scholarly journals A Secondary Analysis of Peer Support and Family Acceptance Among Homosexual Living with HIV and Antiretroviral Therapy: Quality of Life Perspectives

2021 ◽  
Vol 24 (1) ◽  
pp. 1-8
Author(s):  
Ina Martiana ◽  
Agung Waluyo ◽  
Sri Yona ◽  
Edianto Edianto

Men who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results showed that peer support was positively correlated with QOL (p= 0.023; OR= 2.070), and also, family acceptance was significantly related to QOL (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important factors affecting the well-being and QOL of MSM living with HIV and ART. This finding can be used for the improvement of QOL in people living with HIV. Abstrak  Dukungan Sebaya dan Penerimaan Keluarga terhadap Kualitas Hidup Homoseksual dengan HIV dan Terapi Antiretroviral. Laki-laki yang berhubungan seks dengan laki-laki (LSL) merupakan populasi yang berisiko terinfeksi HIV. Menilai kualitas hidup (QOL) pada LSL mungkin berbeda dari populasi lainnya. Penelitian ini merupakan analisis sekunder dari penelitian sebelumnya. Kami menguji apakah dukungan sebaya dan penerimaan keluarga berdampak pada kualitas hidup pada LSL dengan HIV dan ART (terapi antiretroviral). Sebanyak 175 responden dilibatkan dalam studi cross-sectional yang dilakukan melalui purposive sampling. Data kuesioner yang sudah terisi komplit, akan dilakukan analisa. Hasil penelitian menunjukkan bahwa dukungan sebaya berhubungan positif dengan kualitas hidup (p= 0,023; OR= 2,070) dan juga penerimaan keluarga secara signifikan berhubungan dengan kualitas hidup (p= 0,001; OR= 2,766). Dengan demikian, dukungan sebaya dan penerimaan keluarga merupakan variabel penting yang mempengaruhi kesejahteraan dan kualitas hidup LSL yang hidup dengan HIV dan ART. Temuan ini dapat digunakan untuk peningkatan QOL pada orang dengan HIV. Kata Kunci: dukungan sebaya, HIV, kualitas hidup, penerimaan keluarga

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

Men who have sex with men (MSM) comprise a population at risk for HIV infection. Quality of Life (QOL) becomes the main goal to lengthen their life span. This study was conducted to determine the relationship between peer support and family acceptance toward QOL of MSM living with HIV and ARV in Medan. A total of 175 respondents were involved in this cross-sectional study that was carried out via purposeful sampling. Data were collected by means of the Perceived Acceptance Scale, Peer Group Caring Interaction Scale, and WHOQOL-HIV BREF. Results showed that QOL was significantly associated with peer support (p= 0.023; OR= 2.070) and family acceptance (p= 0.001; OR= 2.766). Thus, peer support and family acceptance are important variables affecting well-being and QOL of MSM living with HIV and ARV. This finding can be used for the improvement of QOL in PLWH. AbstrakDukungan Sebaya dan Penerimaan Keluarga terhadap Kualitas Hidup LSL dengan HIV dan Antiretroviral. Laki-laki yang berhubungan seks dengan laki-laki (LSL) merupakan populasi yang berisiko terinfeksi HIV. Kualitas hidup (QOL) menjadi tujuan utama untuk memperpanjang umur mereka. Penelitian ini dilakukan untuk mengetahui hubungan dukungan sebaya dan penerimaan keluarga terhadap kualitas hidup LSL yang hidup dengan HIV dan antiretroviral (ARV) di Medan. Sebanyak 175 responden dilibatkan dalam studi cross-sectional yang dilakukan melalui purposive sampling. Data dikumpulkan dengan menggunakan Skala Perceived Acceptance, Skala Interaksi Peduli Peer Group, dan WHOQOL-HIV BREF. Hasil penelitian menunjukkan bahwa kualitas hidup secara signifikan berhubungan dengan dukungan teman sebaya (p = 0,023; OR = 2,070) dan penerimaan keluarga (p = 0,001; OR = 2,766). Dengan demikian, dukungan sebaya dan penerimaan keluarga merupakan variabel penting yang mempengaruhi kesejahteraan dan kualitas hidup LSL yang hidup dengan HIV dan ARV. Temuan ini dapat digunakan untuk peningkatan QOL pada ODHA.Kata Kunci: dukungan sebaya, HIV, kualitas hidup, penerimaan keluarga


