SELF-EFFICACY AMONG PEOPLE LIVING WITH HIV AIDS AFTER COVID-19 PANDEMIC

Authors

  • Dewi Purnamawati Universitas Muhammadiyah Jakarta
  • Nurfadhilah Nurfadhilah Universitas Muhammadiyah Jakarta
  • Rohimi Zamzam Universitas Muhammadiyah Jakarta
  • Karina Amalia Universitas Muhammadiyah Jakarta

DOI:

https://doi.org/10.58185/jkr.v14i1.103

Keywords:

Self-Efficacy, Plwha, Healthcare Providers Support, Long-Suffering

Abstract

Abstrak

Latar belakang: Pandemi COVID-19 telah berdampak pada seluruh aspek kehidupan, termasuk Orang dengan HIV dan AIDS (ODHA). Efikasi diri yang tinggi diperlukan untuk mengatasi hambatan fisik dan psikososial pada ODHA

Tujuan: Menganalisis faktor-faktor yang berhubungan dengan efikasi diri pada ODHA pasca pandemi COVID-19.

Metode: Penelitian dilakukan di Klinik Perawatan dan Dukungan Pengobatan di Kabupaten Bogor dengan desain cross-sectional. Populasi adalah ODHA. Sampel diambil secara acak sebanyak 89 ODHA. Data dikumpulkan dengan kuesioner online yang telah diuji validitasnya dan dianalisis secara multivariat dengan regresi logistik berganda

Hasil: Penelitian menunjukkan 62,9% ODHA memiliki efikasi diri tinggi, 37,1% berusia kurang dari 35 tahun, 74,1% laki-laki, 33% berpendidikan tinggi, 35,9% sudah menikah, 69,9% memiliki pengetahuan yang sangat baik mengenai HIV, 50,5% menderita HIV kurang dari 7 tahun, 58,4% mendapat dukungan keluarga yang baik, dan 50,5% memiliki dukungan yang baik dari tenaga kesehatan. Lama menderita dan dukungan petugas kesehatan secara simultan berhubungan dengan efikasi diri ODHA setelah dikontrol oleh usia dan pengetahuan (p-value = 0,0001). Faktor yang paling dominan berhubungan dengan efikasi diri ODHA adalah lama menderita (p-value=0,010; OR=4,403; 95%CI=1,434-15,518)

Kesimpulan: Lebih dari sepertiga responden masih memiliki efikasi diri yang rendah. Lama menderita HIV merupakan faktor dominan yang berhubungan dengan efikasi diri pada ODHA

Kata kunci: Efikasi Diri, Odha, Dukungan Tenaga Kesehatan, Lama Menderita

 

Abstract

Background: The COVID-19 pandemic has had an impact on all aspects of life, including people living with HIV and AIDS (PLWHA). A high level of self-efficacy in necessary to overcome physical and psychosocial obstacle in PLWHA

Objective: This study aims to analyze factors related to self-efficacy in PLWHA after the COVID-19 pandemic.

Method: The study was conducted at the Support and Treatment Clinic at the Public Health Center Bogor District using a cross-sectional design. The population is PLWHA at the Clinic. Samples were taken randomly as many as 89 PLWHA. Data were collected using an online questionnaire that had been tested for validity and analyzed multivariate with multiple logistic regression.

Result: The results showed that 62,9% of PLWHA had high self-efficacy, 37,1% are less than 35 years old, 74,1% were men, 33% from high education, 35,9% were married, 69,9% had very good knowledge of HIV, 50,5% suffered from HIV less than 7 years, 58,4% had good family support and, 50,5% had good support from Health Care Providers. The long-suffering and healthcare provider’s support are simultaneously related to the self-efficacy of PLWHA after being controlled by age and knowledge (p-value= 0,0001). The most related factor was the long-suffering (p-value=0,010; OR=4,403; 95%CI=1,434-15,518)

Conclusion: More than one-third of the respondents still had low self-efficacy and long-suffering is the dominant factor associated with self-efficacy in PLWHA.

Keywords: Self-Efficacy, Plwha, Healthcare Providers Support, Long-Suffering

Author Biography

Nurfadhilah Nurfadhilah, Universitas Muhammadiyah Jakarta

Public Health Study Program, Faculty of Public Health, Universitas Muhammadiyah Jakarta

References

WHO. WHO Coronavirus (COVID-19) Dashboard | WHO Coronavirus (COVID-19) Dashboard With Vaccination Data [Homepage on the Internet]. 2021 [cited 2021 Dec 27];Available from: https://covid19.who.int/

Ssentongo P, Heilbrunn ES, Ssentongo AE, et al. Epidemiology and outcomes of COVID-19 in HIV-infected individuals: a systematic review and meta-analysis. Sci Rep 2021;11(1):1–12.

