scholarly journals Correlation Between Disclosure Status and Stress in Men Who Have Sex with Men with HIV

Author(s):  
Edianto Edianto ◽  
Agung Waluyo ◽  
Sri Yona ◽  
Ina Martiana

Men who have sex with men living with HIV (MSM-LWH) experience psychological and social issues, including depression, anxiety, fear of infecting others, frustration, and social isolation. They may also experience problems in their relationships due to a fear of social stigma, such as marital issues, family conflicts, a lack of family support, economic difficulties, and social rejection by the family. This research aimed to assess the relationship between HIV status disclosure and stress in MSM-LWH in Medan, Indonesia. Here, a cross-sectional design and the convenience sampling technique were used. A total of 176 respondents who were MSM, HIV positive, and residents of Medan City were included in this work. Data were collected by means of HIV Status Disclosure questionnaires and a Perceived Stress Scale (PSS). Overall, 70.9% respondents reported disclosing their status to others and approximately half revealed experiencing stress. Moreover, HIV status disclosure was significantly associated with stress (p= 0.025). This study reveals that HIV status disclosure may result in negative effects on MSMLWH, represent a barrier to medical treatment, and increase internal stress. Abstrak Hubungan antara Status Disclosure dengan Stres pada Lelaki yang Berhubungan Seks dengan Lelaki dengan HIV. Lelaki yang berhubungan Seks dengan lelaki (LSL) yang hidup dengan HIV mengalami maslah psikologis dan social termasuk depresi, kecemasan, ketakutan menulari orang lain, frustasi dan isolasi sosial. Selain itu juga mengalami masalah dalam hubungan sosial karena takut akan stigma, konflik dalam keluarga, kurangnya dukungan keluarga, kesulitan ekonomi dan penolakan oleh keluarga. Penelitian ini bertujuan untuk mengetahui hubungan antara status disclosure HIV dengan stress pada LSL yang hidup dengan HIV di Medan, Indonesia. Metode yang digunakan adalah cross-sectional dengan menggunakan teknik convenience sampling. Sebanyak 176 responden LSL dengan HIV positif dan tinggal di wilayah kota Medan. Data dikumpulkan dengan menggunakan HIV Status Disclosure Questionare dan Perceived Stress Scale (PSS). Hasil penelitian menemukan bahwa sebanyak 70,9% responden memiliki status disclosure HIV rendah, sementara itu sebanyak 55,1% resonden mengalami stress yang tinggi. Status disclosure HIV secara bermakna dikaitkan dengan stress (p= 0,025; α= 0,05). Dapat disimpulkan bahwa status disclosure HIV dapat memberikan efek negatif pada LSL yang hidup dengan HIV dan menjadi penghalang untuk perawatan medis dan meningkatkan stress internal. Kata Kunci: HIV, status disclosure, lelaki yeng berhubungan seks dengan lelaki, stres

2020 ◽  
Vol 23 (3) ◽  
pp. 155-161
Author(s):  
Edianto Edianto ◽  
Agung Waluyo ◽  
Sri Yona ◽  
Ina Martiana

Men who have sex with men living with HIV (MSM-LWH) experience psychological and social issues, including depression, anxiety, fear of infecting others, frustration, and social isolation. They may also experience problems in their relationships due to a fear of social stigma, such as marital issues, family conflicts, a lack of family support, economic difficulties, and social rejection by the family. This research aimed to assess the relationship between HIV status disclosure and stress in MSM-LWH in Medan, Indonesia. Here, a cross-sectional design and the convenience sampling technique were used. A total of 176 respondents who were MSM, HIV positive, and residents of Medan City were included in this work. Data were collected by means of HIV Status Disclosure questionnaires and a Perceived Stress Scale (PSS). Overall, 70.9% respondents reported disclosing their status to others and approximately half revealed experiencing stress. Moreover, HIV status disclosure was significantly associated with stress (p= 0.025). This study reveals that HIV status disclosure may result in negative effects on MSMLWH, represent a barrier to medical treatment, and increase internal stress. Abstrak Hubungan antara Status Disclosure dengan Stres pada Lelaki yang Berhubungan Seks dengan Lelaki dengan HIV. Lelaki yang berhubungan Seks dengan lelaki (LSL) yang hidup dengan HIV mengalami masalah psikologis dan sosial termasuk depresi, kecemasan, ketakutan menulari orang lain, frustasi dan isolasi sosial. Selain itu juga mengalami masalah dalam hubungan sosial karena takut akan stigma, konflik dalam keluarga, kurangnya dukungan keluarga, kesulitan ekonomi dan penolakan oleh keluarga. Penelitian ini bertujuan untuk mengetahui hubungan antara status disclosure HIV dengan stress pada LSL yang hidup dengan HIV di Medan, Indonesia. Metode yang digunakan adalah cross-sectional dengan menggunakan teknik convenience sampling. Sebanyak 176 responden LSL dengan HIV positif dan tinggal di wilayah kota Medan. Data dikumpulkan dengan menggunakan HIV Status Disclosure Questionare dan Perceived Stress Scale (PSS). Hasil penelitian menemukan bahwa sebanyak 70,9% responden memiliki status disclosure HIV rendah, sementara itu sebanyak 55,1% resonden mengalami stress yang tinggi. Status disclosure HIV secara ber-makna dikaitkan dengan stress (p= 0,025). Penelitian ini mengungkapkan bahwa status disclosure HIV dapat mem-berikan efek negatif pada LSL yang hidup dengan HIV dan menjadi penghalang untuk perawatan medis dan mening-katkan stress internal.Kata Kunci: HIV, lelaki yeng berhubungan seks dengan lelaki, status disclosure, stres


