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All Journal Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Manurung, Imelda F E
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Health Professions Public Health

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COVID-19 Prevention in People Living with HIV/AIDS: Entering the Endemic Phase Manurung, Imelda F E; Takaeb, Afrona E L; da Cruz, Jermias
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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The mortality and severity risks due to COVID-19 infection are higher in people living with HIV/AIDS (PLWHA) than those with no such condition. This study aimed to analyze the relationship between health literacy, social support, and the health belief model in PLWHA in preventing COVID-19 from entering the endemic phase. An analytic observational study with a cross-sectional design was conducted in October 2021 among 94 PLWHA selected by purposive sampling in Kupang City, Indonesia. The bivariate data analysis used the Chi-square, and the multivariate data analysis used the binomial logistic regression test. The results showed that 88.3% of the participants had poor COVID-19 literacy, 67% had low emotional support, and 71.3% had poor COVID-19 prevention behavior. The results of the multivariate analysis showed that the factors with the strongest association, COVID-19 literacy (95% CI = 1.71–108.55; PR = 4.15)and emotional support (95% CI= 1.01–53.81; PR = 2.35), improve COVID-19 prevention behavior. Implementing communication, information, education, and policy strategies is important to improve literacy and emotional support to prevent COVID-19 from entering the endemic phase among PLWHA.
Integrated Model of a Family Approach and Local Support in Tuberculosis Case Finding Efforts in People with HIV/AIDS Astutik, Erni; Wahyuni, Chatarina Umbul; Manurung, Imelda F E; Ssekalembe, Geofrey
Kesmas Vol. 16, No. 4
Publisher : UI Scholars Hub

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The human immunodeficiency virus (HIV) remains a major global public health problem. People with HIV/acquired immune deficiency syndrome (AIDS) are more susceptible to opportunistic infections such as tuberculosis (TB). Therefore, families and community leaders need to help monitor people living with HIV/AIDS (PLWHA). This study aimed to analyze an integrated family approach and local support model to detect TB cases in PLWHA. This study used a case-control study in Kupang City, East Nusa Tenggara Province, in July 2020. The sample comprised 100 people (50 PLWHA with TB case and 50 controls) using total sampling and random sampling, respectively. The variables related to TB case finding in PLWHA were family employment status, duration of HIV/AIDS, family knowledge of TB, and family support. The data were analyzed using multiple logistic regression. The families with PLWHA with an extended illness duration (OR = 0.81, 95% CI = 0.69–0.95, p-value = 0.01), families who did not work (OR = 3.31, 95% CI = 1.16 9.41, p-value = 0.025), families who had good knowledge (OR = 4.79, 95% CI = 1.70–13.51, p-value = 0.003), and families who provided good support (OR = 3.03, 95% CI = 1.05–8.76, p-value= 0.04) were better able to detect TB in PLWHA.
Co-Authors Astutik, Erni Chatarina Umbul Wahyuni da Cruz, Jermias Ssekalembe, Geofrey Takaeb, Afrona E L