Sari, Diah Nur Indah
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The Development and Initial Validation of the Indonesian HIV Social Stigma (I-HSS) Scale Wilandika, Angga; Sari, Diah Nur Indah
KEMAS: Jurnal Kesehatan Masyarakat Vol 16, No 1 (2020)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v16i1.22032

Abstract

Human immunodeficiency virus (HIV) social stigma causes people living with HIV (PLWH) to cover their HIV status. Also, HIV social stigma makes PLWH afraid of seeking information and treatment. Thus, to eliminate the HIV social stigma, measuring tools are needed to obtain the social stigma of the disease. The study aims are to develop and assessed the validation of the instrument of HIV social stigma in society. The instrument was developed through a multi-stage process of item generations and psychometric test of the instrument consists of content validity, construct validity and reliability test. The HIV social stigma scale was distributed to a cross-sectional sample of people in several regions in West Java, Indonesia (n=125). The final version of the I-HSS scales contained 25 items grouped into three dimensions (ignorance, prejudice, and discrimination) with a five-point Likert scale to score each item. Reliability was adequate for most dimensions (Cronbach’s alpha 0,76 - 0,78). Thus, the I-HSS scale were moderately correlated with one other (r = 0,52 - 0,84). Therefore, the I-HSS scale suggest a reliable and valid tool to measure social stigma toward people living with HIV in the community.
The society human immunodeficiency virus health literacy scale: the development and psychometric assessment Wilandika, Angga; Yusuf, Ah.; Kurniawati, Ninuk Dian Indah; Sari, Diah Nur Indah
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.24224

Abstract

Society human immunodeficiency virus (HIV) related health literacy is an essential behavioural skill that contributes to understanding the disease and responding to people living with HIV. Measuring HIV health literacy in the community requires reliable tools to produce an objective health literacy index. This study aimed to design and examined the society HIV health literacy scale's (SHIVAL) psychometric properties. A cross sectional study was conducted on 381 people without HIV. Sample recruitment used convenience sampling. Instrument development and psychometric analysis include item pool construction and content validity examination, consistency reliability test, and exploratory and confirmatory factor analysis. A standardized four factor model fits the HIV health literacy measure well. This scale has 15 items with good Cronbach's Alpha reliability index and content validity index. The final SHIVAL Scale has been determined reliable and appropriate for measuring health literacy related to HIV. Nurses or healthcare professionals can use this scale to predict an individual's HIV health literacy, thereby influencing the social intervention of HIV disease and enabling effective community health literacy strategies.
A Bibliometric Analysis of Global Research on the Psychological Burden of HIV Stigma Among Adults: Implications for Nursing Practice Wilandika, Angga; Sari, Diah Nur Indah
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.72426

Abstract

Background: HIV-related stigma remains a persistent barrier to psychological well-being and care among people living with HIV. Although research on its psychological burden has grown, no bibliometric synthesis has mapped its development or implications for nursing practice.Purpose: This study aimed to conduct a bibliometric analysis of global research on the psychological burden of HIV stigma among adults, with particular attention to thematic evolution and implications for nursing care.Methods: A bibliometric and thematic analysis was conducted on 131 journal articles indexed in Scopus from 2014 to 2025. Bibliometric mapping was performed using VOSviewer to examine publication trends, authorship patterns, country distribution, keyword co-occurrence networks, and temporal thematic evolution.Results: The analysis found no publications prior to 2014, with output peaking in 2022 and 2024, confirming the field’s novelty. Keyword clustering revealed six thematic domains: psychological distress (depression, anxiety, shame), treatment adherence and healthcare engagement, trauma-related stigma, resilience and protective factors, methodological advances in stigma measurement, and structural-societal stigma. Temporal analysis indicated a shift from documenting emotional distress to examining mediating processes, resilience, and intersectionality, marking a transition from descriptive to explanatory and intervention-focused research.Conclusion: Research on the psychological burden of HIV stigma has expanded, with depression and anxiety remaining central, but increasing attention to resilience, coping, and systemic factors. However, gaps persist in translating these insights into stigma-sensitive nursing interventions. This bibliometric synthesis provides evidence to inform nurse-led strategies such as therapeutic communication, psychoeducation, and psychosocial support to mitigate stigma’s psychological impact on PLHIV.