AIDS Care ◽  
2021 ◽  
pp. 1-18
Author(s):  
Theodora Goodwin ◽  
Simon Gregson ◽  
Rufurwokuda Maswera ◽  
Louisa Moorhouse ◽  
Constance Nyamukapa

2020 ◽  
Vol 9 (2) ◽  
pp. 117-125
Author(s):  
Eka Wahyuni ◽  
Yustia Nova Annisa

Abstrak Penelitian ini bertujuan untuk mengetahui tingkat stres remaja dan kebutuhan untuk mengembangkan video tutorial mindfulness-breathing meditation sebagai strategi dalam mengurangi stres remaja. Convenience sampling yang digunakan untuk mengumpulkan data pada 165 peserta didik. Alat ukur yang digunakan adalah perceived stress scale (PSS) dan studi kebutuhan video mindfulness-breathing meditation. Hasil penelitian menunjukkan bahwa tingkat stres remaja yang tinggi (27 dari skor total 40). Perempuan memiliki tingkat stres yang lebih tinggi daripada laki-laki (27,2 vs 26,6), persentase perempuan yang mengalami stres tingkat tinggi lebih banyak daripada laki-laki (54,1%vs 41,3%). Meskipun prevalensi stres sangat tinggi di kalangan remaja, sebagian besar peserta didik sangat minim memiliki paparan materi mengenai cara mengurangi stres (80,15%) serta mengenai latihan bernafas dengan baik. Peserta didik juga sangat antusias untuk mempelajari meditasi pernafasan melalui video (100%). Diketahui juga bahwa pengembangan video mindfulness-breathing meditation sangat penting untuk membantu peserta didik dalam mengurangi stres mereka. Kata Kunci: Stres, Remaja, Mindfulness, Breathing Meditation   Abstract This research aims to determine the stress level of adolescents and the need to develop a mindfulness-breathing meditation video as a strategy to reduce adolescents’ stress. The convenience sampling was used to collect data form was 165 students. The measures are the perceived stress scale (PSS) and the needs of mindfulness-breathing meditation video. The results shows that the adolescent’ stress level is high (27 out of 40). Female has higher level stress than male (27,2 vs 26,6), the percentage of female who experience high level stress was outnumber male (54,1% vs 41,3%). Despite the high prevalence of stress among adolescent, most of students has minimum exposure to stress reduction (80,15%) as well as breathing exercises. All students enthusiastic to learn mindfulness-breathing meditation through video. It is recommended that development of mindfulness-breathing meditation video is crucial to help students in reducing their stress. Keywords: Stress, Adolescent, Mindfulness, Breathing Meditation


AIDS Care ◽  
2020 ◽  
Vol 32 (sup2) ◽  
pp. 142-147 ◽  
Author(s):  
Jane Mingjie Lim ◽  
Rayner Kay Jin Tan ◽  
Jeremiah Kah Wai Chan

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
S. O. Ekama ◽  
E. C. Herbertson ◽  
E. J. Addeh ◽  
C. V. Gab-Okafor ◽  
D. I. Onwujekwe ◽  
...  