WHO. Coronavirus disease (COVID-19) and people living with HIV [Homepage on the Internet]. 2022 [cited 2022 Aug 1];Available from: https://www.who.int/news-room/questions-and-answers/item/coronavirus-disease-(covid-19)-covid-19-and-people-living-with-hiv

Bertagnolio S, Thwin SS, Silva R, et al. Clinical features of, and risk factors for, severe or fatal COVID-19 among people living with HIV admitted to hospital: analysis of data from the WHO Global Clinical Platform of COVID-19. Lancet HIV 2022;

Shiau S, Krause KD, Valera P, Swaminathan S, Halkitis PN. The Burden of COVID-19 in People Living with HIV: A Syndemic Perspective. AIDS Behav 2020;24(8):2244–2249.

Quiros-Roldan E, Magro P, Carriero C, et al. Consequences of the COVID-19 pandemic on the continuum of care in a cohort of people living with HIV followed in a single center of Northern Italy. AIDS Res Ther [homepage on the Internet] 2020;17(1):1–8. Available from: https://doi.org/10.1186/s12981-020-00314-y

Hammoud MA, Grulich A, Holt M, et al. Substantial decline in use of hiv preexposure prophylaxis following introduction of covid-19 physical distancing restrictions in australia: Results from a prospective observational study of gay and bisexual men. J Acquir Immune Defic Syndr (1988). 2021;86(1):22–30.

Dejman M, Ardakani HM, Malekafzali B, et al. Psychological, social, and familial problems of people living with HIV/AIDS in Iran: A qualitative study. Int J Prev Med [homepage on the Internet] 2015 [cited 2022 May 12];2015(DECEMBER). Available from: https://pubmed.ncbi.nlm.nih.gov/26900440/

Sari YK, Wardani IY. Dukungan Sosial dan Tingkat Stres Orang Dengan HIV/AIDS. Jurnal Keperawatan Indonesia 2017;20(2):85–93.

Sari TP. Hubungan Tingkat Spiritualitas dengan Tingkat Stres pada ODHA di Poli VCT RSD Balung Jember [Homepage on the Internet]. 2019 [cited 2022 May 12];Available from: http://repository.unej.ac.id/xmlui/handle/123456789/98099

Lee KW, Yap SF, Ngeow YF, Lye MS. COVID-19 in People Living with HIV: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021;18(7).

Pelton M, Ciarletta M, Wisnousky H, et al. Rates and risk factors for suicidal ideation, suicide attempts and suicide deaths in persons with HIV: a systematic review and meta-analysis. Psychiatry [homepage on the Internet] 2021;34:100247. Available from: http://gpsych.bmj.com/

Bandura A, others. Self-efficacy: Toward a unifying theory of behavioral change. The self in social psychology. Psychol Rev. 1977;84(2):191–215.

Wang JN, Li RM. Self-efficacy and social support among 68 people living with HIV/AIDS in Hubei Province*. J Nurs Healthc Chronic Illn [homepage on the Internet] 2011 [cited 2022 Aug 1];3(4):488–495. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1752-9824.2011.01124.x

Reeb RN, Folger SF, Langsner S, Ryan C, Crouse J. Self-Efficacy in Service-Learning Community Action Research: Theory, Research, and Practice. Am J Community Psychol 2010;46(3):459–471.

Andini S, Yona S, Waluyo A. Self-efficacy, depression, and adherence to antiretroviral therapy (ART) among Indonesian women with HIV. Enferm Clin [homepage on the Internet] 2019 [cited 2022 Aug 1];29:687–690. Available from: https://www.elsevier.es/en-revista-enfermeria-clinica-35-articulo-self-efficacy-depression-adherence-antiretroviral-therapy-S1130862119302293#:~:text=Most%20respondents%20were%2018%E2%80%9340,52.5%25)%20(Table%201).

Fransiska R B, Irmawati I. Peranan Stigma dan Self Efficacy Terhadap Quality Of Life Pada Orang Dengan Hiv/Aids (Odha) Yang Mengikuti Pendampingan di LSM X. Jurnal Psikoislamika 2017;14(1).

Huang L, Li L, Zhang Y, Li H, Li X, Wang H. Self-Efficacy, Medication Adherence, and Quality of Life Among People Living With HIV in Hunan Province of China: A Questionnaire Survey. Journal of the Association of Nurses in AIDS Care 2013;24(2):145–153.

