Impact of HIV-Related Stigma: Self-Efficacy, Self-Esteem, and Social Isolation on ARV Medication Adherence among Persons Living With HIV in Turen, Malang

Background: Antiretroviral therapy is a common best treatment for HIV/AIDS. The most problem during the ARV treatment process of people living with HIV/AIDS (PLWHA) is medication adherence. Stigma is one of the main obstacles to the success of adherence to ARV therapy in PLWHA. The negative emotional responses, such as self-efficacy, self-esteem, and social isolation, often appeared due to stigmatization. Aim: To identify impact of HIV related stigma on ARV Medication adherence among persons living with HIV in Turen Malang Method: An analytic observational design with a cross-sectional approach in this study. Result: There were 44 PLWHA involve in this study in the Turen District Health Centered. A Pearson test analyzing elucidate that self-efficacy (p=0.000; r=0356), self-esteem (p=0.000; r=0.851) and social isolation (p=0.000; r=-0.684) have a significant correlated to ARV medication adherence. Conclusion: Self-efficacy of PLWHA could be reflected in their confidence to attend their regular treatment. Self-esteem and social isolation make PLWHA avoided from the social environment and information about the disease, thus affecting treatment compliance. Self-esteem has a higher correlation to antiretroviral treatment adherence compared to self-efficacy and social isolation.