Background. The need for a high level of adherence to antiretroviral drugs has remained a major hurdle to achieving maximal benefit from its use in pregnancy. This study was designed to determine the level of adherence and identify factors that influence adherence during pregnancy.Method. This is a cross-sectional study utilizing a semistructured questionnaire. Bivariate and multiple logistic regression models were used to determine factors independently associated with good drug adherence during pregnancy.Result. 137 (80.6%) of the interviewed 170 women achieved adherence level of ≥95% using 3 day recall. The desire to protect the unborn child was the greatest motivation (51.8%) for good adherence. Fear of being identified as HIV positive (63.6%) was the most common reason for nonadherence. Marital status, disclosure of HIV status, good knowledge of ART, and having a treatment supporter were found to be significantly associated with good adherence at bivariate analysis. However, after controlling for confounders, only HIV status disclosure and having a treatment partner retained their association with good adherence.Conclusion. Disclosure of HIV status and having treatment support are associated with good adherence. Maternal desire to protect the child was the greatest motivator for adherence.


2020 ◽  
Vol 2 (1) ◽  
pp. 16
Author(s):  
Qurrata A'yuni Rasyidah ◽  
Rizki Fitryasari ◽  
Andri Setiya Wahyudi

Pendahuluan: Tidur merupakan suatu kebutuhan dasar yang harus dipenuhi. Kualitas tidur yang buruk salah satunya dapat disebabkan karena stres dan kondisi kelelahan. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat stres dan burnout syndrome terhadap kualitas tidur pada mahasiswa ners Fakultas Keperawatan Universitas Airlangga.Metode: Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross-sectional. Populasi penelitian adalah mahasiswa profesi ners Fakultas Keperawatan Unair program regular dan alih jenis. Jumlah sampel sebanyak 126 responden yang diperoleh dengan menggunakan teknik simple random sampling  dan mahasiswa profesi ners Fakultas Keperawatan Unair dari program regular maupun alih jenis sebagai kriteria inklusi. Variabel independen yaitu tingkat stress dan burnout syndrome dan variabel dependen yaitu kualitas tidur. Data dikumpulkan dengan kuesioner Perceived Stress Scale (PSS), Maslach Burnout Invetory (MBI), Pittsburg Sleep Quality Index (PSQI) dan dianalisis menggunakan uji spearmen’s rho dan uji regresi logistik.Hasil: Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross-sectional. Populasi penelitian adalah mahasiswa profesi ners Fakultas Keperawatan Unair program regular dan alih jenis. Jumlah sampel sebanyak 126 responden yang diperoleh dengan menggunakan teknik simple random sampling  dan mahasiswa profesi ners Fakultas Keperawatan Unair dari program regular maupun alih jenis sebagai kriteria inklusi. Variabel independen yaitu tingkat stress dan burnout syndrome dan variabel dependen yaitu kualitas tidur. Data dikumpulkan dengan kuesioner Perceived Stress Scale (PSS), Maslach Burnout Invetory (MBI), Pittsburg Sleep Quality Index (PSQI) dan dianalisis menggunakan uji spearmen’s rho dan uji regresi logistik.Kesimpulan: Tingkat stress yang dialami oleh mahasiswa profesi terutama dalam merawat pasien dan situasi kelelahan emosional pada burnout syndrome dapat mengakibatkan  kualitas tidur mahasiswa profesi. ABSTRACTIntroduction: Sleep is a basic need that must be fulfilled. Poor sleep quality can be caused by stress and fatigue. This study aims to analyze the relationship between stress levels and burnout syndrome with sleep quality on clinical nursing students of the Nursing Faculty at Universitas Airlangga.Method: This study uses a cross-sectional design. The population is clinical nursing student Faculty of Nursing Universitas Airlangga from the regular program and over the program level. The total sample was 126 respondents using a simple random sampling technique. Independent variables are stress level and burnout syndrome and the dependent variable is sleep quality. Data collected by questionnaires Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI) and Pittsburg Sleep Quality Index (PSQI) and then analyzed using spearmen's rho test and logistic regression test.Results:  The results showed that there was a relationship between stress levels and sleep quality (p = 0,000, r = 0,311), there was a relationship between burnout syndrome specifically the dimensions of emotional exhaustion with sleep quality (p = 0,025) and the results of logistic regression tests showed a correlation between stress levels (p = 0,000) and burnout syndrome dimensions of emotional exhaustion (p = 0.025) with the quality of sleep in clinical nursing students of the Faculty of Nursing Universitas Airlangga.Conclusion: The level of stress experienced by clinical nursing students, especially stress in caring for patients and burnout syndrome, especially in the dimensions of emotional exhaustion affect the quality of sleep for clinical nursing students.