2017 ◽  
Vol 2 (2) ◽  
pp. 137
Author(s):  
Linlin Lindayani

ABSTRAK HIV merupakan masalah kesehatan global dan penyebab kematian terbesar didunia. Sampai saat ini tidak ada obat yang bisa menyembuhkannya, yang baru muncul yaitu terapi dengan pemberian antiretroviral yang dapat menurunkan angka kematian dan meningkatkan umur harapan hidup. Klien HIV (+) yang menggunakan ART akan merasakan dampak dari penggunaan ART sedangkan pada klien HIV (+) yang tidak menggunakan ART akan merasakan dampak dari penurunan kondisi kesehatannya akibat HIV yang akan menyertainya sepanjang hidup. Kondisi tersebut akan berpengaruh terhadap kualitas hidupnya. Penelitian ini bertujuan untuk membandingkan dimensi kualitas hidup klien HIV (+) yang menggunakan dan tidak menggunakan ART. Penelitian ini bersifat deskriptif komparatif. Teknik sampling menggunakan Convenience Sampling. Sampel yang diteliti terdiri dari  klien HIV (+) yang mengggunakan ART sebanyak 42 orang dan klien HIV (+) yang tidak menggunakan ART sebanyak 41 orang. Hasil penelitian dianalisis secara deskriptif dengan tabel ditribusi frekuensi, mean dan standar deviasiny, dilanjutkan dengan perhitungan statistik menggunakan Uji F, dan dilanjutkan dengan uji beda menggunakan Uji t. Hasil penelitian ini menunjukan bahwa dimensi kesehatan fisik, dimensi hubungan sosial dan dimensi lingkungan klien HIV (+) yang menggunakan ART lebih baik dibandingkan klien HIV (+) yang tidak menggunakan ART. Sedangkan untuk dimensi psikologisnya tidak terdapat perbedaan yang signifikan.  Dengan mengetahui perbedaan kualitas hidup klien HIV (+) yang menggunakan dan tidak menggunakan ART,  diharapkan dapat menjadi bahan masukan bagi perawat dan lembaga swadaya masyarakat yang bergerak dalam pencegahan dan penangggulangan HIV dalam meningkatkan mutu pelayanannya sehingga mampu membantu mempertahankan dan meningkatkan kualitas hidup Klien HIV (+) baik yang menggunakan ataupun tidak menggunakan ART seoptimal mungkin. Kata kunci: Antiretroviral Therapy, HIV, & Kualitas Hidup  ABSTRACT HIV is a global public health issues and caused large number of death. There is no cure that can treat or kill the disease, but only antiretroviral drugs are available to reduce mortality and improve their life expectancy. HIV-infected persons who receiving antiretroviral therapy (ART) will have impact on their quality of life as well as those who are not receiving such treatment yet. The purpose of this study was to compare domain of quality of life of people who receiving ART with those without ART. This is a comparative cross sectional study with convenience sampling. A total of 84 people living with HIV, including 42 who receiving ART and 42 were not under ART yet. Quality of life was measure using WHOQOL-HIV in brief version. Data were analyzed using independent t test and F test. The results of this study showed that people who receiving ART had significantly higher score of physical, social, and environmental domains of quality of life as compare to those without ART. However, we did not found statistically significant for psychological dimension between two groups. The results of this study can be considered for health care professional to improve quality of care for people living with HIV in Indonesia. Keywords: Antiretroviral therapy, HIV & Quality of life.


