Perspectives of people with HIV/AIDS on psychosocial disorders on motivation and quality of Life

Authors

  • Maxwell Landri Vers Malakauseya Faculty of Medicine, Universitas Pattimura, Indonesia http://orcid.org/0000-0003-1388-6798
  • Nathalie Elischeva Kailola Faculty of Medicine, Universitas Pattimura, Indonesia
  • Merlin Margareth Maelissa Faculty of Medicine, Universitas Pattimura, Indonesia
  • Rosano Carolina Pentury Yayasan Pelangi Maluku, Indonesia
  • Janti Pare Nari Faculty of Medicine, Universitas Pattimura, Indonesia
  • Claudia Igreya Pattipeilohy Faculty of Medicine, Universitas Pattimura, Indonesia
  • Christiana Rialine Titaley Faculty of Medicine, Universitas Pattimura, Indonesia http://orcid.org/0000-0002-3023-003X

DOI:

https://doi.org/10.31101/jhes.3062

Keywords:

HIV/AIDS; discrimination; psychosocial disorders; motivation; quality of life

Abstract

The cause of death of people with HIV/AIDS (ODHA) is not only caused by immunodeficiency factors but also caused by the influence of stigma or social discrimination received, resulting in psychosocial disorders on motivation and quality of life. This study aims to determine the perspective of PLHIV on psychosocial disorders due to discrimination and stigma received and its impact. This research is a qualitative research with a field research design. Data collection using Focus Group Discussion and in-depth interviews involving 18 informants at Yayasan Pelangi Maluku. The impact of psychosocial disorders is experienced as a decrease in the quality and motivation of life. Decreased quality of life was reported by informants, including poor social relationships, problems accepting HIV status, and anger of PLHIV towards themselves. The decrease in motivation to live with PLHIV is reflected in the unwillingness to seek treatment, suicidal ideation, and the desire to transmit HIV. This study showed the existence of psychosocial disorders with a large impact on the motivation and quality of life of PLHIV. This shows the importance of psychosocial assistance to PLHIV through continuous education for families and communities to reduce stigma and discrimination and its impact on PLHIV.

References

Ahmed, S., Autrey, J., Katz, I. T., Fox, M. P., Rosen, S., Onoya, D., Bärnighausen, T., Mayer, K. H., & Bor, J. (2018). Why do people living with HIV not initiate treatment? A systematic review of qualitative evidence from low- and middle-income countries. Social Science & Medicine, 213, 72–84. https://doi.org/10.1016/j.socscimed.2018.05.048

Akilimali, P. Z., Musumari, P. M., Kashala-Abotnes, E., Kayembe, P. K., Lepira, F. B., Mutombo, P. B., Tylleskar, T., & Ali, M. M. (2017). Disclosure of HIV status and its impact on the loss in the follow-up of HIV-infected patients on potent anti-retroviral therapy programs in a (post-) conflict setting: A retrospective cohort study from Goma, Democratic Republic of Congo. PloS One, 12(2), e0171407. https://doi.org/10.1371/journal.pone.0171407

Amalia, R., Sumartini, S., & Sulastri, A. (2018). Gambaran Perubahan Psikososial dan Sistem Pendukung Pada Orang Dengan HIV/AIDS (ODHA) di Rumah Cemara Gegerkalong Bandung. Jurnal Pendidikan Keperawatan Indonesia, 4(1), 77–85. https://doi.org/10.17509/jpki.v4i1.12346

Armiyati, Y., Rahayu, D. A., & Aisah, S. (2015). Manajemen Masalah Psikososiospiritual Pasien HIV/AIDS di Kota Semarang. The 2nd University Reseach Coloquinum, 548–556.

Chambers, L. A., Rueda, S., Baker, D. N., Wilson, M. G., Deutsch, R., Raeifar, E., Rourke, S. B., & Team, T. S. R. (2015). Stigma, HIV and health: A qualitative synthesis. BMC Public Health, 15(1), 848. https://doi.org/10.1186/s12889-015-2197-0

Chan, B. T., & Tsai, A. C. (2016). HIV stigma trends in the general population during antiretroviral treatment expansion: Analysis of 31 countries in sub-Saharan Africa, 2003–2013. JAIDS Journal of Acquired Immune Deficiency Syndromes, 72(5), 558. https://doi.org/10.1097/QAI.0000000000001011

Chan, R. C. H., Operario, D., & Mak, W. W. S. (2020). Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV. International Journal of Environmental Research and Public Health, 17(6), 1924. https://doi.org/10.3390/ijerph17061924

Chime, O. H., Arinze-onyia, S. U., & Ossai, E. N. (2019). Examining the effect of peer-support on self-stigma among persons living with HIV/AIDS. The Pan African Medical Journal, 34, 200. https://doi.org/10.11604/pamj.2019.34.200.17652

Dabaghzadeh, F., Jabbari, F., Khalili, H., & Abbasian, L. (2015). Associated Factors of Suicidal Thoughts in HIV-Positive Individuals. Iranian Journal of Psychiatry, 10(3), 185–191.

