Influences of Peer Support Group and Psychosocioeconomic Determinants on Treatment Compliance in HIV/AIDS Patients: A Path Analysis Evidence from Sragen, Central Java

Yusuf Bachtiyar Lobis, Bhisma Murti, Hanung Prasetya

Abstract

Background: Human Immuno­de­fi­cien­cy Virus (HIV) is a virus that attacks the immune system, which further weakens the body's abi­lity to fight infection and disease. AIDS (Acqui­red Immune Deficiency Syndrome) is a con­di­tion in which HIV is already in the final infec­tion stage. When a person has AIDS, the body no longer can fight the infection it causes. This study aims to determine the effect of peer support groups and psycho­social economic de­ter­minants on treat­ment com­pliance to people living with HIV / AIDS (PL­W­HA) in Sragen, Central Java.

Subjects and Method: This study was an observational analytic with a case-control de­sign. This study was conducted in Sragen from February to April 2020. The sample was selec­t­ed by fixed disease sampling as many as 200 study subjects with the criteria of PLWHA. The variab­les observed for effect were treatment compliance to PLWHA, peer support groups, fa­mily support, perceived benefits, perceived trust, perceived threats, perceived barriers, and learning through observation (Observational Learning). Data were collected using a ques­tion­naire and analyzed using path analysis or path analysis with Stata version 14.

Results: Treatment compliance in PLWHA increased with per­cei­v­ed benefit (b= 1.10; 95% CI= 0.41 to 1.79; p= 0.002), perceived trust (b= 1.56; 95% CI= 0.85 to 2.27; p <0.001), peer support group (b= 0.66; 95% CI= -0.00 to 1.33; p= 0.051), family support (b= 0.97; 95% CI= 0.28 to 1.66; p= 0.006), perceived threat (b= 0.97; 95% CI= 0.28 to 1.66; p= 0.006). Treatment compliance in PLWHA decreased with perceived inhibition (b= -0.69; 95% CI= -1.37 to -0.01; p= 0.047). Treat­ment compliance in people living with HIV/AIDS was influenced indirectly by learning through observation.

Conclusion: Treatment compliance in PLWHA is directly influenced by perceived benefits, peer support groups, family support, perceived threats, perceived barriers. Treatment com­pliance in PLWHA is influenced indirectly by learning through observation.

Keywords: HIV/AIDS, compliance, peer support groups, psychosocial economics

Correspondence: Yusuf Bachtiyar Lobis. Program Studi Ilmu Kesehatan Masyarakat Pascasarjana Universitas Sebelas Maret, Jl. Ir. Sutami No. 36A, Surakarta 57126, Indonesia. Email: bachtiyar03@gmail.com. Mobile: +628­1­1­1388841.

Journal of Epidemiology and Public Health (2020), 05(03): 348-358
https://doi.org/10.26911/jepublichealth.2020.05.03.09.

 

 

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References

Alfiyyatur R (2012). Peran Buddy Sebagai Pendamping ODHA. Retrieved from http://www.kompas.com. Jakarta 2012. retrieved 13-08-2020.


Arif B (2014). Faktor yang mempengaruhi kepatuhan berobat pasien yang diterapi dengan temoxifen setelah operasi kanker payudara. Jurnal Kesehatan Andalas, 2(1):20-24. https://doi.org/10.25077/jka.v2i1.60.


Bachrun E (2017). Hubungan dukungan keluarga dengan kepatuhan minum obat antiretroviral pada orang dengan HIV/AIDS (ODHA). Jurnal TRIK (Tunas-Tunas Riset Kesehatan), 7(1): 12-16. Retrieved from http://2trik.jurnalelektronik.com/index.php/2trik/article/view/61. ISSN: 2089:4686.


Beauty AL (2016). Hubungan antara persepsi dan dukungan keluarga de-ngan kepatuhan minum obat pasien baru tuberkulosis paru (Studi Kasus Di Puskesmas Majebo Kabupaten Kudus). Tesis. Semarang: UNNES.


Dinas Kesehatan Kabupaten Sragen (2017). Profil kesehatan dinas kesehatan kabu-paten sragen tahun 2017. Sragen : DKK Sragen.


Dinas Kesehatan Kabupaten Sragen (2019). Data Kasus HIV AIDS di Wilayah Kab-upaten Sragen. Sragen: DKK Sragen.


Glanz K, Barbara KR, Frances (2012). Health Behavior & Health Education Theory, Research, & Practise. San Fransisco: Jossey Bass.