The Stages of HIV Infection | NIH [Homepage on the Internet]. [cited 2023 Jul 3];Available from: https://hivinfo.nih.gov/understanding-hiv/fact-sheets/stages-hiv-infection

Yakasai AS, Abdul Ghani N. Challenges Facing People Living With Hiv/Aids In Getting Social Support in Kano State, Nigeria: A Sociological Perspective. International Journal of Academic Research in Business and Social Sciences 2021;11(2).

los Rios P de, Okoli C, Castellanos E, et al. Physical, Emotional, and Psychosocial Challenges Associated with Daily Dosing of HIV Medications and Their Impact on Indicators of Quality of Life: Findings from the Positive Perspectives Study. AIDS Behav [homepage on the Internet] 2021 [cited 2023 Jul 3];1:3. Available from: https://doi.org/10.1007/s10461-020-03055-1

Purnamawati D, Nurfadhilah Nurfadhilah, zamzam R, Larasati Sekarputri A. Kesehatan Mental Orang dengan HIV (ODHIV) untuk Kesetaraan AIDS [Homepage on the Internet]. In: Prosiding Forum Ilmiah Tahunan IAKMI (Ikatan Ahli Kesehatan Masyarakat Indonesia). IAKMI, 2023 [cited 2023 Jul 6]; Available from: http://jurnal.iakmi.id/index.php/FITIAKMI/article/view/295/306

Zhang L, Li X, Lin Z, et al. Side effects, adherence self-efficacy, and adherence to antiretroviral treatment (ART): A mediation analysis in a Chinese sample HHS Public Access. AIDS Care 2016;28(7):919–926.

Reeb RN, Folger SF, Langsner S, Ryan C, Crouse J. Self-Efficacy in Service-Learning Community Action Research: Theory, Research, and Practice. Am J Community Psychol 2010;46(3):459–471.

Bandura A. Health promotion by social cognitive means. Health Education and Behavior 2004;31(2):143–164.

Bandura A, Freeman WH, Lightsey R. Self-Efficacy: The Exercise of Control. J Cogn Psychother. 1999;13(2):158–166.

Kustanti CY, Pradita R, Stikes ), Yakkum B, Johar J. Self Efficacy Penderita HIV/AIDS Dalam Mengkonsumsi Antiretroviral di Lembaga Swadaya Masyarakat Kebaya Yogyakarta. Jurnal Kesehatan [homepage on the Internet] 2018 [cited 2023 Jul 6];5(1). Available from: https://jurnal.stikesbethesda.ac.id/index.php/jurnalkesehatan/article/view/74

Andini S, Yona S, Waluyo A. Self-efficacy, depression, and adherence to antiretroviral therapy (ART) among Indonesian women with HIV. Enferm Clin 2019;29:687–690.

Namisi CP, Munene JC, Wanyenze RK, et al. Stigma mastery in people living with HIV: gender similarities and theory. Journal of Public Health (Germany) 2022;30(12):2883–2897.

Purnamawati D, Nurfadhilah Nurfadhilah, Zam-zam R, Amalia K, Ningsih RZ. Pengalaman Penderita HIV Pada Lelaki Suka Lelaki ( LSL ); Analisis Kualitatif tentang Persepsi Diri, Respon Saat Didiagnosis, Perilaku Pencegahan, dan Dukungan Pendamping Sebaya. Jurnal Kedokateran dan Kesehatan [homepage on the Internet] 2022 [cited 2023 Jul 6];18(2):155–163. Available from: https://jurnal.umj.ac.id/index.php/JKK/article/view/13062

Khairia M, Sitorus RJ. Determinan Self Efficacy Pada Orang Dengan HIV/AIDS (ODHA) Di Kota Palembang [Homepage on the Internet]. 2021;Available from: https://repository.unsri.ac.id/52426/

Edmonds KA, Aspiras OG, Rose JP, et al. Cross-sectional evaluation of perceived health care provider engagement, self-efficacy, and ART adherence in people living with HIV/AIDS. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV 2021;33(2):154–158.

Zhou G, Li X, Qiao S, Zhou Y, Shen Z. Psychological and behavioral barriers to ART adherence among PLWH in China: role of self-efficacy. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV 2017;29(12):1533–1537.

Lee WK, Milloy MJS, Nosova E, Walsh J, Kerr T. Predictors of Antiretroviral Adherence Self-efficacy among People Living with HIV/AIDS in a Canadian Setting. J Acquir Immune Defic Syndr (1988) 2019;80(1):103–109.

Downloads

Published

2023-06-30

How to Cite

Purnamawati, D., Nurfadhilah, N., Zamzam, R., & Amalia, K. (2023). SELF-EFFICACY AMONG PEOPLE LIVING WITH HIV AIDS AFTER COVID-19 PANDEMIC. JURNAL KESEHATAN REPRODUKSI, 14(1), 49–57. https://doi.org/10.58185/jkr.v14i1.103