Dahlui, M., Azahar, N., Bulgiba, A., Zaki, R., Oche, O. M., Adekunjo, F. O., & Chinna, K. (2015). HIV/AIDS Related Stigma and Discrimination against PLWHA in Nigerian Population. PLOS ONE, 10(12), e0143749. https://doi.org/10.1371/journal.pone.0143749

Daskalopoulou, M., Lampe, F. C., Sherr, L., Phillips, A. N., Johnson, M. A., Gilson, R., Perry, N., Wilkins, E., Lascar, M., Collins, S., Hart, G., Speakman, A., Rodger, A. J., & ASTRA Study Group. (2017). Non-Disclosure of HIV Status and Associations with Psychological Factors, ART Non-Adherence, and Viral Load Non-Suppression Among People Living with HIV in the UK. AIDS and Behavior, 21(1), 184–195. https://doi.org/10.1007/s10461-016-1541-4

dos Santos, M. M., Kruger, P., Mellors, S. E., Wolvaardt, G., & van der Ryst, E. (2014). An exploratory survey measuring stigma and discrimination experienced by people living with HIV/AIDS in South Africa: The People Living with HIV Stigma Index. BMC Public Health, 14(1), 80. https://doi.org/10.1186/1471-2458-14-80

Ebrahimi Kalan, M., Han, J., Ben Taleb, Z., Fennie, K. P., Asghari Jafarabadi, M., Dastoorpoor, M., Hajhashemi, N., Naseh, M., & Rimaz, S. (2019). Quality Of Life And Stigma Among People Living With HIV/AIDS In Iran. HIV/AIDS (Auckland, N.Z.), 11, 287–298. https://doi.org/10.2147/HIV.S221512

Fauk, N. K., Hawke, K., Mwanri, L., & Ward, P. R. (2021). Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia. International Journal of Environmental Research and Public Health, 18(10), 5424. https://doi.org/10.3390/ijerph18105424

Fekete, E. M., Williams, S. L., & Skinta, M. D. (2018). Internalised HIV-stigma, loneliness, depressive symptoms and sleep quality in people living with HIV. Psychology & Health, 33(3), 398–415. https://doi.org/10.1080/08870446.2017.1357816

Forouzan, A. S., Jorjoran Shushtari, Z., Sajjadi, H., Salimi, Y., & Dejman, M. (2013). Social Support Network among People Living with HIV/AIDS in Iran. AIDS Research and Treatment, 2013, 715381. https://doi.org/10.1155/2013/715381

Halli, S. S., Khan, C. G. H., Moses, S., Blanchard, J., Washington, R., Shah, I., & Isac, S. (2017). Family and community level stigma and discrimination among women living with HIV/AIDS in a high HIV prevalence district of India. Journal of HIV/AIDS & Social Services, 16(1), 4–19. https://doi.org/10.1080/15381501.2015.1107798

Horter, S., Thabede, Z., Dlamini, V., Bernays, S., Stringer, B., Mazibuko, S., Dube, L., Rusch, B., & Jobanputra, K. (2017). “Life is so easy on ART, once you accept it”: Acceptance, denial and linkage to HIV care in Shiselweni, Swaziland. Social Science & Medicine, 176, 52–59. https://doi.org/10.1016/j.socscimed.2017.01.006

Ismail, N., Matillya, N., Ratansi, R., & Mbekenga, C. (2021). Barriers to timely disclosure of HIV serostatus: A qualitative study at care and treatment centers in Dar es Salaam, Tanzania. PLOS ONE, 16(8), e0256537. https://doi.org/10.1371/journal.pone.0256537

Kalembo, F. W., Kendall, G. E., Ali, M., & Chimwaza, A. F. (2019). Prevalence and factors associated with emotional and behavioural difficulties among children living with HIV in Malawi: A cross-sectional study. BMC Psychiatry, 19(1), 60. https://doi.org/10.1186/s12888-019-2046-2

Katz, I. T., Dietrich, J., Tshabalala, G., Essien, T., Rough, K., Wright, A. A., Bangsberg, D. R., Gray, G. E., & Ware, N. C. (2015). Understanding Treatment Refusal Among Adults Presenting for HIV-Testing in Soweto, South Africa: A Qualitative Study. AIDS and Behavior, 19(4), 704–714. https://doi.org/10.1007/s10461-014-0920-y

