Resilience, social support, and quality of life among people living with hiv/aids
- Select a language for the TTS:
- UK English Female
- UK English Male
- US English Female
- US English Male
- Australian Female
- Australian Male
- Language selected: (auto detect) - EN
Play all audios:

ABSTRACT One of the most common challenges faced by people living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is a low quality of life, particularly
during the coronavirus disease 2019 (COVID-19) pandemic, as they are considered a vulnerable group. This study aimed to examine the relationship between resilience, social support, and
quality of life among people living with HIV/AIDS during the pandemic. Conducted as a cross-sectional study, it involved 433 respondents. Data collection was carried out using a
questionnaire, with Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), and World Health Organization Quality of Life–HIV Brief
Version (WHO QoL-HIV-BREF) as the study instruments. The results indicated that resilience and social support were significantly associated with quality of life (p = 0.000; p = 0.000).
Multiple logistic regression analysis identified resilience as the dominant factor influencing quality of life in people living with HIV (OR = 59.533). Respondents with high resilience were
found to have a 59.53 times greater likelihood of experiencing a good quality of life compared to those with medium and low resilience after adjusting for marital status, income status, and
length of time since HIV diagnosis. Resilience plays a crucial role in determining a person’s quality of life. HIV patients who actively participated in foundation-based assistance
demonstrated greater optimism and a more positive acceptance of their condition, enabling them to cope with difficulties better. KEYWORDS: HIV/AIDS, resilience, social support, quality of
life _ABSTRAK_ _RESILIENSI, DUKUNGAN SOSIAL, DAN KUALITAS HIDUP PENDERITA _HIV/AIDS._ Salah satu tantangan yang paling umum dihadapi oleh penderita _HIV/AIDS_ adalah rendahnya kualitas
hidup, terutama saat pandemi _COVID-19,_ karena mereka termasuk dalam kelompok rentan. Penelitian ini bertujuan untuk menguji hubungan antara resiliensi, dukungan sosial, dan kualitas hidup
pada orang dengan _HIV/AIDS_ di masa pandemi. Penelitian ini merupakan penelitian _cross-sectional_ yang melibatkan 433 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner
_Connor–Davidson Resilience Scale-25 (CD-RISC-25), Multidimensional Scale of Perceived Social Support (MSPSS), _dan _World Health Organization Quality of Life–HIV Brief Version (WHO
QoL-HIV-BREF) _sebagai instrumen penelitian. Hasil penelitian menunujukkan bahwa resiliensi dan dukungan sosial memiliki hubungan yang signifikan dengan kualitas hidup (p = 0,000; p =
0,000). Analisis regresi logistik berganda menunjukkan bahwa resiliensi merupakan faktor dominan yang memengaruhi kualitas hidup orang dengan _HIV _(OR = 59,533). Responden dengan resiliensi
tinggi memiliki kemungkinan 59,53 kali lebih besar untuk memiliki kualitas hidup yang baik dibandingkan dengan responden dengan resiliensi sedang dan rendah, setelah mempertimbangkan status
perkawinan, pendapatan, dan durasi sejak didiagnosa _HIV_. Resiliensi berperan penting terhadap kualitas hidup seseorang. Pasien _HIV _yang terlibat aktif dalam mengikuti pendampingan
berbasis lembaga menunjukan sikap yang lebih optimis dan penerimaan yang lebih positif terhadap kondisi mereka, sehingga membuat mereka mampu menghadapi tantangan dengan lebih baik._ _KATA
KUNCI: dukungan sosial, _HIV/AIDS_, kualitas hidup, resiliensi_ REFERENCES * Asdiwinata, I.N., Lisnawati, N.K., & Sari, N.K.S.Y. (2021). Resilience associated with quality of life in
people with HIV/AIDS. Jurnal Ilmu Keperawatan Jiwa, 4 (2), 273–280. * Centers for Disease Control and Prevention (CDC). (2016). HIV and substanse use. Retrieved from:
https://www.cdc.gov/hiv/pdf/risk/cdc-hiv-substanceuse.pdf * Dida, N.I., Yona, S., & Waluyo, A. (2021). HIV disclosure, stigma, and stress impacting quality of life of housewives with HIV
in Kupang, Indonesia: A cross-sectional study. Enfermería Clínica, 31 (Supplement 2), S266–S270. doi: 10.1016/j.enfcli.2020.09.013. * Dorward, J., Khubone, T., Gate, K., Ngobese, H.,
Sookrajh, Y., Mkhize, S., Jeewa, A., Bottomley, C., Lewis, L., Baisley, K., Butler, C.C., Gxagxisa, N., & Garrett, N. (2021). The impact of the COVID-19 lockdown on HIV care in 65 South
