FACTORS INFLUENCING ANTIRETROVIRAL MEDICATION ADHERENCE BASED ON THE HEALTH BELIEF MODEL IN HIV/AIDS PATIENTS
DOI:
https://doi.org/10.70332/jkp.v1i2.9Keywords:
HIV, Adherence, Antiretroviral, Health Belief Model.Abstract
Background: Human immunodeficiency virus (HIV) is an infection that leads to the immune system, destroys CD4 cells, and lowers a person's immunity against opportunistic infections. Therefore, antiretroviral (ARV) treatment is needed; ARV itself can slow down HIV. HBM has four dimensions that can describe how individuals believe in a healthy behavior; these dimensions include Perceived Susceptibility, Perceived Severity, Perceived barriers, and Perceived Benefits. Objective: This study aims to determine the factors that influence adherence to taking antiretroviral drugs based on the Health Belief Model. Methods: This research is a quantitative study using a cross-sectional design. Sampling was done by convenience sampling on HIV/AIDS patients who were in KPA Kota Bandung with a total of 184 respondents. Data analysis used person correlation, independent t-test, and one-way ANOVA and used linear regression. Results: The results of the study of factors affecting adherence to taking antiretroviral drugs based on the Health Belief Model using linear regression showed that there was no significant relationship between the total health belief model and adherence, but if divided by domain there was a relationship between HBM domains and adherence. Conclusion: Obtained a value (R2) of 0.124, which means that the effect of side effect variables, CD4 count, Perceived susceptibility, Perceived benefits, and social support on the compliance variable is 12.4% statistically significant with a value (p <0.05).
References
Abadiga, M., Hasen, T., Mosisa, G., & Abdisa, E. (2020). Adherence to antiretroviral therapy and associated factors among Human immunodeficiency virus-positive patients accessing treatment at Nekemte referral hospital, west Ethiopia, 2019. PLoS ONE, 15(5), 1–14. https://doi.org/10.1371/journal.pone.0232703
Abdul Kharis Sisyahid dan Sofwan Indarjo. (2017). HEALTH BELIEF MODEL DAN KAITANNYA DENGAN KETIDAKPATUHAN TERAPI ANTIRETEROVIRAL PADA ORANG DENGAN HIV/AIDS. Unnes Journal of Public Health. http://journal.unnes.ac.id/sju/index.php/ujph
Adiningsih, S., Purba, D. A., Natalia, E. I., Wike, I., Fitriana, E., Widiyanti, M., & Hutapea, H. M. L. (2021). Gambaran Terapi Antiretroviral Pada Orang Dengan HIV/ AIDS di Manokwari, Fak-Fak dan Kota Sorong, Papua Barat. Buletin Penelitian Kesehatan, 49(1), 21–28. https://doi.org/10.22435/bpk.v49i1.3668
Anies. (2006). Waspada ancaman penyakit tidak menular : Solusi pencegahan dari aspek perilaku dan lingkungan. Elex Media Komputindo.
Anwar Hidayat. (2016). Penjelasan Tentang Analisis Multivariat Dan Jenisnya. https://www.statistikian.com/
Ashraf, M., & Virk, R. N. (2021). Determinants of medication adherence in patients with HIV: Application of the health belief model. Journal of the Pakistan Medical Association, 71(5), 1409–1412. https://doi.org/10.47391/JPMA.1463
Badan Pusat Statistik. (2022). sosial dan kependudukan. https://www.bps.go.id/subject/40/gender.html
Bambang Kesowo. (2003). UNDANG-UNDANG REPUBLIK INDONESIA NOMOR 20 TAHUN 2003 TENTANG SISTEM PENDIDIKAN NASIONAL.
Bongfen, M. C., Torpey, K., Ganle, J., & Augustine, A. (2021). Measuring adherence to arts among HIV-positive adolescents in Cameroon: A comparative assessment of self-report and medication possession ratio methods. Pan African Medical Journal, 40. https://doi.org/10.11604/pamj.2021.40.148.27994
Chouhy, C., Cullen, F. T., & Lee, H. (2020). A Social Support Theory of Desistance. Journal of Developmental and Life-Course Criminology, 6(2), 204–223. https://doi.org/10.1007/s40865-020-00146-4
Colombini, M., Stöckl, H., Watts, C., Zimmerman, C., Agamasu, E., & Mayhew, S. H. (2014). Factors affecting adherence to short-course ARV prophylaxis for preventing mother-to-child transmission of HIV in sub-Saharan Africa: A review and lessons for future elimination. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 26(7), 914–926. https://doi.org/10.1080/09540121.2013.869539
De las Cuevas, C., & Peñate, W. (2015). Psychometric properties of the eight-item Morisky Medication Adherence Scale (MMAS-8) in a psychiatric outpatient setting. International Journal of Clinical and Health Psychology, 15(2), 121–129. https://doi.org/10.1016/j.ijchp.2014.11.003
Debby, C., Sianturi, S. R., & Susilo, W. H. (2019). Factors Related to Compliance of ARV Medication in HIV Patients at RSCM Jakarta. Jurnal Keperawatan, 10(1), 16. https://doi.org/10.22219/jk.v10i1.5886
Dr Muchlis Achsan. (2015). sehat dan sukses dengan HIV/AIDS. gramedia.
