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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Berkala Epidemiologi The Indonesian Journal of Public Health The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Journal of Urban Health Research Cermin Dunia Kedokteran Mitramas Jurnal Pengabdian dan Pemberdayaan Masyarakat Jurnal Kesehatan Masyarakat Mitramas Jurnal Pengabdian dan Pemberdayaan Masyarakat
Hardi, Nicholas
Psychiatrist, Departement Of Psychiatry And Behavioral Science, School Of Medicine And Health Sciences, Atma Jaya Catholic, University Of Indonesia, Jakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Althea Medical Journal

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Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia Pakpahan, Evanina Alice; Surilena, Surilena; Hardi, Nicholas
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.3913

Abstract

Background: The quality of life (QoL) of people living with HIV (PLWHIV) is affected by physical, psychological, social, and spiritual aspects. During the pre-elderly period (ages 45–59 years), these aspects become major challenges. Stigma is one of the social aspects that may be related to QoL among PLWHIV. This study aimed to examine the correlation between stigma and QoL among pre-elderly with HIV.Method: This was an analytical observational study with a cross-sectional design, conducted from July 2022 to August 2023 in health services and online-based HIV communities in Jakarta, Indonesia. Sampling was performed using convenience sampling, including 120 pre-elderly living with HIV. Data were collected online using Google Forms. Stigma was assessed using the Berger HIV Stigma Scale, while QoL was measured using the WHOQOL-HIV BREF questionnaire. Data were analyzed using Spearman’s rank correlation test in SPSS.Results: Most participants were male (62.5%). The highest median scores in stigma domains were public attitudes (41) and personalized stigma (36). For QoL, the highest median scores were in the physical and spiritual domains (both 15). Personalized stigma and disclosure concerns were negatively correlated with the physical, psychological, independence, and spiritual QoL domains (p<0.05). Negative self-image demonstrated negative correlations with all QoL domains (p<0.05).Conclusions: Stigma is negatively correlated with the quality of life among pre-elderly with HIV in Jakarta. The greater the stigma experienced, the lower their quality of life. Further research using qualitative methods such as in-depth interviews, is recommended to explore the correlation of each stigma domain with the quality of life.  
Cognitive Function and Nutritional Status in Pre-Elderly Individuals with Human Immunodeficiency Virus Putri, Felicia Cahyadi; Vetinly, Vetinly; Ayu, Astri Parawita; Hardi, Nicholas; Kristian, Kevin
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4179

Abstract

Background: Human immunodeficiency virus (HIV) infection remains a global health issue, particularly in Africa and Asia. Cognitive impairment may early develop in individuals living with HIV and can therefore potentially impact nutritional status. This study aimed to assess the correlation between cognitive function and nutritional status in pre-elderly individuals with HIV.Methods: A cross-sectional study was conducted from March 2023 to October 2024 among individuals living with HIV aged 45–59 years in Jakarta, Indonesia. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) and nutritional status was evaluated using body mass index (BMI). Data were analyzed using the Chi-square test with Jeffrey’s Amazing Statistics Program (JASP).Results: Of the 157 respondents, most were male (75.2%) with a mean age of 49±4.17 years. The majority were unmarried (44.6%), employed (70.1%), had incomes below the Jakarta minimum wage (74.5%), and had completed senior high school education (56.0%). Mild cognitive impairment was found in 70.7% of participants, whereas normal nutritional status was the most common (45.9%). However, no significant relationship was found between cognitive function and nutritional status (p=0.161).  Conclusion: Mild cognitive impairment is prevalent among pre-elderly individuals with HIV, most of whom have normal nutritional status. Although no significant relationship is observed between cognitive function and nutritional status, these findings highlight the importance of incorporating early cognitive screening into routine HIV care to support healthy aging and timely identification and management of cognitive decline.
Co-Authors Agus, Dharmady Aila Johanna Angelika, Patricia Arrang, Sherly Tandi Astri Parawita Ayu, Astri Parawita Dharmady Agus Eva Suryani Fransisca Theresia Fransisca Theresia Gaverio, Nicholas Francisco Heryadi, Samantha Yaffa Ika Suswanti Isadora Gracia, Isadora Jessica, Cicilia Johanna, Aila Kristian, Kevin Leman, Gabriel Kevin Linawati Hananta, Linawati Mahaputra Mahaputra, Mahaputra Maria Dara Novi Handayani, Maria Dara Novi Mariani Santosa, Mariani Natalia Natalia Natalia Natalia Nelly Tina Widjaja Pakpahan, Evanina Alice Putri, Felicia Cahyadi Rahmadanty, Nadiya Kamila Riki Tenggara Rima Sisca Fanuela Soerianto, Cellina Aurelia Surilena Hasan Surilena, S. Tamara, Xenia Theresia, Fransisca Vebriana, Gennesia Vetinly, Vetinly Vincentius, Michael William William Yuda Turana Yvonne Suzy Handajani