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All Journal The Indonesian Journal of Public Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Panjaitan, Merry Natalia
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Health Professions Public Health

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EPIDEMIOLOGICAL ASPECTS OF HIV-TB CO-INFECTION IN PEOPLE WITH HIV/AIDS (PLWHA): A HOSPITAL-BASED STUDY Sitorus, Rico januar; Murinata, Jaka; Antara, Nyoman Yudi; Sangalang, Reymart V.; Panjaitan, Merry Natalia
The Indonesian Journal of Public Health Vol. 19 No. 3 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i3.2024.419-429

Abstract

Introduction : Tuberculosis (TB) is one of the co-infections with high morbidity and mortality in patients with HIV/AIDS (PLWHA). The prevalence of Tuberculosis in HIV patients in Indonesia ranges from 19.7% to 61.5%. Aims: This study aimed to identify predictors of incident HIV-TB co-infection in PLWHA. Methods: This observational study used a case-control design. Cases were defined as patients with HIV/AIDS co-infected with TB, while controls were those with HIV/AIDS without TB co-infection. The study population included 180 PLWHA, comprising 60 cases and 120 controls. Exclusion criteria for the case group were patients who had not completed their medical records and those who were previously infected with TB before HIV infection. Results: Bivariate analysis showed that variables significantly related to TB-HIV were clinical stage, CD4 levels, anemia status, and opportunistic infections. Multivariate logistic regression analysis showed that CD4 levels were the dominant predictor, with an adjusted odds ratio (AOR) of 5.71, 95% confidence interval (CI) 2.84-11.84, p = 0.0001. Meanwhile, clinical stage, anemia status, and opportunistic infections were confounding variables. Conclusion: CD4 levels were found to be a dominant predictor of increased TB-HIV risk. Further efforts should be made to encourage home assistant care initiation and improve medication compliance based on these results.
Understanding the Health-related Quality of Life of People Living with HIV Based on Sexual Orientation Sitorus, Rico Januar; Antara, Nyoman Yudi; Sangalang, Reymart; Panjaitan, Merry Natalia; Fauk, Nelsensius Klau
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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Abstract

Human immunodeficiency virus (HIV) infection has detrimental impacts on the lives of different population groups living with HIV, including men who have sex with men (MSM). Using the World Health Organization Quality of Life questionnaire, this study aimed to assess the health-related quality of life of men living with HIV with different sexual orientations and to determine the dominant influential factors. This cross-sectional study involved 206 men living with HIV. They were recruited from the Sriwijaya Plus Foundation and a medical facility that provided antiretroviral therapy. The data were analyzed using Chi-square and binomial logistic regression. The analysis showed that the percentage of MSM patients was greater than that of non-MSM patients, accounting for 68.9% of the total population. The multivariate logistic regression revealed that the most dominant influential factor was depression status (PR = 5.417; 95% CI = 2.473–11.876), with the majority of the depressed patients being 5.417 times more at risk of a lower quality of life compared to others. These findings suggest that depression can lead to a low quality of life among HIV patients.
Prevention of HIV Transmission Among Men Who Have Sex with Men and Compliance with Sexual Protective Equipment Sitorus, Rico Januar; Octavia, Nurafni; Panjaitan, Merry Natalia; Rahmiwati, Anita Rahmiwati; Syakurah, Rizma Adlia; Aerosta, Danny; Sangalang, Reymart V; Yusri, Yusri
Kesmas Vol. 19, No. 2
Publisher : UI Scholars Hub

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Abstract

Sexual orientations, such as gay, lesbian, and bisexual, are prevalent among individuals at high risk of experiencing mental health problems, including drug use, depression, emotional distress, and suicide. Therefore, this study aimed to assess the compliance of men who have sex with men with protective equipment and determine the dominant influential factors. This cross-sectional study included 187 men who had sexual intercourse with men who were recruited from two foundations based in Palembang City, Indonesia, focusing on people living with HIV/AIDS. Data were analyzed using Chi-square and binomial logistic regression. In this context, 50.8% of men who have sexual intercourse with men did not comply with the use of sexual protective equipment, exceeding those in compliance. The multivariate logistic regression showed that knowledge was the dominant factor (PR = 15.733; 95% CI = 4.063-60.920), and most low-knowledge individuals were 15.733 times more at risk of non-compliance. Intensive education is needed regarding the potential risk of transmission, considering the ease of access to condoms.
Co-Authors Aerosta, Danny Anita Rahmiwati Antara, Nyoman Yudi Fauk, Nelsensius Klau Murinata, Jaka Octavia, Nurafni Rahmayani, Lusi Rahmiwati, Anita Rahmiwati Rico Januar Sitorus Rizma Adlia Syakurah Sangalang, Reymart Sangalang, Reymart V Sangalang, Reymart V. Yusri Yusri