THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDES, MOTIVATION, AND THE ROLE OF FIELD OUTREACH WORKERS ON HIV/AIDS PREVENTION BEHAVIOR AMONG THE MSM COMMUNITY IN TULUNGAGUNG REGENCY

Abstract

The Men who have Sex with Men (MSM) community is a key 
population with a 22-fold higher risk of HIV transmission compared 
to the general population. Tulungagung Regency recorded 4,540 
HIV/AIDS cases, with 630 cases (13.88%) occurring among 
adolescents aged 13–24 years, indicating an epidemiological shift 
toward younger age groups. Objective:  
To analyze the relationship between knowledge, attitudes, 
motivation, and the role of field outreach workers on HIV/AIDS 
prevention behavior among the MSM community in Tulungagung 
Regency. This quantitative study employed a cross-sectional 
design. A sample of 96 respondents from the MSM community in 
Tulungagung Regency was selected using purposive sampling. Data 
were collected using structured questionnaires. Data analysis was 
performed using the chi-square test.  
The majority of respondents had adequate knowledge (37.5%), 
positive attitudes (52.1%), low motivation (52.1%), and perceived 
the role of outreach workers as inadequate (54.2%). There were 
significant relationships between knowledge (p=0.001), attitudes 
(p=0.003), motivation (p=0.001), and the role of outreach workers 
(p=0.001) with HIV/AIDS prevention behavior.  
Knowledge, attitudes, motivation, and the role of field outreach 
workers are associated with HIV/AIDS prevention behavior among 
the MSM community. Strengthening community-based 
intervention programs and enhancing the capacity of outreach 
workers are necessary.