2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Tri Nurhudi Sasono

Abstract : Indicator of the health welfare through Sustanable Development Goals (SDGs) is to reduce the incidence of HIV-AIDS, decrease the rate of the epidemic and maintain the quality of life of people living with HIV-AIDS (PLWHA). Trend cases of HIV-AIDS is the most recent spread among people, especially housewives. In Malang until 2015 found 278 Housewife of 409 cases of AIDS. The prevalence of HIV-AIDS in Malang Regency is ranked second after Surabaya city in East Java. For the importance of public participation and citizen care AIDS Cahaya Care Turen take responsibility for the condition. Determination Rule Goverment number 2 2015 year on the Participation of the community response to HIV-AIDS in Malang as a legal rule. Concerned Citizens activities AIDS (WPA). WPA Cahaya Care Turen is increases HIV risk and quality of life PLWHA. The purpose of this study was to determine the role of Citizens AIDS Cahaya Care Quality of Care Turen against people living with HIV in Puskesmas Turen Malang. The study design using a quasi-experimental, with purposive sampling using a sampling technique. Total number of research subjects 23. Based on test results obtained with the Wilcoxon p value <0.005, which means that there is a significant difference before and after PLWHA joining participated in the WPA Cahaya Care Turen. The conclusion of this study is WPA activities involving people living with HIV and at risk groups can optimize compliance with antiretroviral drugs that have an impact on improving the quality of life of PLHIV. Suggestions in this research is done WPA Program activities are structured and ongoing cross-sector in order to improve the quality of life and empower PLWHA.Keywords : WPA Cahaya Care Turen, Quality of life, PLWHA Abstrak : Salah satu indikator kesejahteraan kesehatan melalui Sustanable Development Goals (SDGs) adalah menekan angka kejadian HIV-AIDS, menurunkan laju epidemik dan mempertahankan kualitas hidup Orang dengan HIV-AIDS (ODHA). Trend kasus HIV-AIDS terkini terbanyak adalah menjangkit dikalangan masyarakat khususnya pada ibu rumah tangga. Kabupaten Malang sampai dengan tahun 2015 ditemukan 278 Ibu Rumah Tangga dari 409 kasus AIDS. Prevalensi HIV-AIDS di Kabupaten Malang ini merupakan peringkat kedua di Jawa Timur setelah Kota Surabaya. Untuk itu pentingnya peran serta masyarakat dan warga peduli AIDS Cahaya Care Turen ikut bertanggung jawab terhadap kondisi tersebut. Penetapan Peraturan Bupati Malang no.2 th.2015 tentang Peran serta masyarakat penanggulangan HIV-AIDS di Kabupaten Malang diharapkan dapat mengurangi risiko penularan HIV dan meningkatkan kualitas hidup ODHA. Tujuan dari penelitian ini adalah untuk mengetahui Peran Warga Peduli AIDS Cahaya Care Turen terhadap Kualitas ODHA Di Wilayah Kerja Puskesmas Turen Kabupaten Malang. Desain penelitian menggunakan quasi eksperimen, dengan teknik sampling menggunakan purposive sampling. Jumlah subyek penelitian sejumlah 23. Berdasarkan hasil uji dengan Wilcoxon didapatkan nilai p value < 0.005 yang berarti bahwa terdapat perbedaan bermakna sebelum dan sesudah ODHA bergabung mengikuti kegiatan WPA Cahaya Care Turen. Kesimpulan dalam penelitian ini adalah kegiatan WPA dengan melibatkan ODHA dan kelompok beresiko dapat mengoptimalkan kepatuhan obat ART sehingga berdampak terhadap peningkatan kualitas hidup ODHA. Saran dalam penelitian ini adalah dilakukannya Program kegiatan WPA yang terstruktur dan berkesinambungan lintas sektor guna meningkatkan kualitas hidup dan memberdayakan ODHA.     Kata kunci : WPA Cahaya Care Turen, kualitas hidup, ODHA


2021 ◽  
Vol 33 (3) ◽  
pp. 249-264
Author(s):  
Gert Scheerder ◽  
Sandra Van den Eynde ◽  
Patrick Reyntiens ◽  
Ria Koeck ◽  
Jessika Deblonde ◽  
...  

This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on professional life, but 40% experienced a negative impact on life satisfaction and 41% a negative impact on sexual life. For several domains, people with a recent diagnosis of HIV and long-term survivors had significantly worse scores. This survey also uncovered strengths of people living with HIV, such as positive coping and HIV self-image. Expanding the scope of quality of life in people living with HIV may provide a more complete picture of relevant life domains that may be impacted by living with HIV, but this needs further validation.


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 513-522 ◽  
Author(s):  
Juliano de Souza Caliari ◽  
Lilian Andreia Fleck Reinato ◽  
Daiana Patrícia Marchetti Pio ◽  
Letícia Pimenta Lopes ◽  
Renata Karina Reis ◽  
...  

ABSTRACT Objective: To analyze factors related to the quality of life of elderly people living with HIV/AIDS. Method: A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements. Results: Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs. Conclusion: The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.


10.3823/2627 ◽  
2020 ◽  
Vol 13 ◽  
Author(s):  
Maria Sandra Andrade ◽  
Clarissa Mourão Pinho ◽  
Aline Ferreira Targino Soares ◽  
Eduardo Tavares Gomes ◽  
Cynthia Angélica Ramos de Oliveira Dourado ◽  
...  

