on VCT participation. However, family support did not show any significant effect on VCT participation, either directly or as a moderator. Consequently, family support does not moderate the relationship between knowledge, attitude, and PMTCT program awareness with VCT participation. These findings suggest that while improving knowledge and attitudes may enhance VCT participation among pregnant women, family support does not play a moderating role in this context. The study highlights the need for targeted interventions focusing on education and attitude change to increase VCT uptake, while indicating that alternative approaches may be necessary to address the lack of influence from family support.

Item Type:	Thesis (Other)
Uncontrolled Keywords:	HIV, Ibu Hamil, VCT, SEM-PLS, Moderate, HIV, Pregnant Mother, VCT, SEM-PLS, Moderating
Subjects:	Q Science > Q Science (General) Q Science > QA Mathematics Q Science > QA Mathematics > QA278.3 Structural equation modeling. R Medicine > RA Public aspects of medicine > RA653.5 Epidemics
Divisions:	Faculty of Science and Data Analytics (SCIENTICS) > Statistics > 49201-(S1) Undergraduate Thesis
Depositing User:	Adzra Taqia Salsabillah Firdaus
Date Deposited:	24 Jul 2025 07:20
Last Modified:	24 Jul 2025 07:20
URI:	http://repository.its.ac.id/id/eprint/121265

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