Hubungan di antara stigma dan kesihatan mental dalam kalangan orang yang hidup dengan HIV/AIDS (ODHA)
List of Authors
  • Mohd. Suhaimi Mohamad , N. Z. Abidin , Nasrudin Subhi , Norulhuda Sarnon

Keyword
  • HIV/AIDS, ODHA, stigma, diskriminasi, kesihatan mental

Abstract
  • Stigma dalam kalangan orang yang hidup dengan HIV/AIDS (ODHA) memberi kesan kepada kesihatan mental seperti kebimbangan, kemurungan dan ketakutan. Kajian ini bertujuan untuk mengkaji perhubungan antara stigma dan kesihatan mental ODHA. Kaedah persampelan bertujuan digunakan dengan melibatkan self-identified ODHA yang berumur 18 tahun dan ke atas. Kajian ini menggunakan soal selidik yang menggabungkan Skala Stigma HIV dan Inventori Kesihatan Mental (MHI-18). Seramai 34 orang responden telah terlibat dalam kajian ini dan 52.9 peratus responden mempunyai tahap kemurungan dan kebimbangan yang tidak sihat. Kajian ini juga mendapati bahawa terdapat perhubungan yang signifikan antara stigma dan kesihatan mental (r = -0.405), kebimbangan (r = -0.379), positif afektif (r = -0.479), imej kendiri negatif dengan kesihatan mental (r = -0.372), kebimbangan (r = -0.400), kemurungan (r = -0.349), positif afektif (r = -0.476), sikap masyarakat dengan kesihatan mental (r = -0.406), kebimbangan (r = -0.397), positif afektif (r = -0.488), stigma peribadi dengan positif afektif (r = -0.445) dan pendedahan kendiri dengan positif afektif (r = -0.400). Justeru, isu stigma dalam kalangan ODHA perlu ditangani demi mengurangkan impak terhadap kesihatan mental ODHA. Usaha seperti meningkatkan kempen kesedaran tentang HIV/AIDS dan saringan kesihatan mental serta kaunseling perlu dilakukan bagi meningkatkan kualiti hidup ODHA. Hasil kajian turut memberi implikasi terhadap polisi melibatkan ODHA serta usaha ke arah peningkatan sokongan sosial agar kehidupan mereka menjadi lebih baik dan harmoni.

Reference
  • 1. Abd Razak, M. A. & Subhi, N. 2016. Faktor perbezaan tahap pengetahuan HIV/AIDS dan stigma pelajar GMI dan UKM mengikut tahap pendidikan (Different levels of HIV/AIDS knowledge factor and stigma of GMI and UKM students based on levels of education). Jurnal Psikologi Malaysia, 30 (1), 61-68.
    2. Adewuya, A. O., Afolabi, M. O., Ola, B. A., Ajibare, A. O., & Oladipo, B. F. 2007. Psychiatric disorders among the HIV-positive population in Nigeria: a control study. Journal of Psychosomatic Research, 63 (2), 203-206.
    3. Attell, B. K. 2013. Social contact theory: A framework for understanding AIDS-related stigma. The Journal of Public and Professional Sociology, 5 (1), 1-23.
    4. Balfour, L., Corace, K., Tasca, G. A., Best-Plummer, W., MacPherson, P. A. & Cameron, D.W. 2010. High HIV knowledge relates to low stigma in pharmacists and university health science students in Guyana, South America. International Journal of Infectious Diseases, 14 (10), 881-887.
    5. Bhatia, R., Hartman, C., Kallen, M. A., Graham, J. & Giordano, T. P. 2011. Persons newly diagnosed with HIV infection are at high risk for depression and poor linkage to care: results from the Steps Study. AIDS and Behavior, 15 (6), 1161-1170.
    6. Bor, R., Miller, R. & Goldman, E. 2013. Theory and practice of HIV counselling: a systemic approach. Hoboken: Taylor and Francis.