Klionsky, D. J., Abdel-Aziz, A. K., Abdelfatah, S., Abdellatif, M., Abdoli, A., Abel, S., Abeliovich, H., Abildgaard, M. H., Abudu, Y. P., Acevedo-Arozena, A., Adamopoulos, I. E., Adeli, K., Adolph, T. E., Adornetto, A., Aflaki, E., Agam, G., Agarwal, A., Aggarwal, B. B., Agnello, M., … Tong, C.-K. (2021). Guidelines for the use and interpretation of assays for monitoring autophagy (4th edition)1. Autophagy, 17(1), 1–382. https://doi.org/10.1080/15548627.2020.1797280

Krisdayanti, E., & Hutasoit, J. I. (2019). Pengaruh Coping Strategies terhadap Kesehatan Mental dan Kualitas Hidup Penderita HIV/AIDS positif. Jurnal Ilmu Keperawatan Jiwa, 2(3), Article 3. https://doi.org/10.32584/jikj.v2i3.440

Mendonca, C. J., Newton-John, T. R. O., Alperstein, D. M., Begley, K., Hennessy, R. M., & Bulsara, S. M. (2023). Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health. AIDS and Behavior, 27(2), 545–557. https://doi.org/10.1007/s10461-022-03790-7

Menon, J. A., Paul, R., Nkumbula, T., Lwatula, C., Musepa, M., & Ngoma, M. S. (2015). Impact of HIV Information and Peer Support on Psychiatric Outcomes in HIV Positive Young People. Medical Journal of Zambia, 41(3), 124–130.

Mey, A., Plummer, D., Dukie, S., Rogers, G. D., O’Sullivan, M., & Domberelli, A. (2017). Motivations and Barriers to Treatment Uptake and Adherence Among People Living with HIV in Australia: A Mixed-Methods Systematic Review. AIDS and Behavior, 21(2), 352–385. https://doi.org/10.1007/s10461-016-1598-0

Moleong, L. J. (2010). Motodologi Penelitian Kualitatif.pdf. Remaja Rosdakarya.

Mukarromah, S., & Azinar, M. (2021). Penghambat Kepatuhan Terapi Antiretroviral Pada Orang Dengan HIV/AIDS (Studi Kasus Pada ODHA Loss To Follow Up Therapy). Indonesian Journal of Public Health and Nutrition, 1(3), Article 3. https://doi.org/10.15294/ijphn.v1i3.47892

Nasir, A., Yusuf, A., Makhfudli, Harianto, S., Okviasanti, F., & Kartini, Y. (2023). Living experiences of people living with HIV-AIDS from the client’s perspective in nurse-client interaction in Indonesia: A qualitative study. PLOS ONE, 18(2), e0282049. https://doi.org/10.1371/journal.pone.0282049

Nobre, N., Pereira, M., Roine, R. P., Sutinen, J., & Sintonen, H. (2018). HIV-Related Self-Stigma and Health-Related Quality of Life of People Living With HIV in Finland. The Journal of the Association of Nurses in AIDS Care: JANAC, 29(2), 254–265. https://doi.org/10.1016/j.jana.2017.08.006

Rasoolinajad, M., Abedinia, N., Noorbala, A. A., Mohraz, M., Badie, B. M., Hamad, A., & Sahebi, L. (2018). Relationship Among HIV-Related Stigma, Mental Health and Quality of life for HIV-Positive Patients in Tehran. AIDS and Behavior, 22(12), 3773–3782. https://doi.org/10.1007/s10461-017-2023-z

Rezaei, S., Ahmadi, S., Rahmati, J., Hosseinifard, H., Dehnad, A., Aryankhesal, A., Shabaninejad, H., Ghasemyani, S., Alihosseini, S., Bragazzi, N. L., Raoofi, S., Kiaee, Z. M., & Ghashghaee, A. (2019). Global prevalence of depression in HIV/AIDS: A systematic review and meta-analysis. BMJ Supportive & Palliative Care, 9(4), 404–412. https://doi.org/10.1136/bmjspcare-2019-001952

Rueda, S., Mitra, S., Chen, S., Gogolishvili, D., Globerman, J., Chambers, L., Wilson, M., Logie, C. H., Shi, Q., Morassaei, S., & Rourke, S. B. (2016). Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: A series of meta-analyses. BMJ Open, 6(7), e011453. https://doi.org/10.1136/bmjopen-2016-011453

Ruffell, S. (2017). Stigma kills! The psychological effects of emotional abuse and discrimination towards a patient with HIV in Uganda. BMJ Case Reports, 2017, bcr2016218024, bcr-2016–218024. https://doi.org/10.1136/bcr-2016-218024