Isabelle FB, Ce´cile D, Vebera F, Quartiera P, Hefeza S, Costagliolab D, Blanche S (2015). Evaluation of a peer support group therapy for HIV-infected adolescents. AIDS Care. 19(14):1501-8. https://doi.org/10.1097/01.aids.000018312-4.86335.0a.


Johan T, Wahyuni T, Pitoyo J (2014). Hubu-ngan Peran KDS (Kelompok Sebaya) Dengan Kepatuhan Minum Obat Pada ODHA. (Laporan Penelitian RISBI-NAKES Poltekes Kemenkes Malang).


Kementerian Kesehatan Republik Indonesia (2011). Pedoman Nasional Tatalaksana Klinis Infeksi HIV dan Terapi Antire-troviral pada Orang Dewasa. Jakarta: Kementrian Kesehatan Republik Indonesia.


Kementerian Kesehatan Republik Indonesia (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2013 Penanggulangan HIVAIDS. Jakarta: Kementerian Kesehatan Republik Indonesia.


Kementerian Kesehatan Republik Indonesia (2018). Laporan HIV-AIDS di Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia.


Lestari DA (2017). Hubungan antara risk perception, outcome expectancies dan task self-efficacy dengan kepatuhan ODHA dalam terapi antiretroviral di Puskesmas Dupak Surabaya. Tesis. Surabaya: Universitas Airlangga.


Lumbanbatu V, Linda TL (2012). Faktor-faktor yang berhubungan dengan kepatuhan ODHA Dalam Menjalani Terapi Antiretroviral Di RSU Dr. Pringadi Medan. Retrieved from: https://jurnal.usu.ac.id/index.php/kpkb/article/view/3780.


Marpaung IRL (2016). Faktor-faktor yang berhubungan dengan kepatuhan pasien HIV/AIDS dalam menjalani terapi antiretroviral di RSU Haji Medan tahun 2016. Tesis. Medan: Universitas Sumatera Utara.


Miller CM, Ketlhapile M, Rybasack-smith H, Rosen S (2010). Why are antiretroviral treatment patients lost to follow-up? A qualitative study from South Africa. Trop Med Int Health. 15(s1):48-54. https://doi.org/10.1111/j.1365-3156.2010.02514.x.


Novianto AE (2016). Gambaran faktor-faktor yang mempengaruhi kepatuhan konsumsi ARV pada ODHA di BPKM Wilayah Semarang. Semarang: Sekolah Tinggi Ilmu Kesehatan Ngudi Waluyo Ungaran.


Prasetyawati E (2011). Ilmu kesehatan masyarakat untuk kebidanan holistik. Yogyakarta: Nuha Medika.


Rasmusen DN, Silva DT, Rodkjaer L, Oliveira I, et al. (2013). Barrier and facilitators to antireteroviral therapy adherance among patients with HIV in Bissau-Guinea Bissau: A qualitative study. Afr J AIDS Res. 12(1):1-8. https://doi.org/10.2989/16085906.2013.815405.


Saputro AIP (2016). Faktor-faktor yang berhubungan dengan kepatuhan ODHA dalam menjalankan terapi ARV di RSPAD Gatot Soebroto Jakarta Pusat. Tesis. Manado: Universitas Sam Ratu-langi.


Sisyahid AK (2016). Faktor yang menyebabkan terjadinya ketidakpatuhan terapi antireteroviral (ARV) pada Orang dengan HIV/AIDS (ODHA) di Kabupaten Pemalang. Tesis. Semarang: Universitas Negeri Semarang.


Sudomo (2020). Model Kepercayaan Kesehatan (Health Beliefs Model). Jakarta: Universitas Gunadarma Press.


Wulandari HD (2015). Analisis faktor-faktor yang berhubungan dengan kepatuhan pasien tuberkulosis paru tahap lanjutan untuk minum obat di RS Rumah Sehat Terpadu Tahun 2015. Jurnal Administrasi Rumah Sakit. 2(1):1-5. http://dx.doi.org/10.7454/arsi.v2i1.2186.


Yuniar Y, Handayani R, Aryastami (2013). Faktor-faktor pendukung kepatuhan orang dengan HIV AIDS (ODHA) dalam minum obat antiretroviral di Kota Bandung dan Cimahi. Buletin Of Health Research, 41(2): 72-83. Retri-eved from Ejournal.litbang.depkes.go.id.


Yuswanto A, Wahyuni TD, Pitoyo J (2015). Peran kelompok dukungan sebaya (KDS) dan kepatuhan minum obat pada ODHA. Jurnal Pendidikan Kesehatan. 4(1): 64–69. Retrieved from: https://adoc.pub/peran-kelompok-dukungan-sebaya-kds-dan-kepatuhan-minum-obat.html.

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