Discriminatory Behavior among People Living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome against Adherence to Antiretroviral Treatment

Authors

  • Nur Azizah Indriastuti School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
  • Ririn Ayuningtyas School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5803

Keywords:

HIV/AIDS, PLWHA, Discrimination behavior, Antiretroviral treatment

Abstract

BACKGROUND: Globally, human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a serious health issue, as the number of sufferers increases from year to year. As there are many HIV/AIDS cases, antiretroviral treatment (ART) regimens’ success is determined by the high adherence of people living with HIV/AIDS (PLWHA) undergoing a treatment regimen. PLWHA adherence in undergoing ART regimens can be influenced by discriminatory behavior toward them.

AIM: This study aims to identify discriminatory behavior in PLWHA toward adherence to ART in Yogyakarta.

METHODS: This research used a qualitative method with a phenomenology approach. The collection of data was carried out through interviews and observation. Participants totaling seven people were determined by purposive sampling. The data validity employed source triangulation and checked the data back to the participants. Analysis of data was by comparing among categories, marking, and describing descriptively.

RESULTS: The results showed that PLWHA got discriminatory behavior around them during ARV treatment, which came from the attitude of health workers and unpleasant experiences from the environment, but this discriminatory behavior did not affect PLWHA adherence to ARV treatment.

CONCLUSION: Discriminatory behavior from health workers and the environment around PLWHA did not affect PLWHA adherence during ARV treatment.

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References

Liu H, Zhao M, Ren J, Qi X, Sun H, Qu L, et al. Identifying factors associated with depression among men living with HIV/ AIDS and undergoing antiretroviral therapy: A cross-sectional study in Heilongjiang, China. Health Qual Life Outcomes. 2018;16(1):190. https://doi.org/10.1186/s12955-018-1020-x PMid:30231885 DOI: https://doi.org/10.1186/s12955-018-1020-x

United Nations Programme on HIV/AIDS. Global AIDS Monitoring 2018, Europe: United Nations Programme on HIV/AIDS; 2017. https://doi.org/10.1093/oso/9780190672676.003.0014 DOI: https://doi.org/10.1093/oso/9780190672676.003.0014

Kementerian Kesehatan Republik Indonesia. Situasi umum HIV-AIDS Tahun 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018. https://doi.org/10.36407/akurasi.v2i2.177 DOI: https://doi.org/10.36407/akurasi.v2i2.177

Dinas Kesehatan Provinsi Yogyakarta. Laporan Profil Kesehatan Provinsi DI Yogyakarta Tahun 2017. Yogyakarta: Dinas Kesehatan Provinsi Yogyakarta; 2017. https://doi.org/10.22146/ jkesvo.50428

Than PQ, Tran BX, Nguyen CT, Truong NT, Thai TP, Latkin CA, et al. Stigma against patients with HIV/AIDS in the rapid expansion of antiretroviral treatment in large drug injection-driven HIV epidemics of Vietnam. Harm Reduct J. 2019;16(1):6. https://doi.org/10.1186/s12954-019-0277-7 PMid:30654814 DOI: https://doi.org/10.1186/s12954-019-0277-7

Bucciardini R, Fragola V, Abegaz T, Lucattini S, Halifom A, Tadesse E, et al. Retention in care of adult HIV patients initiating antiretroviral therapy in Tigray, Ethiopia: A prospective observational cohort study. PLoS One. 2015;10(9):e0136117. https://doi.org/10.1371/journal.pone.0136117 PMid:26340271 DOI: https://doi.org/10.1371/journal.pone.0136117

Heestermans T, Browne JL, Aitken SC, Vervoort SC, Klipstein- Grobusch K. Determinants of adherence to antiretroviral therapy among HIV-positive adults in sub-Saharan Africa: A systematic review. BMJ Glob Health. 2016;1(4):e000125. https://doi.org/10.1136/bmjgh-2016-000125 PMid:28588979 DOI: https://doi.org/10.1136/bmjgh-2016-000125

Galvan FH, Bogart LM, Klein DJ, Wagner GJ, Chen YT. Medical mistrust as a key mediator in the association between perceived discrimination and adherence to antiretroviral therapy among HIV-positive Latino men. J Behav Med. 2017;40(5):784-93. https://doi.org/10.1007/s10865-017-9843-1 PMid:28337560 DOI: https://doi.org/10.1007/s10865-017-9843-1

Mhode M, Nyamhanga T. Experiences and impact of stigma and discrimination among people on antiretroviral therapy in Dar es Salaam: A qualitative perspective. AIDS Res Treat. 2016;2016:7925052. https://doi.org/10.1155/2016/7925052 PMid:27110395 DOI: https://doi.org/10.1155/2016/7925052

Fido NN, Aman M, Brihnu Z. HIV stigma and associated factors among antiretroviral treatment clients in Jimma town, Southwest Ethiopia. HIV AIDS (Auckl). 2016;8:183-93. https:// doi.org/10.2147/hiv.s114177 PMid:27920581 DOI: https://doi.org/10.2147/HIV.S114177

Azia IN, Mukumbang FC, van Wyk B. Barriers to adherence to antiretroviral treatment in a regional hospital in Vredenburg, Western Cape, South Africa. Southern Afr J HIV Med. 2016;17(1):476. https://doi.org/10.4102/hivmed.v17i1.476 PMid:29568618 DOI: https://doi.org/10.4102/hivmed.v17i1.476

Olusola OD, Fredrick OO, Otovwe A, Abideen OO. (2017). HIV/AIDS-related stigmatization and discrimination and coping strategies among people living with HIV/AIDS (PLHIV) at the anti-retroviral (ARV) clinic, University College Hospital Ibadan, Nigeria. J AIDS HIV Res. 2017;9(11):209-19. https://doi.org/10.5897/jahr2017.0451 DOI: https://doi.org/10.5897/JAHR2017.0451

Kamau TM. Post antiretroviral era: An examination of HIV-stigma and discrimination in Nyeri and Nyandarua counties in Kenya. Int J Health Sci Res. 2016;6(6):277-85.

Kementerian Kesehatan Republik Indonesia. Laporan Perkembangan HIV-AIDS and Penyakit Infeksi Menular Seksual (PIMS) Triwulan 1 Tahun 2017. Jakarta: Kementerian Kesehatan Republik Indonesia; 2017. https://doi.org/10.7454/epidkes.v1i2.1805 DOI: https://doi.org/10.7454/epidkes.v1i2.1805

Astuti W, Rayasari F. The Sexual Experience Of a Couple With Hiv With a Negative Hiv Maintenance Status At Prof. Sulianti Saroso Infectious Desease Hospital. Indonesia J Nurs Pract. 2017;1(2):32-43, https://doi.org/10.18196/ijnp.1259 DOI: https://doi.org/10.18196/ijnp.1259

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Published

2021-04-02

How to Cite

1.
Indriastuti NA, Ayuningtyas R. Discriminatory Behavior among People Living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome against Adherence to Antiretroviral Treatment. Open Access Maced J Med Sci [Internet]. 2021 Apr. 2 [cited 2024 Apr. 26];9(T4):189-93. Available from: https://oamjms.eu/index.php/mjms/article/view/5803