African primary care clinics: An interrupted time series analysis. The Lancet HIV, 8 (3), e158–e165. doi: 10.1016/S2352-3018(20)30359-3. * Edianto, E., Waluyo, A., Yona, S., & Martiana,
I. (2020). Correlation between disclosure status and stress in men who have sex with men with HIV. Jurnal Keperawatan Indonesia, 23 (3), 155–161. doi: 10.7454/jki.v23i3.1101. * Firman, F.,
Yona, S., & Allenidekania, A. (2022). The role of social support on resilience in people living with HIV/AIDS: A systematic literature review. Qanun Medika: Medical Journal Faculty of
Medicine Muhammadiyah Surabaya, 6 (2), 163–174. doi: 10.30651/jqm.v6i2.12922. * Hayati, H., Nurhaeni, N., Wanda, D., & Nuraidah, N. (2023). Understanding the experiences of caregivers of
HIV-exposed children under five: A phenomenological inquiry. Belitung Nursing Journal, 9 (2), 152–158. doi: 10.33546/bnj.2479. * Jennings, K.M. (2017). The Roy adaptation model: A
theoretical framework for nurses providing care to individuals with anorexia nervosa. Advances in Nursing Science, 40 (4), 370–383. doi: 10.1097/ans.0000000000000175. * Kuiper, H., van
Leeuwen, C.C.M., Stolwijk-Swüste, J.M., & Post, M.W.M. (2019). Measuring resilience with the Connor–Davidson Resilience Scale (CD-RISC): Which version to choose?. Spinal Cord, 57 (5),
360–366. doi: 10.1038/s41393-019-0240-1. * Kurniawan, R., Waluyo, A., & Yona, S. (2021). Kesejahteraan spiritual orang dengan HIV/AIDS selama pandemi COVID-19: Literatur review. Jurnal
Keperawatan, 13 (2), 343–354. doi: 10.32583/keperawatan.v13i2.1183. * MacLean, J.R., & Wetherall, K. (2021). The association between HIV-Stigma and depressive symptoms among people
living with HIV/AIDS: A systematic review of studies conducted in South Africa. Journal of Affective Disorders, 287, 125–137. doi: 10.1016/j.jad.2021.03.027. * Martiana, I., Waluyo, A.,
Yona, S., & Edianto, E. (2021). A secondary analysis of peer support and family acceptance among homosexuals living with HIV and antiretroviral therapy: Quality of life perspectives.
Jurnal Keperawatan Indonesia, 24 (1), 1–8. doi: 10.7454/jki.v24i1.1095. * Ministry of Health Republic Indonesia. (2021). Penguatan sistem kesehatan dalam pengendalian Direktorat Jenderal
Pencegahan dan Pengendalian Penyakit. Retrieved from: https://p2p.kemkes.go.id/penguatan-sistem-kesehatan-dalam-pengendalian-COVID-19/. * Oladunni, A.A., Sina-Odunsi, A.B., Nuga, B.B.,
Adebisi, Y.A., Bolarinwa, O.A., Adeola, A.A., & Lucero-Prisno, D.E. (2021). Psychosocial factors of stigma and relationship to healthcare services among adolescents living with HIV/AIDS
in Kano state, Nigeria. Heliyon, 7 (4), e06687. doi: 10.1016/j.heliyon.2021.e06687. * Prabhu, S., Poongulali, S., & Kumarasamy, N. (2020). Impact of COVID-19 on people living with HIV: A
review. Journal of Virus Eradication, 6 (4), 100019. doi: 10.1016/j.jve.2020.100019. * Putera, A.M., Irwanto, I., & Maramis, M.M. (2020). Quality-of-life (QoL) of Indonesian children
living with HIV: The role of caregiver stigma, burden of care, and coping. HIV/AIDS - Research and Palliative Care, 12, 573–581. doi: 10.2147/HIV.S269629. * Rosnaini, R., Gobel, F.A., &
Multazam, A. (2021). Hubungan dukungan sosial dengan kualitas hidup ODHIV di Yayasan Peduli Kelompok dukungan sebaya makassar. Window of Public Health Journal, 1 (5), 454–464. doi:
10.33096/woph.v1i5.158. * Rzeszutek, M. (2018). Health-related quality of life and coping strategies among people living with HIV: The moderating role of gender. Archives of Women’s Mental
Health, 21 (3), 247–257. doi: 10.1007/s00737-017-0801-2. * Safitri, I.M. (2020). Relationship between socioeconomic status and family support with quality of life of people living with HIV
and AIDS. Journal PROMKES: The Indonesian Journal of Health Promotion and Health Education, 8 (1), 21–35. doi: 10.20473/jpk.v8.i1.2020.21-35. * Safren, S.A., Thomas, B., Biello, K.B., Mayer,
K.H., Rawat, S., Dange, A., Bedoya, C.A., Menon, S., Anand, V., Balu, V., O'Cleirigh, C., Klasko-Foster, L., Baruah, D., Swaminathan, S., & Mimiaga, M.J. (2021). Strengthening
resilience to reduce HIV risk in Indian MSM: A multicity, randomized, clinical efficacy trial. The Lancet Global Health, 9 (4), e446–e455. doi: 10.1016/S2214-109X(20)30547-7. * Sari, Y.K.,
& Wardani, I.Y. (2017). Dukungan sosial dan tingkat stres orang dengan HIV/AIDS. Jurnal Keperawatan Indonesia, 20 (2), 85–93. doi: 10.7454/jki.v20i2.361. * Shoimatul, S., Waluyo, A.,
& Yona, S. (2022). Intervensi nonfaramakologik untuk mengurangi cemas dalam meningkatkan kuliatas hidup ODHA. Jurnal Keperawatan Silampari, 5 (2), 1036–1049. doi: 10.31539/jks.v5i2.3036.
