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All Journal Jurnal Kedokteran Brawijaya Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education The Indonesian Journal of Occupational Safety and Health Majalah Kesehatan FKUB Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia CRJIM (Clinical and Research Journal in Internal Medicine) Narra J Indonesian Journal of Biomedicine and Clinical Sciences
Indiastari, Dewi
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Building Social Coherence and Health Literacy: A Salutogenic Perspective on HIV Knowledge and Stigma in Cultural Tourism Communities Indiastari, Dewi; Candradikusuma, Didi; Rosandy, Milanitalia Gadys; Budiarti, Niniek; Sutanto, Heri; Silvia, Sinta
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.131-144

Abstract

Background: HIV prevention in rural communities like Ngadas Village (Mount Bromo) faces two major challenges: stigma driven by misconceptions and the need for social resilience amid rapid social and economic transitions influenced by tourism. Limited access to health information and education increases the risk of myths, discrimination, and a poor sense of coherence. This salutogenic study explores how community coherence and cultural strength can serve as resources to reduce HIV stigma and promote resilience. Objective: This study aims to evaluate the level of HIV knowledge and stigma among residents of Ngadas Village and identify factors influencing them. Methods: A cross-sectional quantitative design was used, involving 102 residents who completed a structured questionnaire covering demographics, HIV knowledge, stigma, and attitudes. Data analysis employed chi-square tests and logistic regression (p<0.05) to determine significant predictors. Results: Most respondents (90.2%) were female, with 66.7% having primary education. Although 66.7% demonstrated good general knowledge, a significant gap in health literacy existed—94% misunderstood HIV transmission, wrongly believing it spread through sharing meals or cutlery. This misconception contributed to high stigma levels, with 49% exhibiting poor or high stigma. Higher education (Junior High OR: 10.9; Senior High OR: 7.4) and middle income (OR: 3.4) significantly predicted lower stigma. A more positive attitude was also associated with middle income (OR: 5.4). Conclusion: Misconceptions about casual HIV transmission are the primary source of stigma and barriers to social coherence. Targeted health literacy interventions, combined with economic empowerment and improved access to education, are essential to strengthen community resilience and reduce HIV-related stigma.
Co-Authors Abellia, Gaby Afrilla, Dian Amalia, Dinda Chotimah, Kusnul Dau, Daniel Didi Candradikusuma Dwitarahma, Marshandyar Dzhyvak, Volodymyr Fatma, Endah Firmansyah, Ervin Fredo Tamara, Fredo Hakim, Lukman N. Hanum, Anisa Syahfitri Heri Sutanto hermanto, djoko heri Jefri Pratama Susanto, Jefri Pratama Jonny K. Fajar Milanitalia Gadys Rosandy Niniek Budiarti Niniek Budiarti B Nur Samsu Putri, Frilya Rachma Rahmani, Alinda Rosandi, Millanitalia Rosandy, Milanitalia Rosandy, Milanitalia Gadys Runesi, Odis Saputro, Teguh D. Setyowati, Lita Silvia, Sinta Sinta Silvia Sri Soenarti Surya, Michael