Edward P. Sarafino & Timothy W. Smith. (2014). Health Psychology: Biopsychosocial interaction. George Hoffman.
Ejigu, M., Desalegn, Z., Mulatu, B., & Mosisa, G. (2020). Adherence to combined antiretroviral therapy and associated factors among people living with HIV attending Nekemte specialized hospital, Oromia, Ethiopia: A cross-sectional study. HIV/AIDS - Research and Palliative Care, 12, 97–106. https://doi.org/10.2147/HIV.S239995
Fadeli, M. I. (2021). KESEHATAN ANTARA SUKU JAWA DAN SUKU BALI THE DIFFERENCE OF COMMUNITY COMPLIANCE WITH THE HEALTH PROTOCOL BETWEEN JAVANESE AND BALINESE Indonesia juga tengah berusaha untuk menangani pandemi covid 19 . Sebuah survei corona ( Covid-19 ). Hasilnya, dari 105. 35–44.
Fitriawan, A. S. (2018). Self Efficacy Dalam Mematuhi Pengobatan Antiretroviral Therapy Pada Pasien Hiv / Aids. Nursing Journal Respati, 5(September), 467–478.
Haryadi, Y., Sumarni, S., & Angkasa, M. (2020). Jenis Pekerjaan Dan Tingkat Pendidikan Mempengaruhi Kepatuhan Minum Obat Antiretroviral (Arv) Pada Pasien Hiv/Aids. Jurnal Lintas Keperawatan, 1(1), 1–8.
HIV.gov. (2020). apa itu HIV. https://www.hiv.gov/hiv-basics/overview/about-hiv-and-aids/what-are-hiv-and-aids
Hu, Y., Zhong, X. N., Peng, B., Zhang, Y., Liang, H., Dai, J. H., Zhang, J. Y., & Huang, A. L. (2018). Associations between perceived barriers and benefits of using HIV pre-exposure prophylaxis and medication adherence among men who have sex with men in Western China 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Infectious Diseases, 18(1), 1–8. https://doi.org/10.1186/s12879-018-3497-7
Information. (2020). pusat data dan informasi kementrian kesehatan RI. Kesehatan, 1–8. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-2020-HIV.pdf
Jeihooni, A., Arameshfard, S., Hatami, M., Mansourian, M., & Kashfi Hannan, S. (2018). The effect of educational programs based on health beliefs about HIV/AIDS among high school students. International Journal of Pediatrics, 6(3), 7285–7296. https://doi.org/10.22038/ijp.2017.27226.2343
Jonathan E. Kaplan, M. (2020). Antiretrovirals: HIV and AIDS Drugs. https://www.webmd.com/hiv-aids/aids-hiv-medication
Kartika Sari, Y., Nurmawati, T., & Putri Hidayat, A. (2019). Analisis Faktor Yang Mempengaruhi Kepatuhan Pasien HIV-AIDS Dalam Terapi Antiteroviral (ARV). Jurnal Citra Keperawatan, 7(2), 96–103. http://www.ejurnal-citrakeperawatan.com/index.php/JCK/article/view/116
KBBI. (2021). DEFINISI. https://kbbi.web.id/
KEMENKES. (2021). definisi AIDS. https://www.kemenkes.go.id
Lasti, M. H. (2017). Analisis Kepatuhan Minum Obat Antiretroviral (ARV) Pada Komunitas LSL (Laki-laki Seks dengan Laki - laki) ODHA di Kota Parepare Sulawesi Selatan. Journal of Chemical Information and Modeling, 204.
Li, Y., Zhang, X. W., Liao, B., Liang, J., He, W. J., Liu, J., Yang, Y., Zhang, Y. H., Ma, T., & Wang, J. Y. (2021). Social support status and associated factors among people living with HIV/AIDS in Kunming City, China. BMC Public Health, 21(1), 1–6. https://doi.org/10.1186/s12889-021-11253-2
Mary T. Kioko, & Pertet, A. M. (2017). Factors contributing to antiretroviral drug adherence among adults living with HIV or AIDS in a Kenyan rural community. 1–7.
Monasel, A. H. (2020). Faktor - Faktor yang Berhubungan dengan Kuaitas Hidup Orang dengan HIV/AIDS (ODHA) di Yayasan Sehat Peduli Kasih Kota Semarang. 7(1), 444–457. https://pesquisa.bvsalud.org/portal/resource/en/mdl-20203177951%0Ahttp://dx.doi.org/10.1038/s41562-020-0887-9%0Ahttp://dx.doi.org/10.1038/s41562-020-0884-z%0Ahttps://doi.org/10.1080/13669877.2020.1758193%0Ahttp://sersc.org/journals/index.php/IJAST/article
Neupane, S., Dhungana, G. P., & Ghimire, H. C. (2019). Adherence to antiretroviral treatment and associated factors among people living with HIV and AIDS in CHITWAN, Nepal. BMC Public Health, 19(1), 1–9. https://doi.org/10.1186/s12889-019-7051-3
NH Andriyuni. (2018). Hubungan antara dukungan sosial teman sebaya dengan kepatuhan santri pada peraturan di pondok pesantren al-madienah denanyar jombang. eprints.mercubuana-yogya.ac.id
Nursalam, Ninuk Dian K, M. & F. K. (2018). Asuhan Keperawatan pada pasien terinveksi HIV/AIDS (edisi 2). Samba media.