* Tam, C.C., Sun, S., Yang, X., Li, X., Zhou, Y., & Shen, Z. (2021). Psychological distress among HIV healthcare providers during the COVID-19 pandemic in China: Mediating roles of
institutional support and resilience. AIDS and Behavior, 25, 9–17. doi: 10.1007/s10461-020-03068-w. * Tansey, T.N., Bezyak, J., Kaya, C., Ditchman, N., & Catalano, D. (2016). Resilience
and quality of life: An investigation of Kumpfer's resilience model with persons with spinal cord injuries. Rehabilitation Counseling Bulletin, 60 (3), 163–174. doi:
10.1177/0034355216655146. * The Joint United Nations Programme on HIV/AIDS (UNAIDS). (2021). Confronting inequalities: Lessons for pandemic responses from 40 years of AIDS. Global AIDS
Upadate. Retrieved from: https://www.unaids.org/sites/default/files/media_asset/2021-global-aids-update_en.pdf * Wallace, D.D., Pack, A., Castonguay, B.U., Stewart, J.L., Schalkoff, C.,
Cherkur, S., Schein, M., Go, M., Devadas, J., Fisher, E.B., & Golin, C.E. (2019). Validity of social support scales utilized among HIV-infected and HIV-affected populations: A systematic
review. AIDS and Behavior, 23 (8), 2155–2175. doi: 10.1007/s10461-018-2294-z. * Wani, M.A. (2020). Social support, self-esteem and quality of life among people living with HIV/AIDS in Jammu
and Kashmir India. Anales de Psicologia, 36 (2), 232–241. doi: 10.6018/analesps.351111. * Wani, M.A., & Sankar, R. (2017). Social support, quality of life and suicidal ideation among
people living with HIV/AIDS in ART Center, Jammu. Indian Journal of Positive Psychology, 8 (3), 274–279. doi: 10.15614/ijpp/2017/v8i3/161881. * Wenger, L.D., Kral, A.H., Bluthenthal, R.N.,
Morris, T., Ongais, L., & Lambdin, B.H. (2021). Ingenuity and resiliency of syringe service programs on the front lines of the opioid overdose and COVID-19 crises. Translational
Research, 234, 159–173. doi: 10.1016/j.trsl.2021.03.011. * World Health Organization (WHO). (2021). Updated recommendations on HIV prevention, infant diagnosis, antiretroviral initiation and
monitoring. Retrieved from: https://www.who.int/publications/i/item/9789240022232 * Wu, X., Chen, J., Huang, H., Liu, Z., Li, X., & Wang, H. (2015). Perceived stigma, medical social
support and quality of life among people living with HIV/AIDS in Hunan, China. Applied Nursing Research, 28 (2), 169–174. doi: 10.1016/j.apnr.2014.09.011. * Yang, X., Zhao, L., Wang, L.,
Hao, C., Gu, Y., Song, W., Zhao, Q., & Wang, X. (2016). Quality of life of transgender women from China and associated factors: A cross-sectional study. Journal of Sexual Medicine, 13
(6), 977–987. doi: 10.1016/j.jsxm.2016.03.369. * Yona, S., Edison, C., Nursasi, A.Y., & Ismail, R. (2023). Self-awareness as the key to successful adherence to antiretroviral therapy
among people living with HIV in Indonesia: A grounded theory study. Belitung Nursing Journal, 9 (2), 176–183. doi: 10.33546/bnj.2480. * Zhou, K., Li, H., Wei, X., Yin, J., Liang, P., Zhang,
H., Kou, L., Hao, M., You, L., Li, X., & Zhuang, G. (2017). Relationships between received and perceived social support and health-related quality of life among patients receiving
methadone maintenance treatment in Mainland China. Substance Abuse: Treatment, Prevention, and Policy, 12 (1), 33. doi: 10.1186/s13011-017-0116-3.