Saki, M., Mohammad Khan Kermanshahi, S., Mohammadi, E., & Mohraz, M. (2015). Perception of Patients With HIV/AIDS From Stigma and Discrimination. Iranian Red Crescent Medical Journal, 17(6), e23638. https://doi.org/10.5812/ircmj.23638v2

SeyedAlinaghi, S., Taj, L., Mazaheri-Tehrani, E., Ahsani-Nasab, S., Abedinzadeh, N., McFarland, W., Mohraz, M., & Mirzazadeh, A. (2021). HIV in Iran: Onset, responses, and future directions. AIDS (London, England), 35(4), 529–542. https://doi.org/10.1097/QAD.0000000000002757

Shaluhiyah, Z., Musthofa, S. B., & Widjanarko, B. (2015). Stigma Masyarakat terhadap Orang dengan HIV/AIDS. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 9(4), Article 4. https://doi.org/10.21109/kesmas.v9i4.740

Simmons, M. B., Cartner, S., MacDonald, R., Whitson, S., Bailey, A., & Brown, E. (2023). The effectiveness of peer support from a person with lived experience of mental health challenges for young people with anxiety and depression: A systematic review. BMC Psychiatry, 23(1), 194. https://doi.org/10.1186/s12888-023-04578-2

Siwalimanews. (2023, March 6). Homoseksual Picu Tingginya HIV di Kota Ambon. Siwalima, 25.

Sugiyono. (2015). Memahami Penelitian Kualitatif. Alfabeta.

Swan, H. (2016). A Qualitative Examination of Stigma Among Formerly Incarcerated Adults Living With HIV. SAGE Open, 6(1), 2158244016629524. https://doi.org/10.1177/2158244016629524

Tessema, B. T., Bune, G. T., & Mamo, Z. B. (2023). Non-Disclosure of HIV-Positive Serostatus: Unmatched Case–Control Study in People Living with HIV in Public Health Facilities of Gedeo Zone, Southern Ethiopia. HIV/AIDS (Auckland, N.Z.), 15, 313–324. https://doi.org/10.2147/HIV.S405818

Tian, X., Chen, J., Wang, X., Xie, Y., Zhang, X., Han, D., Fu, H., Yin, W., & Wu, N. (2023). Global, regional, and national HIV/AIDS disease burden levels and trends in 1990-2019: A systematic analysis for the global burden of disease 2019 study. Frontiers in Public Health, 11, 1068664. https://doi.org/10.3389/fpubh.2023.1068664

Tsai, Y.-T., Padmalatha, S., Ku, H.-C., Wu, Y.-L., Yu, T., Chen, M.-H., & Ko, N.-Y. (2022). Suicidality Among People Living With HIV From 2010 to 2021: A Systematic Review and a Meta-regression. Psychosomatic Medicine, 84(8), 924–939. https://doi.org/10.1097/PSY.0000000000001127

Turan, B., Budhwani, H., Fazeli, P. L., Browning, W. R., Raper, J. L., Mugavero, M. J., & Turan, J. M. (2017). How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes. AIDS and Behavior, 21(1), 283–291. https://doi.org/10.1007/s10461-016-1451-5

UNAIDS. (2019). Global AIDS Monitoring 2019: Indicators for Monitoring the 2016 Political Declaration on Ending AIDS. UN. https://doi.org/10.18356/8175a524-en

WHO. (2017). HIV-AIDS Treatment and Care’ Clinical Protocol for The WHO European Region (I. Eramova, S. Matic, & M. Munz, Eds.). World Health Organization. http://www.euro.who.int/pubrequest)

Yi, S., Chhoun, P., Suong, S., Thin, K., Brody, C., & Tuot, S. (2015). AIDS-Related Stigma and Mental Disorders among People Living with HIV: A Cross-Sectional Study in Cambodia. PLoS ONE, 10(3), e0121461. https://doi.org/10.1371/journal.pone.0121461

Yonah, G., Fredrick, F., & Leyna, G. (2014). HIV serostatus disclosure among people living with HIV/AIDS in Mwanza, Tanzania. AIDS Research and Therapy, 11(1), 5. https://doi.org/10.1186/1742-6405-11-5

Ziersch, A., Walsh, M., Baak, M., Rowley, G., Oudih, E., & Mwanri, L. (2021). “It is not an acceptable disease”: A qualitative study of HIV-related stigma and discrimination and impacts on health and wellbeing for people from ethnically diverse backgrounds in Australia. BMC Public Health, 21(1), 779. https://doi.org/10.1186/s12889-021-10679-y

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2023-09-30

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