    7. Courtenay-Quirk, C., Wolitski, R. J., Parsons, J. T. & Gomez, C. A. 2006. Is HIV/AIDS stigma dividing the gay community? Perceptions of HIV-positive men who have sex with men. AIDS Education and Prevention, 18 (1), 56-67.
    8. Derlega, V. J., Winstead, B. A., Greene, K., Serovich, J. & Elwood, W. N. 2004. Reasons for HIV disclosure/nondisclosure in close relationships: testing a model of HIV–disclosure decision making. Journal of Social and Clinical Psychology, 23 (6), 747-767.
    9. Eller, L. S., Rivero-Mendez, M., Voss, J., Chen, W. T., Chaiphibalsarisdi, P., Iipinge, C. S., … Brion J. M. 2014. Depressive symptoms, self-esteem, HIV symptom management self-efficacy and self-compassion in people living with HIV. AIDS Care, 26 (7), 795-803.
    10. Emlet, C. A. 2007. Experiences of stigma in older adults living with HIV/AIDS: A mixed-methods analysis." AIDS Patient Care and STDs, 21 (10), 740-752.
    11. Ferrer, L., Cianelli, R., Guzman, E., Cabieses, B., Irarrázabal, L., Bernales, M. & Araya, A. 2007. Chilean university students: knowledge and concern about HIV/AIDS. Journal of the Association of Nurses in AIDS Care, 18 (5), 51-56.
    12. Goffman, E. 2009. Stigma: Notes on the management of spoiled identity. New York: Touchstone.
    13. Hermawati, P. 2011. Hubungan persepsi ODHA terhadap stigma HIV/AIDS masyarakat dengan interaksi sosial pada ODHA. Tesis Sarjana, Universitas Islam Negeri Syarif Hidayatullah.
    14. Holmes, W. C. 1998. A short, psychiatric, case-finding measure for HIV seropositive outpatients: performance characteristics of the 5-item mental health subscale of the SF-20 in a male, seropositive sample. Medical Care, 36 (2), 237-243.
    15. Joint United Nations Programme on HIV/AIDS (UNAIDS). (2014). The Gap Report. Geneva: UNAIDS.
    16. Kementerian Kesihatan Malaysia. (2012). Annual Report Ministry of Health 2012. Putrajaya: Ministry of Health publication.
    17. Kementerian Kesihatan Malaysia. (2014). The Global AIDS Response Progress Report 2014. Putrajaya: Ministry of Health publication.
    18. Kementerian Kesihatan Malaysia. (2015a). The Global AIDS Response Progress Report 2015. Putrajaya: Ministry of Health publication.
    19. Kementerian Kesihatan Malaysia. (2015b). Ending AIDS in Malaysia: Myth or Reality? Putrajaya: Ministry of Health publication.
    20. Logie, C., James, L., Tharao, W. & Loutfy, M. 2013. Associations between HIV-related stigma, racial discrimination, gender discrimination, and depression among HIV- positive African, Caribbean, and Black women in Ontario, Canada. AIDS Patient Care and STDs, 27 (2), 114-122.
    21. Lyons, A., Pitts, M. & Grierson, J. 2012. Exploring the psychological impact of HIV: Health comparisons of older Australian HIV-positive and HIV-negative gay men. AIDS and Behavior, 16 (8), 2340-2349.
    22. Malcolm, A., Aggleton, P., Bronfman, M., Galvao, J., Mane, P. & Verrall, J. 1998. HIV-related stigmatization and discrimination: Its forms and contexts. Critical Public Health, 8 (4), 347-370.
    23. Mishra, S. K., Behera, U. K. & Jena, S. K. 2013. Assessment and evaluation of depression and loneliness among people living with HIV in selected places of coastal Andhra Pradesh. Indian Journal of Public Health Research & Development, 4 (3), 261-266.
    24. Naing, C. M., Hakim, M., Yee, D. A., Mun, K. R., Yung, T. C., Jian, K. K. & Kuan, S. S. 2010. HIV/AIDS-related knowledge, attitudes and perceptions: A cross-sectional household survey. Southeast Asian Journal of Tropical Medicine and Public Health, 41 (4), 952-960.
