Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia

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 amon...

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Main Authors: Evanina Alice Pakpahan, Surilena Surilena, Nicholas Hardi
Format: Article
Language:English
Published: Universitas Padjadjaran 2025-06-01
Series:Althea Medical Journal
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Online Access:https://journal.fk.unpad.ac.id/index.php/amj/article/view/3913
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author Evanina Alice Pakpahan
Surilena Surilena
Nicholas Hardi
author_facet Evanina Alice Pakpahan
Surilena Surilena
Nicholas Hardi
author_sort Evanina Alice Pakpahan
collection DOAJ
description 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.
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spelling doaj-art-d6983e9449564ad7a5611c7c4adf70452025-08-01T02:59:56ZengUniversitas PadjadjaranAlthea Medical Journal2337-43302025-06-01122859410.15850/amj.v12n2.39131860Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, IndonesiaEvanina Alice Pakpahan0Surilena Surilena1Nicholas Hardi2School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, JakartaDepartment of Psychiatry and Behavioral Science, School of Medicine and Health Sciences, Atma Jaya Catholic University of IndonesiaDepartment of Psychiatry and Behavioral Science, School of Medicine and Health Sciences, Atma Jaya Catholic University of IndonesiaBackground: 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.https://journal.fk.unpad.ac.id/index.php/amj/article/view/3913domain, hiv, pre-elderly, quality of life, stigma
spellingShingle Evanina Alice Pakpahan
Surilena Surilena
Nicholas Hardi
Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia
Althea Medical Journal
domain, hiv, pre-elderly, quality of life, stigma
title Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia
title_full Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia
title_fullStr Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia
title_full_unstemmed Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia
title_short Stigma and Quality of Life Among Pre-elderly with HIV in Jakarta, Indonesia
title_sort stigma and quality of life among pre elderly with hiv in jakarta indonesia
topic domain, hiv, pre-elderly, quality of life, stigma
url https://journal.fk.unpad.ac.id/index.php/amj/article/view/3913
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