Abstract :

Background: Human Immunodeficiency Virus (HIV) remains a major global public health problem. Changes in risky behaviors among people living with HIV/AIDS (PLWHA) play a crucial role in preventing further transmission. Socioeconomic factors, particularly economic status and type of occupation, may influence behavioral changes by affecting access to health information and services.

Objective: This study aimed to analyze the association between economic status and type of occupation with changes in risky behaviors among people living with HIV/AIDS in Kupang City, Indonesia.

Methods: An analytical observational study with a cross-sectional design was conducted among adult PLWHA in Kupang City from August to October 2024. A total of 136 respondents were selected using non-probability consecutive sampling. Data were collected using structured questionnaires assessing economic status, type of occupation, risky behaviors, and changes in risky behaviors. Data analysis was performed using descriptive statistics and Spearman rank correlation test, with a significance level of p < 0.05.

Results: Most respondents showed changes in risky behaviors after being diagnosed with HIV. Statistical analysis demonstrated a significant association between economic status and changes in risky behaviors among PLWHA. In addition, type of occupation was also significantly associated with changes in risky behaviors.

Conclusion: Economic status and type of occupation are significantly associated with changes in risky behaviors among people living with HIV/AIDS in Kupang City. These findings highlight the importance of incorporating socioeconomic considerations into HIV prevention and behavioral intervention programs.

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Keywords :

Economic Status, HIV/AIDS, occupation, people living with HIV/AIDS, risky behavior.

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References :

1. Fauci AS, Lane HC. Human immunodeficiency virus disease: AIDS and related disorders. In: Kasper DL, Fauci AS, Hauser SL, et al., editors. Harrison’s Principles of Internal Medicine. 21st ed. New York: McGraw-Hill; 2022.
2. Centers for Disease Control and Prevention. HIV basics. Atlanta: CDC; 2023.
3. World Health Organization. Global HIV Programme: HIV data and statistics. Geneva: WHO; 2023.
4. Global HIV & AIDS statistics — Fact sheet 2023. Geneva: UNAIDS; 2023.
5. Ministry of Health of the Republic of Indonesia. HIV/AIDS Situation Report in Indonesia 2023. Jakarta: MoH RI; 2023.
6. East Nusa Tenggara Provincial Health Office. HIV/AIDS Surveillance Report 2023. Kupang: Dinas Kesehatan NTT; 2023.
7. Cohen MS, Shaw GM, McMichael AJ, Haynes BF. Acute HIV-1 infection. N Engl J Med. 2011;364(20):1943–54.
8. Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States. J Acquir Immune Defic Syndr. 2005;39(4):446–53.
9. Marmot M. Social determinants of health inequalities. Lancet. 2005;365(9464):1099–104.
10. Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2002;21(2):60–76.
11. Rueda S, Raboud J, Mustard C, et al. Employment status is associated with both physical and mental health quality of life in people living with HIV. AIDS Care. 2011;23(4):435–43.
12. Farmer P. Social inequalities and emerging infectious diseases. Emerg Infect Dis. 1996;2(4):259–69.
13. Mugavero MJ, Norton WE, Saag MS. Health care system and policy factors influencing engagement in HIV medical care. Clin Infect Dis. 2011;52(Suppl 2):S238–45.
14. Gardner EM, McLees MP, Steiner JF, Del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies. Clin Infect Dis. 2011;52(6):793–800.
15. Pellowski JA, Kalichman SC, Matthews KA, Adler N. A pandemic of the poor: social disadvantage and the U.S. HIV epidemic. Am Psychol. 2013;68(4):197–209.
16. Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372(9640):764–75.
17. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.
18. Tsai AC, Bangsberg DR, Weiser SD. Harnessing poverty alleviation to reduce the stigma of HIV in sub-Saharan Africa. PLoS Med. 2013;10(11):e1001557.
19. Weiser SD, Hatcher A, Frongillo EA, et al. Food insecurity is associated with greater acute care utilization among HIV-infected homeless and marginally housed individuals in San Francisco. J Gen Intern Med. 2013;28(1):91–8.
20. Lund C, Breen A, Flisher AJ, et al. Poverty and common mental disorders in low and middle income countries: A systematic review. Soc Sci Med. 2010;71(3):517–28.
21. Del Rio C, Curran JW. Epidemiology and prevention of acquired immunodeficiency syndrome and human immunodeficiency virus infection. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 9th ed. Philadelphia: Elsevier; 2020.