Faktor Yang Mempengaruhi Risiko Gangguan Perilaku Anak Dengan Human Immunodeficiency Virus

Authors

  • Laili Primasari Program Studi Magister Ilmu Kesehatan Reproduksi, Fakultas Kedokteran, Universitas Airlangga, Surabaya
  • Ahmad Suryawan Departemen Ilmu Kesehatan Anak, RSUD Dr Soetomo, Surabaya
  • Dominicus Husada Departemen Ilmu Kesehatan Anak, RSUD Dr Soetomo, Surabaya

DOI:

https://doi.org/10.30651/jkm.v4i2.2349

Keywords:

Behavioral disorder, Children, HIV

Abstract

The number of child HIV patients in Indonesia in 2016 was 1,185 children. In pediatric and adolescent patients with perinatal HIV, the risk of psychological disorders can arise as a direct and indirect result of HIV infection. The direct effect is derived from HIV infection itself and the indirect consequences are caused by things related to HIV status. These problems include emotional, behavioral, cognitive and psychosocial disorders. At present a child's development check is carried out if a problem is suspected and there are no regular inspections. This includes examining the risk of behavioral disorders for children with HIV. Knowing the risk of behavioral disorders in children with HIV aged 6-18 years. The research respondents were outpatients at Poli UPIPI RSUD Dr Soetomo. Patients and guardians who were present were given an explanation and were asked to fill out informed consent as a sign of agreement to become respondents. All patients and guardians who came and met the criteria were taken as research respondents. This research was conducted by filling out a questionnaire regarding risk factors and research instruments. The instrument used was GPPH to assess the risk of behavioral disorders. Statistical analysis with logistic regression showed that the risk factors for hospitalization history (P = 0.031) and parental completeness (P = 0.011) were associated with risk of behavioral disorders. Children who have been hospitalized in the hospital have a possibility of 22,337 times greater risk of behavioral disorders. And children who don't have parents have a 40.586 times greater risk of behavioral disorders. There was a risk of behavioral disorders in children with HIV aged 6-17 years who do not have parents or had been hospitalized.

Author Biographies

Laili Primasari, Program Studi Magister Ilmu Kesehatan Reproduksi, Fakultas Kedokteran, Universitas Airlangga, Surabaya

Mahasiswa Program Studi Magister Ilmu Kesehatan Reproduksi, Fakultas Kedokteran, Universitas Airlangga, Surabaya

Ahmad Suryawan, Departemen Ilmu Kesehatan Anak, RSUD Dr Soetomo, Surabaya

Staf Departemen Ilmu Kesehatan Anak, RSUD Dr Soetomo, Surabaya

Dominicus Husada, Departemen Ilmu Kesehatan Anak, RSUD Dr Soetomo, Surabaya

Staf Departemen Ilmu Kesehatan Anak, RSUD Dr Soetomo, Surabaya

References

Das S, 2009. A study on the emotional and behavioral problems of children living with HIV/AIDS. Department of Psychiatric Social Work, NIMHANS; Bangalore, India

Fox, S., Levitt, P., Nelson, C.A., 2010. How the timing and quality of early experiences influence the development of brain architecture. NIH Public Access 81:28–40.

Grover G, Pensi T, Banerjee T, 2007. Behavioural disorders in 6-11-year-old, HIV-infected Indian children. Ann Trop Paediatr. 27:215–224. PubMed: 17716450

Hua X, C.P. Boyle, D.F. Tate, C.T. Yiannoutsos, R. Cohen, 2013. Disrupted cerebral metabolite levels and lower nadir CD4+ counts are linked to brain volume deficits in 210 HIV-infected patients on stable treatment. Neuroimage Clinic. 3:132-142

Kementrian Kesehatan RI, 2016. Laporan Situasi Perkembangan HIV-AIDS & PIMS di Indonesia April-Juni 2016. Jakarta: Ditjen P2P Kementrian Kesehatan RI

Koenig L.J, Nesheim S, Abramowitz S. 2011. Adolescent with perinataly acquired HIV: emerging behavioural and helath needs for long term survivors. Current opinion in obstetric and gynecology. 23:321-327

McLanahan S, Tach L, Schneider D. The causal effects of father absence. Annual Review of Sociology. 2013;39:399–427.

Nelson J.R., Gregory J. Benner, Douglas Cheney, 2005. An Investigation of the Language Skills of Students With Emotional Disturbance Served in Public School Settings. The Journal of Special Education, 39(2):134-145

Skovdal M, 2012. Pathologising healthy children A review of literature exploring the mental health of HIV-affected children in sub –saharan Africa. Transcultural Psychiatry. 49(3-4) 461-491

Soedarmo SSP dkk, 2015. Buku Ajar Infeksi dan Pediatri Tropis Edisi Kedua. Jakarta: Ikatan Dokter Anak Indonesia

Supartini. 2012. Buku Ajar Konsep Dasar Keperawatan Anak. Jakarta: EGC

Tadesse AW, Tsehay YB, Belaineh BG, Alemu YB, 2012. Behavioural and emotional problems among children aged 6-14 years on highly active antiretroviral therapy in Addis Ababa: A cross sectional study. Child Behav. 51:189-200

Vranda M.N, S.N. Monthi, 2013. Psychosocial Issues of Children Infected with HIV/AIDS. ndian J Psychol Med. 2013 Jan-Mar; 35(1): 19–22.

Published

2019-07-11

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