Purposes: Evaluate the quality of life and the associated factors in people living with HIV. Methods: This is a cross-sectional study with a quantitative approach and random sample selection, carried out in two Specialized Assistance Services, with 356 people living with HIV. The comparison between the domain scores was performed using the student t test, ANOVA and Pearson’s correlation. Multiple linear regression was used to assess the contribution of variables to the outcome quality of life using the stepwise method. Results: The domains that showed the best results in averages were Psychological (17.0), Social Relations (14.9) and Level of Independence (14.0). The domain that had the greatest determination was the Psychological (R² = 0.49), followed by Social Relations (R² = 0.434), the lowest determination was the Spirituality domain (R² = 0.270). No domain had a score considered high. Conclusion: The quality of life presented unsatisfactory results, especially in the Physical, Environment and Spirituality domains. The need to formulate strategies aimed at coping with HIV and increasing the quality of life of people living with HIV is evident.


Author(s):  
Grishma T. Dixit ◽  
Nilesh Thakor ◽  
Mihir Goswami ◽  
P. B. Verma

Background: Human Immunodeficiency Virus is the biggest threat to the mankind today from their health perspective. To know the perception of health status and quality of life of people living with HIV/AIDS.Methods: This cross sectional study was undertaken during March 2015 to April 2016 at Patan city. After taking permission from NGO and Gujarat State AIDS Control Society (GSACS) total 100 purposively selected People living with HIV (PLHIV) attached to the NGO of Patan city were interviewed using predesigned semi-structured performa. Written informed consent was taken from all PLHIV. Ethical approval was obtained from institutional ethical committee for human research. Data safety and confidentiality was also given due consideration. Data were statistically analyzed using SPSS software (trial version). Results: Age of study population ranges from 18 to 68 years. Mean age of study population is 34.21 + 9.1 years. Maximum number of PLHIV, 51 % are in the age group of 31-40 years age group. Out of total, 76 have perception of being healthy .Out of total, 61 % PLHIV have faced stigma. Out of total,92% were enjoying life, 74% perceived good quality of life, 95% perceived safe in life, 96% perceived satisfaction with health services, 84% perceived  satisfaction with their day to day work capability and only 8% perceived fear about their future life. Conclusions: Positive attitude towards life and health was observed in People Living with HIV. 


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Biksegn Asrat ◽  
Crick Lund ◽  
Fentie Ambaw ◽  
Emily Claire Garman ◽  
Marguerite Schneider

Abstract Background Major depression is believed to affect treatment adherence and overall quality of life (QoL) of people living with HIV/AIDS (PLWHA). Comorbid major depression contributes to a two-fold higher risk of mortality among PLWHA. Understanding the relationships of major depression, adherence to antiretroviral therapy (ART) and QoL is important to identify areas for intervention. The aim of this study is to examine relationship of major depressive disorder (MDD) and adherence to ART with QoL, and to investigate socio-demographic and clinical factors associated with MDD, adherence and QoL among PLWHA in Northwest Ethiopia. Method A cross-sectional study was conducted in the ART clinic of Felege-Hiwot referral hospital in Northwest Ethiopia from July to October 2019. Adult PLWHA were selected using a systematic random sampling technique. Data were collected using interview administered questionnaires and chart reviews. Mini International Neuropsychiatric Interview and WHOQOL-HIV-BREF-Eth instruments were used to measure MDD and QoL respectively. Adherence to ART was assessed using pill count data from patients’ adherence monitoring chart. Univariate and multivariate Poisson regressions were used to assess associations of socio-demographic and clinical factors with MDD and adherence to ART. A multivariate linear regression was used to examine the associations of both MDD and adherence with overall QoL. Result Of the total of 393 invited participants, 391 (99.5%) completed the interviews. MDD was negatively associated with overall QoL: participants with MDD had a lower QoL score of 0.17 points compared to those with no MDD. MDD was associated with reduced adherence to ART when functional disability was controlled (RR = 1.43; 95%CI = 1.05, 1.96; p = 0.025). However, there was no statistical association between adherence to ART and overall QoL. Functional disability was associated with both MDD (RR = 5.07; 95%CI = 3.27,7.86; p < 0.001) and overall QoL (β = 0.29; 95%CI = 0.21,0.36; p < 0.001). Conclusion The relationship between MDD and QoL indicates the need for feasible, acceptable and evidence-based mental health interventions to reduce depression and improve overall QoL of PLWHA. We recommend future studies investigate causal relationships of MDD, adherence to ART and QoL of PLWHA to better understand priority areas for intervention.


Sign in / Sign up

Export Citation Format

Share Document