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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Ilmu Kesehatan Masyarakat
Nabila, Ichda Naila
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Health Professions Public Health

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Does Emotion Regulation Encourage PLWHA to Disclore Their Status? - Rokhmah, Dewi; Nabila, Ichda Naila; Nafikadini, Iken
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): 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.V13.ISI2.2025.20-28

Abstract

Background: People living with HIV/AIDS (PLWHA) face numerous physical and psychological challenges that often lead to the emergence of negative emotional states. These emotional difficulties are frequently exacerbated by social stigma and discrimination, which can lead to diminished quality of life, decreased treatment adherence, and social withdrawal. Understanding how PLWHA manage their emotional responses is critical in developing supportive interventions. Objective: This study aims to analyze the factors that influence emotional regulation among PLWHA, with a focus on understanding the role of social and environmental support systems. By identifying key influences, the study seeks to inform strategies that foster better mental health outcomes in this vulnerable population. Methods: A qualitative case study approach was employed to obtain a deep understanding of the emotional experiences of PLWHA. Data were collected through in-depth interviews with 1 key informant, 8 PLWHA informants, and 5 additional informants including close family members and peers. Furthermore, Focused Group Discussions (FGDs) were conducted with 6 peer companions to enrich the data and validate individual findings. Thematic content analysis was used to identify recurring patterns and themes across the data. Result: Emotional regulation among PLWHA is significantly influenced by environmental acceptance and the availability of social support, particularly from family and peer companions. Positive social interactions contribute to increased motivation to pursue medical treatment and improve life satisfaction. On the other hand, ongoing stigma and discrimination were found to trigger negative emotional responses, including anxiety, shame, and social isolation. Conclusion: Emotional regulation in PLWHA is shaped by multiple interconnected factors, such as environmental support, traumatic past experiences, and physical changes associated with the illness. Interventions that focus on reducing societal stigma and enhancing the role of family and peer support are essential to promote resilience and positive emotional well-being among PLWHA.
Promoting Equity in Public Health: Adressing Healthcare Utilization Disparities in Indonesia Nabila, Ichda Naila; Qomaruddin, Mochammad Bagus; Widati, Sri; Devy, Shrimarti Rukmini; Rachmadi, Eka Yanuar
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.ISI1.2026.163-175

Abstract

Background: The implementation of Indonesia’s National Health Insurance (JKN) has expanded healthcare access. As of December 31, 2024, JKN coverage had reached 98.45%, yet disparities persist across socioeconomic groups and geographic regions. These disparities contribute to unequal service quality, low utilization, and financial burdens among low-income households. Objective: This study identifies determinants of disparities in healthcare utilization in Indonesia using Andersen’s Behavioral Model and provides an evidence base for policymakers. Methods: A systematic review was conducted following PRISMA guidelines. Searches of CrossRef, Scopus, and PubMed (2015–2025) identified studies on healthcare utilization and disparities in Indonesia. Eligible articles were screened in Covidence and thematically synthesized using Andersen’s Behavioral Model to classify determinants into predisposing, enabling, and need factors. Results: Enabling factors, such as socioeconomic status, insurance ownership, and geographic access, were the strongest determinants, compared with predisposing factors (age, sex, marital status, and educational background) and need factors (self-rated health, chronic conditions, perceived healthcare needs). High health needs did not always lead to service use, particularly among low-income and remote populations. Financial protection alone is insufficient without improvements in health literacy, equitable workforce distribution, and stronger primary care. Conclusion: Although JKN has expanded access, disparities remain. An integrated approach is needed to strengthen primary care, ensure equitable health worker distribution, improve health literacy, and enhance geographic access. These actions can shift JKN’s focus from coverage expansion to equitable service access, supporting Indonesia’s progress toward Universal Health Coverage (UHC) and the Sustainable Development Goals (SDGs).
Emotional Regulation on People Living With HIV/AIDS: Case Study in Pelangi Peer Supporting Group Ichda Naila Nabila; Dewi Rokhmah; Iken Nafikadini
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 1 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.1.46-61

Abstract

People Living with HIV/AIDS (PLWHA) face various challenges, including physical health issues, social stigma, time constraints, and the need to balance physical and emotional well-being. These challenges often lead to emotional distress as PLWHA strive to maintain stability. This study aimed to analyze the emotion regulation strategies employed by PLWHA using the process model of emotion regulation, specifically examining the application of situation selection, situation modification, attentional deployment, cognitive change, and response modulation in regulating emotions. This study employed a qualitative method with a case study approach. Data were collected through in-depth interviews with eight key informants, five key informant companions, and one expert informant, as well as Focus Group Discussions (FGDs) involving four peer companions. Data triangulation, both by source and technique, was used to ensure validity, and thematic content analysis was applied for data interpretation. Findings revealed that PLWHA sought supportive environments to minimize negative emotions, used distraction strategies, and employed perspective-taking and emotional reassessment to manage emotions. However, response modulation produced mixed outcomes, with some informants engaged in maladaptive behaviors such as excessive coffee and cigarette consumption, alcohol use, and same-sex relationships, while others turned to religious practices. This study highlights that emotional instability occasionally leads to risky behaviors, including sexual activities aimed at intentionally spreading the virus. These results emphasize the urgent need for targeted emotional support interventions to improve the PLWHA’s well-being, helping them develop healthier emotion regulation strategies to strengthen resilience and quality of life.
Co-Authors Dewi Rokhmah Dewi Rokhmah Iken Nafikadini Iken Nafikadini Mochammad Bagus Qomaruddin Rachmadi, Eka Yanuar Shrimarti Rukmini Devy Sri Widati