    25. NAM Publication. (2016). CD4, Viral Load & Other Test. Accessed September 14, 2016. http://www.aidsmap.com/Viral-load/page/1327496/
    26. Nita, M., Sahay, S., Pandit, A. & Mahajan, U. 2005. The third phase of HIV pandemic: social consequences of HIV/AIDS stigma & discrimination & future needs. Indian Journal of Medical Research, 122 (6), 471-484.
    27. Paxton, S. 2002. The paradox of public HIV disclosure. AIDS Care, 14 (4), 559-567.
    28. Rahnama, R., Rampal, L., Lye, M. & Abd Rahman, H. 2009. Knowledge, attitude and practice related to HIV/AIDS among students in a local university (2007). Malaysian Journal of Medicine and Health Sciences, 5 (2), 27-41.
    29. Ramirez-Avila, L., Regan, S., Giddy, J., Chetty, S., Ross, D., Katz, J. N… Bassett. I. V. 2012. Depressive symptoms and their impact on health-seeking behaviors in newly-diagnosed HIV-infected patients in Durban, South Africa. AIDS and Behavior, 16 (8), 2226-2235.
    30. Sarnon, N., Baba, I., Jusoff, K., Chong, S. T., Wan Azreena, W. J., Salina, N… Alavi, K. 2011. Psychosocial reactions of injecting drug users'(IDU) towards needle syringe exchange program in Malaysia. World Applied Sciences Journal 12 (Special Issue of Social and Psychological Sciences for Human Development), 80-84.
    31. Stunkel, D. L., & Wong V. K. 2006. Stigma. In Lubkin, I. M., & Larsen, P. D. Chronic illness: Impact and intervention. Burlington, Mass: Jones & Bartlett Learning.
    32. Sun, W., Wu, M., Qu, P., Lu, C. & Wang, L. 2014. Psychological well-being of people living with HIV/AIDS under the new epidemic characteristics in China and the risk factors: a population-based study. International Journal of Infectious Diseases, 28, 147-152.
    33. Tee, Y. & Huang, M. 2009. Knowledge of HIV/AIDS and attitudes towards people living with HIV among the general staff of a public university in Malaysia. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 6 (4), 179-187.
    34. Van den Beukel, T. O., Siegert, C. E. H., van Dijk, S., Wee, P. M.T., Dekker, F. W. & Honig. A. 2012. Comparison of the SF-36 Five-item Mental Health Inventory and Beck Depression Inventory for the screening of depressive symptoms in chronic dialysis patients. Nephrology Dialysis Transplantation, 27 (12), 4453-4457.
    35. Visser, M. J., Makin, J. D. & Lehobye, K. 2006. Stigmatizing attitudes of the community towards people living with HIV/AIDS. Journal of Community & Applied Social Psychology, 16 (1), 42-58.
    36. Wong, L. P., & Nur Syuhada, A. R. 2011. Stigmatization and discrimination towards people living with or affected by HIV/AIDS by the general public in Malaysia. Southeast Asian Journal of Tropical Medicineand Public Health, 42 (5), 1119-1129. Yi, S., Chhoun, P., Suong, S., Thin, K., Brody, C. & Tuot, S. 2015. AIDS-related stigma and mental disorders among people living with HIV: a cross-sectional study in Cambodia. PLoS One, 10 (3).
    37. Yuh, J. N., Ellwanger, K., Potts, L. & Ssenyonga, J. 2014. Stigma among HIV/AIDS patients in Africa: a critical review. Procedia-Social and Behavioral Sciences, 140, 581-585.
    38. Wan Zaidi, W. A. A., Baharudin, A., Jamalut, Y., Mohd Nor, B., Zulkapli, F. H. and Hanapiah, F. A. 2012. Quality of life amongst HIV positive patients in Malaysian HIV shelter homes. Procedia-Social and Behavioral Sciences, 35, 213-220.