Gender Differences in Denial-Acceptance Duration Based on Kübler-Ross Cycle After HIV Diagnosis
DOI:
https://doi.org/10.21776/ub.jkb.2021.031.03.7Keywords:
Acceptance, denial, grief, HIV, Kübler-Ross cycleAbstract
Patients who have been diagnosed with HIV often suffer from sadness and grief that, in turn, affect the adherence to HIV treatment. This study aimed to examine gender differences in the denial-acceptance duration based on the Kübler-Ross cycle in patients after diagnosed with HIV. A cross-sectional survey was conducted on 63 adult HIV patients aged 19-60 years who received routine treatment at the HIV/VCT outpatient department of Saiful Anwar General Hospital Malang. Subjects were interviewed using the Acceptance of Disease and Impairments Questionnaire (ADIQ). Gender differences in denial-acceptance duration after diagnosed with HIV were analyzed using the unpaired T-test. Results were statistically significant if p value <0.05. The median duration of denial-acceptance in male subjects was 16 weeks with the shortest duration of 1 week and the longest duration of 144 weeks, while the median duration of female subjects was 12 weeks with the shortest duration of 1 week and the longest duration of 240 weeks. There are no gender differences in the denial-acceptance duration (p value = 0.629). In conclusion, there are no gender differences in denial-acceptance duration based on the Kübler-Ross cycle after diagnosed with HIV.
Downloads
References
Pendse R, Gupta S, Yu D, and Sarkar S. HIV/AIDS in the South-East Asia Region: Progress and Challenges. Journal of Virus Eradication. 2016; 2(4): 1-6.
Phanuphak N, Lo YR, Shao Y, et al. HIV Epidemic In Asia: Implications for HIV Vaccine and Other Prevention Trials. AIDS Research and Human Retroviruses. 2015; 31(11): 1060-1076.
Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. Infodatin Situasi Penyakit HIV AIDS di Indonesia. Jakarta: Kemkes RI; 2020: p. 1-12.
Widayati D, Hayati F, and Chotijah N. Family Acceptance dan Tingkat Stres Pasien HIV. Jurnal Keperawatan Respati Yogyakarta. 2018; 5(2): 364-369.
Kübler-Ross E. On Death and Dying. 1st edition. London: Routledge; 1973.
Stroumpouki T, Perret S, KAsdovasili S, Papatheodorou P, Paparizos V, and Stavropoulou A. “A Journey towards Acceptanceâ€: The Process of Adapting to Life with HIV in Greece. A Qualitative Study. Applied Nursing Research. 2020; 53: 151249-151249.
Puskas CM, Forrest JI, Parashar S, et al. Women and Vulnerability to HAART Non-Adherence: A Literature Review of Treatment Adherence by Gender from 2000 to 2011. Current HIV/AIDS Reports. 2011; 8(4): 277-287.
Zheng K, Bruzzese JM, and Smaldone A. Illness Acceptance in Adolescents: A Concept Analysis. Nursing Forum. 2019; 54(4): 545-552.
Brion JM, Menke EM, and Kimbal C. Grief and HIV Medication Adherence: The Work of Transcending Loss. Journal of Loss and Trauma. 2013; 18(6): 499-520.
Febriliant MR and Pratomo B. Durasi Denial-Acceptance Siklus Kübler-Ross pada Pasien Hepatitis B. [Mini Research]. Universitas Brawijaya, Malang. 2020.
Li L, Liang LJ, Lin C, Ji G, and Xiao Y. Gender Differences in Depressive Symptoms among HIV-Positive Concordant and Discordant Heterosexual Couples in China. Psychology of Women Quarterly. 2017; 41(1): 89-99.
Renesto HMF, Falbo AR, Souza E, and Vasconcelos MG. Coping and Perception of Women with HIV Infection. Revista de Saude Publica. 2014; 48(1): 36-42.
Gonzalez JS, Batchelder AW, Psaros C, and Safresn SA. Depression and HIV/AIDS Treatment Nonadherence: A Review and Meta-Analysis. Journal of Acquired Immune Deficiency Syndromes. 2011; 58(2): 1-13.
Kalichman S, Kalichman MO, and Cherry C. Medication Beliefs and Structural Barriers to Treatment Adherence among People Living with HIV Infection. Psychology & Health. 2016; 31(4): 383-395.
Kelly JD, Hartman C, Graham J, Kallen MA, and Giordano TP. Social Support as a Predictor of Early Diagnosis, Linkage, Retention, and Adherence to HIV Care: Results from the Steps Study. The Journal of the Association of Nurses in AIDS Care: JANAC. 2014; 25(5): 405-413.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).