2020 ◽  
Author(s):  
Shu Ling Tan ◽  
Malte Jetzke ◽  
Vera Vergeld ◽  
Carsten Müller

BACKGROUND Mental health is an emerging topic on university campuses, with students reporting higher levels of psychological distress than the general population of the same age. Increasing physical activity and reducing sedentary time have been proved promising measures to promote mental health in the general population. However, to derive and implement effective measures to promote mental health among university students, further exploration of the associations between physical activity, sedentary time, and perceived stress in this specific setting is needed. OBJECTIVE This study aims to identify associations between physical activity, sedentary time, and perceived stress after controlling for sociodemographic and behavioral variables among university students in Germany. We hypothesize that perceived stress is inversely related to physical activity and positively associated with sedentary time. Furthermore, we hypothesize that combined associations of concurrently high physical activity and low sedentary time on perceived stress are stronger compared with either alone and that the association between physical activity and perceived stress depends on activity intensity. METHODS We conducted cross-sectional analyses from a large-scale internet-based student health survey (n=4189; response rate=10.0%). Physical activity, sedentary time, and engaging in moderate and vigorous activity intensities were assessed using the International Physical Activity Questionnaire Short Form with categorization into low, intermediate, and high levels. We measured perceived stress using the 10-item Perceived Stress Scale (range 0-40). RESULTS The results indicate that higher physical activity and lower sedentary time are associated with reduced levels of perceived stress. Following adjustment for gender, BMI, income, fruit and vegetable intake, alcohol consumption, and sleep quality, perceived stress scores were lower for students reporting high physical activity levels and low sedentary time compared with the least active and highly sedentary students (Perceived Stress Scale –2.2, 95% CI –2.9 to –1.5, <i>P</i>&lt;.001 for physical activity and –1.1, CI 95% –1.7 to –0.5, <i>P</i>&lt;.001 for sedentary time). Combined associations with perceived stress revealed that students concurrently reporting high total physical activity and low sedentary time reported the lowest perceived stress scores of all possible combinations following adjustment for confounders (Perceived Stress Scale –3.5, CI 95% –4.6 to –2.5, <i>P</i>&lt;.001 compared with students reporting low physical activity levels and concurrently high sedentary time). Associations between vigorous physical activities and perceived stress were not stronger compared with moderate activity intensities. CONCLUSIONS Self-reported physical activity and low sedentary time are favorably associated with perceived stress, while the intensity of physical activities seems to be of minor importance. These results help to effectively implement health-promoting measures on campus among university students through increasing physical activity and reducing sedentary time.


2021 ◽  
Vol 11 (3) ◽  
pp. 592-599
Author(s):  
ışın cantekin

This descriptive cross-sectional study was conducted to determine the perceived stress levels of nursing students regarding the clinical practice during the Covid-19 pandemic. The study was conducted between May 20 and June 20, 2020, with 252 students studying in all classes in the Nursing Departments of Necmettin Erbakan University. The data were collected using the Information Form and the Perceived Stress Scale for Nursing Students (PSSNS). 52.0% of the students felt uncomfortable thinking about Covid-19, and 62.2% stated that their anxiety increased when they thought they were infected with Covid-19. The study further revealed that 57.9% of the nursing students were afraid to provide care to the individuals diagnosed with Covid-19 and 82.1% stated that they did not have enough knowledge to provide care to those individuals. Our study revealed that there is a statistically significant difference between the mean scores of the Perceived Stress Scale for Nursing Students and the students’ gender (p<0.01), the status of willingly choosing the nursing profession (p<0.01), the interest in the nursing profession during the Covid-19 pandemic (p<0.01), having enough knowledge to provide care to individuals diagnosed with Covid-19 (p<0.01), being uncomfortable thinking about Covid-19 (p<0.01), being afraid to provide care to individuals diagnosed with Covid-19 (p<0.01), and the increased anxiety level thinking that they were infected with Covid-19 (p<0.01). In this study, female nurses and nurses who did not choose the nursing profession willingly, whose interests in the nursing profession were negatively affected during the pandemic period, who believe that they do not have the knowledge or who do not want to provide care to individuals diagnosed with Covid-19, who are afraid to provide care, and who are uncomfortable thinking about Covid-19 were found to have higher perceived stress levels. It is recommended to offer training and counseling to the nursing students with high perceived stress levels


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