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IDENTIFIKASI ALASAN KESEDIAAN TES HIV DAN ANALISIS FAKTOR RISIKO PADA ORANG DENGAN HIV/AIDS DI PAPUA BARAT Adiningsih, Setyo; Widiyanti, Mirna; Rokhmad, Muhammad Fajri; Kridaningsih, Tri Nury
Sebatik Vol. 27 No. 2 (2023): Desember 2023
Publisher : STMIK Widya Cipta Dharma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46984/sebatik.v27i2.2285

Abstract

Tes diagnosis Human Immunodeficieny Virus (HIV) merupakan salah satu upaya pencegahan infeksi HIV dalam program Fast Track 95-95-95 yang ditargetkan tercapai pada tahun 2030. Sakit HIV stadium awal yang bersifat asimtomatis menyebabkan individu tidak menyadari telah terinfeksi. Studi ini bertujuan untuk mengidentifikasi alasan melakukan tes diagnosis HIV dan faktor risikonya oleh Orang Dengan HIV/AIDS (ODHA) di Papua Barat. Desain studi yang digunakan adalah cross-sectional dengan responden sebanyak 254 ODHA dari Manokwari, Kota Sorong, dan Fakfak. Data sekunder dikumpulkan dari rekam medis ODHA dan wawancara menggunakan kuesioner. Data kemudian dianalisis univariat untuk menggambarkan proporsi setiap variabel dan dianalisis bivariat dengan uji Chi-Square (Fisher's exact) pada nilai signifikan p < 0,05 untuk mengetahui faktor risiko alasan melakukan tes diagnosis HIV. Gambaran umum mayoritas ODHA adalah berusia dewasa 26-45 tahun sebanyak 70,1%, perempuan 54,7%, pendidikan dasar-menengah 66,5%, PNS;swasta/wiraswasta 66,9%, riwayat TB 52,4%, dan sakit HIV stadium III dan IV 68,1%. Alasan terbanyak untuk melakukan tes diagnosis HIV oleh ODHA adalah karena sakit sebanyak 64,2%. Variabel jenis kelamin, pekerjaan, riwayat TB, dan stadium sakit HIV menjadi faktor risiko yang berhubungan signifikan dengan alasan melakukan tes diagnosis HIV. Studi ini mengindikasikan adanya keterlambatan dalam diagnosis awal infeksi HIV pada ODHA di Papua Barat. Kedepannya perlu dilakukan studi komprehensif mengenai faktor yang memengaruhi ODHA untuk melakukan tes diagnosis HIV lebih awal sebagai informasi bagi pihak terkait dalam mengatasi permasalahan deteksi dini infeksi HIV.
Early Marriage and Mental Health: A Case-Control Study of Psychological Outcomes Hartanti, Monica Dwi; Adiningsih, Setyo; Isnawati, Rina; Poetranto, Anna Lystia; Puetri, Nona Rahmaida; Desem, Muhammad Ibrahim; Saputra, Fery Surahman; Hidayat, Yance
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2847

Abstract

Background: Bengkulu Province is one of the provinces in Indonesia that has the greatest incidence of early marriages. It is well knowledge that women in this province are more likely to be victims of crimes such as domestic violence, problems during pregnancy, and even death during childbirth. It is possible for moms who enter into early marriages to develop psychiatric illnesses, which can not only be a forerunner to a variety of health impacts in later life but also have the potential to have a detrimental impact on their children and families. Objective: This study seeks to examine the factors related to psychological issues in early marriage in Bengkulu Province. Method: For this investigation, a case-control study design is utilized, and the groups are separated according to geography. The group under consideration is a rural region with a greater rate of marriages occurring at a younger age. The control group, on the other hand, is urban. One hundred and thirty-seven mothers who had been married off at a young age made up the study's target sample. Each of the groups had 137 responses, ensuring that the ratio was one to one. The research instrument that was utilized in this study was a questionnaire, and the application Stata 14 was utilized for both univariate test analysis and logistic regression. Results: The husband's perspective (OR: 6.5; 95% CI: 2.1–13.2; P-value: less than 0.001) and societal stigma (OR: 6.4; 95% CI: 1.1–13.4; P-value: less than 0.001) were significant factors associated with elevated stress levels, correlating with the highest scores. The control group comprised quality of life (OR: 6.7; 95% CI: 2.1-11.9; P-value: 0.001) and family support (OR: 6.2; 95% CI: 2.1-11.4; P-value: less than 0.001). In the depressed symptoms component, the variables that exhibited a significant conclusive association with the highest score were the spouse's perception (OR 6.4; 95% CI: 2.1-11.7; P-value: less than 0.001) and quality of life (OR: 6.2; 95% CI: 1.6-13.1; P-value: less than 0.001). The control group exhibited poor health literacy (OR: 4.3; 95% CI: 1.3-7.7; P-value: 0.0033) and inadequate family support (OR: 4.1; 95% CI: 2.1-7.5; P-value: less than 0.001). Conclusion: As a conclusion, the findings of this study highlight the critical importance of implementing comprehensive strategies to address the issue of child marriage and the mental health repercussions that it can have. In order to effectively address the complex interaction of socioeconomic, cultural, and psychological variables that contribute to early marriage, these approaches need to prioritize prevention, intervention, and support services.