Stigma and negative self-perceptions of young people living with human immunodeficiency virus in Bandung, Indonesia: a case series

Aggarwal, Sahil; Yu, Luke E; Hasjim, Bima; Lee, Dong Hoon; Kim, Esther; Lee, Jonathan B.; Lee, Katrina; Tse, Christina; Anshus, Alexander; Yu, Allen R.; Louthan, Michael; Keown, Thomas; Gabriel, Christopher; Diamond, Catherine

doi:10.1093/inthealth/ihy031

Cited by 4 publications

(6 citation statements)

References 5 publications

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“…A literature review on mental health in Indonesia conducted in PubMed returned 161 studies published between 1949 and 2020. However, only 15 of these studies discussed stigma either directly or in the context of Indonesian mental health services [18,[30][31][32][33][34][35][36][37][38][39][40][41][42][43]. Among these 15 studies, six discussed stigma in general, consequences of stigma (i.e., "pasung" or confinement), attitudes toward mental health, and perceptions of mental health [18,30,31,[41][42][43].…”

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confidence: 99%

“…However, only 15 of these studies discussed stigma either directly or in the context of Indonesian mental health services [18,[30][31][32][33][34][35][36][37][38][39][40][41][42][43]. Among these 15 studies, six discussed stigma in general, consequences of stigma (i.e., "pasung" or confinement), attitudes toward mental health, and perceptions of mental health [18,30,31,[41][42][43]. Previous investigations of stigma in Indonesia mainly examined personal stigma, with a focus on the perceptions of those with mental illness and their families, how they respond to stigmatization in their lives, and the impact of stigma on access to mental health facilities or treatment [18,[20][21][22][23]44].…”

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confidence: 99%

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Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis

Subu

Wati²,

Netrida

et al. 2021

Int J Ment Health Syst

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Background Stigma refers to the discrediting, devaluing, and shaming of a person because of characteristics or attributes that they possess. Generally, stigma leads to negative social experiences such as isolation, rejection, marginalization, and discrimination. If related to a health condition such as mental illness, stigma may affect a person’s illness and treatment course, including access to appropriate and professional medical treatment. Stigma has also been reported to affect patients’ families or relatives, along with professionals who work in mental healthcare settings. Stigma is strongly influenced by cultural and contextual value systems that differ over time and across contexts. However, limited information is available on how types of stigma are experienced by patients with mental illness and mental health nurses in Indonesia. Method We explored the stigma-related experiences of 15 nurses and 15 patients in Indonesia. The study design and analysis of interview data were guided by deductive (directed) content analysis. Results Five themes emerged. Four themes were patient-related: personal/patients’ stigma, public/social stigma, family stigma, and employment stigma. The fifth theme related to stigma toward healthcare professionals working with patients with mental illnesses, which we categorized as professional stigma. Conclusions This study has achieved a deep understanding of the concept of stigma in the Indonesian context. This understanding is a prerequisite for developing appropriate interventions that address this phenomenon and thereby for the development of mental health services in Indonesia. This study may also be transferable to other countries that share similar cultural backgrounds and adhere to traditional and religious value systems.

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confidence: 99%

mentioning

confidence: 99%

Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis

Subu

Wati²,

Netrida

et al. 2021

Int J Ment Health Syst

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“…It is possible that the persistence of depressive symptoms is related to stigmatisation or lack of social support experienced by PLHIV, even in the context of effective ART treatment. A recent case series of young PLHIV in Indonesia revealed that stigma and negative self-perception persists, and a large number of participants felt that they did not deserve to live (45%) or felt completely worthless (64%) [27]. PLHIV might also experience stigma in medical facilities, where a high rate of HIV-related stigma has been reported, such as among Indonesian nurses [28].…”

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confidence: 99%

Prevalence and associated factors of depressive symptoms among people living with HIV on antiretroviral therapy in Jakarta, Indonesia

Yunihastuti

Agusin

Sari

et al. 2021

Tropical Med Int Health

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Objective We aimed to investigate the prevalence of depressive symptoms among people living with HIV (PLHIV) on antiretroviral therapy (ART) in a large HIV treatment facility in Jakarta, Indonesia, and to assess associated factors. Methods The Indonesian version of Beck Depression Inventory‐II was used to assess depressive symptoms of 346 participants visiting the HIV Integrated Clinic Cipto Mangunkusumo hospital between June and November 2018. Results Depressive symptoms (BDI‐II score ≥14) were exhibited by 50.9% of participants, with prevalences of mild, moderate and severe depression of 30.4%, 15.6% and 4.9%, respectively. Poisson regression with robust variance analysis indicated that having lower income (aPR = 1.38, 95% CI 1.12–1.63), duration of ART for 1–5 years (aPR = 1.25, 95% CI 1.01–1.54) and same‐sex partnership (aPR = 1.27, 95% CI 1.02–1.58) were positively associated with depressive symptoms. Age, sex and history of using intravenous drugs, and ART‐based regimen were not associated with depressive symptoms. Conclusions Depressive symptoms were common among our population despite long‐term ART use and were associated with having low‐income, ART for 1–5 years and same‐sex partnership.

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“…Penelitian terkait stigma di Indonesia menemukan beberapa bentuk stigma yang diterima ODHA yaitu berupa penolakan, harga diri rendah/persepsi diri yang negatif, pelecehan verbal, isolasi sosial, dan ketakutan. Bahkan keberadaan stigma ini membuat 45% dari mereka merasa tidak layak untuk hidup dan 64% merasa tidak berharga 6,7 .…”

Section: Pendahuluanunclassified

Pengetahuan Dan Sikap Pasangan Usia Subur Dalam Pencegahan Hiv/Aids

Septiyaningsih¹,

Kusumawati²,

Indratmoko³

2021

pannmed

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Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) are still health problems faced by both developed and developing countries. One of the main factors that become obstacles is the stigma and discrimination against HIV sufferers in Indonesia which is still high. The age group most infected with HIV/AIDS in Indonesia is included in the population of couples of childbearing age. EFA is a couple (male and female) who are mature enough in all respects, especially their reproductive organs that are already functioning properly. At this time EFA must be able to maintain and utilize its reproduction properly. The purpose of this study is to describe the knowledge and attitudes of couples of childbearing age in preventing HIV/AIDS in the Work Area of ??the South Cilacap Health Center II. This study used a descriptive research design with a cross sectional approach. Samples were taken by random sampling technique, amounting to 30 respondents with univariate analysis. The results of this study were sufficient knowledge of respondents about HIV/AIDS 16 respondents (53.3%), both 12 respondents (40%) and less than 2 respondents (6.7%) as well as positive attitudes 24 respondents (80%) and negative attitudes 6 respondents (20%).

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Stigma and negative self-perceptions of young people living with human immunodeficiency virus in Bandung, Indonesia: a case series

Abstract: While these results are preliminary, access to mental health services should be a priority in the clinics that provide antiretroviral therapies.

Cited by 4 publications

References 5 publications

Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis

Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis

Prevalence and associated factors of depressive symptoms among people living with HIV on antiretroviral therapy in Jakarta, Indonesia

Pengetahuan Dan Sikap Pasangan Usia Subur Dalam Pencegahan Hiv/Aids

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