PRABOWO, S. P. (2021). Faktor–Faktor Yang Mempengaruhi Kepatuhan Pengobatan Antiretroviral Pada Pasien Hiv-Aids Di Upt Puskesmas Manahan Surakarta Tahun 2020. http://eprints.ums.ac.id/id/eprint/91249
Ridwan karim. (2021). Definisi operasional. https://penerbitbukudeepublish.com/
Rina Hayati. (2020a). Pengertian Analisis Bivariat, Rumus, dan Contohnya. https://penelitianilmiah.com/analisis-bivariat/
Rina Hayati. (2020b). Pengertian Analisis Univariat, Rumus, dan Contohnya. https://penelitianilmiah.com/analisis-univariat/
Rural Health Information Hub. (2019). The Health Belief Model. https://www.ruralhealthinfo.org/toolkits/healthpromotion/2/theories-and-models/health-belief
Soekidjo Notoatmodjo. (2010). Metodologi penelitian kesehatan / Soekidjo Notoatmodjo. Jakarta : Rineka Cipta.
Sohler, N., Slawek, D., Earnshaw, V., Jost, J., Lee, A., Mancini, J., Mompremier, A., & Cunningham, C. O. (2021). Drug use and HIV medication adherence in people living with HIV. Substance Abuse, 42(3), 310–316. https://doi.org/10.1080/08897077.2019.1706695
Srikartika, V. M., Intannia, D., & Aulia, R. (2019). Faktor-Faktor yang Mempengaruhi Kepatuhan Pasien HIV/AIDS Rawat Jalan dalam Pengobatan Terapi Antiretroviral (ART) di Rumah Sakit Dr.H.Moch.Ansari Saleh Banjarmasin. Jurnal Pharmascience, 6(1), 97. https://doi.org/10.20527/jps.v6i1.6081
Umah & Irawanto. (2019). MOTIVASI SPIRITUAL MENINGKATKAN KEPATUHAN MINUM OBAT ARV PADA PASIEN HIV / AIDS ( Spiritual Motivation to Improve ARV Drug Compliance in HIV / AIDS Patients ). Journal of Ners Community, 10(2), 251–263.
UNAIDS. (2022). Global HIV & AIDS statistics. https://www.unaids.org/en
Unair. (2019). Penurunan Kadar CD4 Pengaruhi Sistem Daya Tahan Tubuh Penderita Infeksi HIV. https://news.unair.ac.id/2019/12/11/penurunan-kadar-cd4-pengaruhi-sistem-daya-tahan-tubuh-penderita-infeksi-hiv/?lang=id
Utami, R. H. & M. P. S. (2018). keperawatan medikal bedah 2. Pustaka Baru Press.
Vitalis, D. (2017). Predicting adherence to antiretroviral therapy among pregnant women in Guyana: Utility of the Health Belief Model. International Journal of STD and AIDS, 28(8), 756–765. https://doi.org/10.1177/0956462416665989
WHO. (2020). HIV/AIDS. https://www.who.int/westernpacific/health-topics/hiv-aids#tab=tab_1
WHO. (2021a). fakta HIV/AIDS. https://www.who.int/news-room/fact-sheets/detail/hiv-aids
WHO. (2021b). World Health Organization. https://www.who.int/
Windi Chusniah Rachmawati, S, KM., M. K. (2019). PROMOSI KESEHATAN DAN ILMU PERILAKU. Wineka Media.
Wulandari, Y. A., Suryani, N., & Pamungkasari, E. P. (2016). Health Belief Model: Health Preventive Behavior of Sexually Transmitted Infection in Female Sex Workers in Surakarta. Journal of Health Promotion and Behavior, 01(02), 70–78. https://doi.org/10.26911/thejhpb.2016.01.02.02
Yu, B., Jia, P., Huang, Y. ling, Zhou, J. min, Xie, T., Yu, J., Liu, C., Xiong, J., Han, J. yu, Yang, S. fan, Dong, P. jie, Yang, C., Wang, Z. xin, & Yang, S. juan. (2021). Self-efficacy as a crucial psychological predictor of treatment adherence among older adults living with HIV: analyses based on the health belief model. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 0(0), 1–7. https://doi.org/10.1080/09540121.2021.1938964
Zagumny, M. J., & Brady, D. B. (1998). Development of the Aids Health Belief Scale (AHBS). AIDS Education and Prevention, 10(2), 173–179.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., Farley, G. K., Zimet, G. D., Dahlem, N. W., Zimet, S. G., Gordon, K., Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (2017). The Multidimensional Scale of Perceived Social Support The Multidimensional Scale of Perceived Social Support. 3891(October). https://doi.org/10.1207/s15327752jpa5201
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