Stigma, depresi, dan kualitas hidup penderita HIV: studi pada komunitas “lelaki seks dengan lelaki” di Pematangsiantar

https://doi.org/10.22146/bkm.42808

Betty Saurina Mariany(1*), Asfriyati Asfriyati(2), Sri Rahayu Sanusi(3)

(1) Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
(2) Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
(3) Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara
(*) Corresponding Author

Abstract


Stigma, depression, and quality of life of patients with HIV infection: A community-based study on “men who have sex with men” in Pematangsiantar

Purpose: This study correlates HIV-related stigma and depression level to quality of life of “men who have sex with men” (MSM) living with HIV infection in Pematangsiantar.

Method: This is a cross-sectional study using analytical survey method. The population are all MSM living with HIV infection within the MSM community in Pematangsiantar (32 respondents). Data collected through questionnaires, interview, and observation. HIV-related stigma is considered from community’s as well as patients’ point of view, and measured by Explanatory Model Interview Catalogue Community Stigma Scale (EMIC-CSS). Depression level is measured by modified CES-D questionnaire, while quality of life is measured by Indonesian version of WHOQOL-HIV BREF.

Results: The results show that HIV-related (considered as negative) stigma from community and depression level are associated with quality of life of people living with HIV infection in MSM community in Pematangsiantar. The most dominant variable is depression with Exp B = 37.653.

Conclusion: HIV-related stigma and depression are contributed to the quality of life of MSM with HIV infection in Pematangsiantar, therefore community acceptance as well as reducing depression condition are needed to improve the quality of life of MSM in Pematangsiantar.


Keywords


stigma; depression; quality of life

Full Text:

PDF


References

  1. Kemenkes. Rencana Aksi Nasional Pengendalian HIV dan AIDS Bidang Kesehatan Tahun 2015-2019. Jakarta: Kemenkes RI; 2016.
  2. UNAIDS. UNAIDS report on the global AIDS epidemic 2016. Geneva: Joint United Nations Programme on HIV/AIDS; 2016.
  3. Kemenkes. Estimasi dan Proyeksi HIV/AIDS di Indonesia Tahun 2011-2016. Jakarta: Kemenkes RI; 2013.
  4. Kemenkes. Info HIV dan AIDS, Komisi Penanggulangan AIDS Indonesia. Jakarta: Kemenkes RI; 2017.
  5. Goldstone SE, Welton ML. Anorectal sexually transmitted infections in men who have sex with men--special considerations for clinicians. Clinics in colon and rectal surgery. 2004;17(4): 235–239.
  6. Profil Dinas Kesehatan Kota Pematangsiantar. 2016.
  7. Kemenkes. STBP Surveilans Terpadu Biologis dan Perilaku 2011. Jakarta: Kemenkes RI; 2011.
  8. Charles B E al. Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India - a community based cross sectional... - PubMed - NCBI. [Online] Available from: https://www.ncbi.nlm.nih.gov/pubmed/22720691 [Accessed: 23rd April 2019]
  9. Widoyono. Penyakit Tropis Epidemiologi, Penularan, Pencegahan Pemberantasan. Jakarta: Penerbit Erlangga; 2011.
  10. Kemenkes. Statistik Kasus HIV/AIDS di Indonesia. Ditjen P P Dan P L (ed.) Jakarta: Kemenkes RI; 2016.
  11. Darmoris. Diskriminasi Petugas Kesehatan Terhadap Orang dengan HIVAIDS (ODHA) di Rumah Sakit Provinsi Kepulauan Bangka Belitung. [Master’s] Universitas Diponegoro; 2011.
  12. Guma JA. Health workers stigmatise HIV and AIDS patients. South Sudan Medical Journal. [Online] 2011;4(4). Available from: http://www.southsudanmedicaljournal.com/archive/november-2011/health-workers-stigmatise-hiv-and-aids-patients.html
  13. Lubis L, Sarumpaet SM, Ismayadi I. HUBUNGAN STIGMA, DEPRESI DAN KELELAHAN DENGAN KUALITAS HIDUP PASIEN HIV/AIDS DI KLINIK VETERAN MEDAN. Idea Nursing Journal. 2016;7(1): 1–13.
  14. Cichoki M. Dealing with HIV and Depression when Sadness Takes Over. [Online] Available from: http://aids.about.com/cs/conditions/a/depression.htm
  15. Nojomi M Anbary. Health-related quality of life in patients with HIV/AIDS. Archives of Iranian medicine. 2008;11(6): 608–612.
  16. Hapsari E. Hubungan Tingkat Depresi dengan Kualitas Hidup Pasien HIV/AIDS di RSUP. Dr. Kariadi Semarang. Jurnal Kedokteran Diponegoro. [Online] 2016;5(4). Available from: https://ejournal3.undip.ac.id/index.php/medico/article/.../13872
  17. Kanniappan. Desire for Motherhood: Exploring HIV-positive Women’s Desires, Intentions and Decision-Making in Attaining Mother-hood. AIDS care. 2007;20(6): 625–630.
  18. Kusuma H. Hubungan antara Depresi dan Dukungan Keluarga dengan Kualitas Hidup Pasien HIV/ AIDS yang Menjalani Perawatan di RSUPN Cipto Mangunkusumo Jakarta. Universitas Indonesia. [Master’s] Universitas Indonesia; 2011.



DOI: https://doi.org/10.22146/bkm.42808

Article Metrics

Abstract views : 2755 | views : 5319

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2019 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

 

Web Analytics Visitor Counter