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All Journal Jurnal Aisyah : Jurnal Ilmu Kesehatan
Sri Yona
Medical Surgical Nursing Dept, Faculty of Nursing, Universitas Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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COMMUNITY-BASED INTERVENTIONS TO REDUCE HIV STIGMA AND IMPROVE MENTAL HEALTH: A SYSTEMATIC REVIEW Yuliana Adestia Widya K.P; Sri Yona; Chiyar Edison
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 11, No 2 (2026): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v11i2.3623

Abstract

Orang yang hidup dengan HIV (ODHA) terus mengalami stigma terkait HIV dan masalah kesehatan mental yang dapat memengaruhi kesejahteraan psikologis, hubungan sosial, keterlibatan dalam pengobatan, dan akses terhadap perawatan. Tinjauan sistematis ini bertujuan untuk menganalisis efektivitas intervensi berbasis komunitas dalam mengurangi stigma terkait HIV dan meningkatkan kesehatan mental di antara ODHA. Tinjauan sistematis dilakukan sesuai dengan PRISMA 2020. PubMed dan Scopus dicari untuk studi berbahasa Inggris yang diterbitkan dari tahun 2016 hingga 2026. Studi yang memenuhi syarat adalah uji coba terkontrol secara acak yang mengevaluasi intervensi berbasis komunitas, dukungan sebaya, psikososial, konseling, petugas kesehatan komunitas, atau intervensi terkait di antara ODHA, dengan hasil stigma dan/atau kesehatan mental. Kualitas metodologis dinilai menggunakan daftar periksa penilaian kritis Joanna Briggs Institute untuk uji coba terkontrol secara acak. Delapan studi dimasukkan. Secara keseluruhan, intervensi berbasis komunitas menunjukkan potensi manfaat untuk mengurangi stigma internal atau terkait HIV dan meningkatkan ketahanan, kemampuan mengatasi masalah, harga diri, kesejahteraan psikologis, dan dukungan sosial. Efek pada skor depresi, kecemasan, dan stigma tidak konsisten di seluruh studi. Pendekatan psikososial berbasis komunitas dan dukungan sebaya dapat memperkuat perawatan HIV yang komprehensif dan berpusat pada pasien, meskipun diperlukan uji coba yang lebih besar dengan hasil yang terstandarisasi dan tindak lanjut yang lebih lama .
EFFECTIVENESS OF PSYCHOSOCIAL INTERVENTIONS ON INTERNALIZED HIV STIGMA AMONG PEOPLE LIVING WITH HIV: A SYSTEMATIC REVIEW Melya Andika Sari; Sri Yona; Chiyar Edison
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 11, No 2 (2026): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v11i2.3624

Abstract

Background: Internalized HIV stigma occurs when people living with HIV (PLWH) internalize negative social beliefs about HIV and apply them to themselves. It may be associated with psychological distress and reduced engagement in HIV care. Psychosocial interventions have been developed to address this problem, but findings across studies are not consistent. Objective: This systematic review aimed to synthesize evidence on the effectiveness of psychosocial interventions compared with control or usual care for reducing internalized HIV stigma among PLWH. Methods: A systematic review was conducted using the PRISMA framework. Literature was searched in PubMed, ScienceDirect, and SAGE Journals using combinations of HIV, psychosocial intervention, and internalized stigma terms. Randomized controlled trials evaluating psychosocial interventions and reporting internalized HIV stigma were included. Methodological quality was assessed using the Joanna Briggs Institute critical appraisal checklist for randomized controlled trials. Results: Five RCTs were included. The interventions comprised peer mentoring, a video-based stigma-reduction intervention, iENGAGE, group-based cognitive behavioral therapy, and peer advocacy training. Four studies reported greater reductions in internalized HIV stigma in the intervention group than in the comparison group, whereas one study did not find a statistically significant between-group effect. Conclusion: Psychosocial interventions show potential for reducing internalized HIV stigma among PLWH, although effects are not uniform across settings and populations. Interventions incorporating peer support, shared experience, psychosocial skills, self-compassion, and empowerment may be useful components for nursing and HIV care.
Co-Authors Chiyar Edison Melya Andika Sari Yuliana Adestia Widya K.P