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p-Index From 2021 - 2026
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All Journal Journal of Health Promotion and Behavior Unnes Journal of Public Health
Ika Yuli Ayuningrum
Master’s Program in Public Health, Universitas Sebelas Maret
Medicine & Pharmacology Public Health

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Social Support, Depression, and Anxiety as Predictors of Suicidal Ideation in People Living with HIV/AIDS: A Meta-Analysis Aulia Putri Nugraheni; Maoli Zartika; Anis Lupita Ningrum; Bhisma Murti; Ika Yuli Ayuningrum
Journal of Health Promotion and Behavior Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2025.10.04.04

Abstract

Background: Acquired Immune Deficiency Syndrome (AIDS) is a disease caused by the Human Immunodeficiency Virus (HIV). People living with HIV/AIDS (PLWHA) are 7 to 36 times more likely to experience suicidal ideation compared to the general population. Suicidal ideation among PLWHA is closely correlated with depression and anxiety. Social support plays a crucial role in helping individuals cope with HIV, serving as a direct protective factor for psychosocial health. This meta-analysis aims to examine the relationship between social support, depression, and anxiety with suicidal ideation among people living with HIV/AIDS (PLWHA) Subjects and Method: The meta-analysis was conducted using the PICO framework. Population: people living with HIV/AIDS (PLWHA). Intervention: high social support, presence of depression, and anxiety. Comparison: low social support, absence of depression, and absence of anxiety. Outcome: suicidal ideation. Research data were obtained from the Google Scholar, PubMed, and ScienceDirect databases. The keywords used were “social support” OR “depression” OR “anxiety” AND “suicidal ideation” AND “HIV/AIDS” OR “PLWHA.” The inclusion criteria included cross-sectional studies published between 2014 and 2024. Data analysis was performed using RevMan version 5.4. Results: The meta-analysis included 19 primary studies conducted in Indonesia, South Korea, China, Ethiopia, Uganda, Nigeria, South Africa, and the United States, with a total sample size of 11,166 participants. PLWHA residing in communities with high social support had 0.65 times lower odds of suicidal ideation compared to those with low social support (aOR= 0.65; 95% CI= 0.57 to 0.74; p<0.001). PLWHA experiencing depression had a 3.21 times higher risk of suicidal ideation compared to those without depression (aOR= 3.21; 95% CI= 2.07 to 4.99; p <0.001). PLWHA with anxiety were 1.67 times more likely to experience suicidal ideation than those without anxiety (aOR= 1.67; 95% CI= 1.29 to 2.18; p= 0.001). Conclusion: Depression and anxiety increase the risk of suicidal ideation, whereas high social support reduces the risk of suicidal ideation among people living with HIV/AIDS.  
A Structural Equation Modeling Approach to Disease Burden, Functional Limitation, Loneliness, and Depression in Older Adults: Evidence from the Indonesian Family Life Survey Wahyu Tri Sudaryanto; Ika Yuli Ayuningrum
Unnes Journal of Public Health Vol. 15 No. 2 (2026)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v15i2.41180

Abstract

Depression in later life is a growing public health concern, as it often emerges from the complex pathways. This study aimed to examine the direct and indirect association between multimorbidity, functional ability, physical dependency, loneliness, and depression among the elderly. A total of 2,928 individuals aged 60 years who were participated on the 5th Indonesian Family Life Survey (IFLS). Structural Equation Modeling (SEM) was employed to investigate the relationships among key variables, including gender, place of residence, marital status, healthcare services, comorbidities, functional ability, history of falls, loneliness, and depression. Model fit was evaluated using the Root Mean Square Error of Approximation (RMSEA), Comparative Fit Index (CFI), and Tucker–Lewis Index (TLI). Depression was directly influenced by loneliness (b = 0.30; 95% CI: 0.26 to 0.33; p < 0.001), functional ability (b = -0.04; 95% CI: -0.07 to -0.01; p = 0.039), history of falls (b = 0.09; 95% CI: 0.05 to 0.12; p < 0.001), and adequacy of healthcare services (b = -0.07; 95% CI: -0.10 to -0.03; p < 0.001). Depression was indirectly affected by gender, marital status, comorbidities, functional independence, and place of residence. These findings underscore the complex and interconnected nature of physical and psychosocial factors in late-life depression and highlight the necessity for integrated interventions that address both the physical and emotional needs of the aging population.
Co-Authors Anis Lupita Ningrum Aulia Putri Nugraheni Bhisma Murti Maoli Zartika Wahyu Tri Sudaryanto