Religion, Faith, and Spirituality as Barriers and Facilitators to Antiretroviral Therapy Initiation among People with HIV in Indonesia Article Swipe
Bona Sardo Hasoloan Hutahaean
,
Sarah E. Stutterheim
,
Kai J. Jonas
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.31219/osf.io/v7e4b
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.31219/osf.io/v7e4b
Indonesia is a country deeply rooted in religion, faith, and spirituality. These aspects significantly determine individuals’ decision-making and behavior, including healthcare decisions. Given the suboptimal individual management of HIV in the country, we conducted a study to explore the role of religion, faith, and spirituality on antiretroviral therapy (ART) initiation. Our study involved individual interviews with 67 participants, predominantly Muslim, including 17 untreated people with HIV (ART-naïve), 30 people with HIV on treatment (ART-experienced), and 20 HIV service providers (HSPs). Findings revealed that many individuals perceived HIV as a godly punishment related to individual failure (prior risk-prone behaviors), generating shame, guilt, and stigma. Perceiving religion as punitive and unforgiving, and holding fatalistic beliefs, was linked to postponed ART initiation. Conversely, perceiving religion as loving and forgiving, seeking forgiveness through religious practices, viewing ART intake as a “collaborative” effort with God, and engaging in righteous deeds facilitated ART initiation. These findings indicated that religion, faith, and spirituality can serve as both barriers and facilitators to ART initiation, depending on individuals’ faith-based practices and perceptions of religion, whether punishing or forgiving. We recommend that people with HIV and healthcare providers better recognize the role of religion, faith, and spirituality in coping with shame, guilt, and stigma following an HIV diagnosis. This recognition can facilitate informed decisions regarding ART initiation, ultimately improving health outcomes for individuals with HIV in Indonesia.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.31219/osf.io/v7e4b
- https://osf.io/v7e4b/download
- OA Status
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- Related Works
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All OpenAlex metadata
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https://openalex.org/W4405180678Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.31219/osf.io/v7e4bDigital Object Identifier
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Religion, Faith, and Spirituality as Barriers and Facilitators to Antiretroviral Therapy Initiation among People with HIV in IndonesiaWork title
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
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2024-12-09Full publication date if available
- Authors
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Bona Sardo Hasoloan Hutahaean, Sarah E. Stutterheim, Kai J. JonasList of authors in order
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https://doi.org/10.31219/osf.io/v7e4bPublisher landing page
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https://osf.io/v7e4b/downloadDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://osf.io/v7e4b/downloadDirect OA link when available
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Spirituality, Faith, Shame, Forgiveness, Psychology, Fatalism, Social psychology, Health care, Coping (psychology), Psychotherapist, Medicine, Alternative medicine, Political science, Theology, Law, Pathology, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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| citation_normalized_percentile.value | 0.33085743 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |