Self-stigma relationship with self-esteem in teenage tuberculosis using Roy's adaptation theory approach in Jember
DOI:
https://doi.org/10.61978/curatio.v1i1.193Keywords:
Self-stigma, self-esteem, teenage tuberculosis, Roy's adaptation model theoryAbstract
Tuberculosis (TB) is an infectious disease that causes stigma, especially in teenagers. An individual who is stigmatized will have an impact on his status of honor. The aim of this study is to find out the relationship between self-stigmatism and self-esteem in TB teenagers using the Roy Adaptation Model Theory approach. This research uses a cross-sectional design. The population in this study is 139 teenagers who suffer from TB in Jember. The sample in this study is 103. Respondents are selected through cluster sampling. Data collection was done using Van Rie's TB Stigma Scale and Rosernberg Self-Esteem Scale questionnaires. Data analysis using binomial logistic regression tests. The results of the study showed that TB teenagers mostly experienced bad self-stigmatism (54.4%) and mostly negative self-esteem (60%). There was a connection between self-stigma and self-esteem in TB teenagers after controlling for family type (OR = 3,987; p = 0,007). Tuberculosis teenagers who experience bad self-stigmatism are more likely to have negative self-esteem. The family has an important role to play in creating a mechanism against self-stigmatism. A good coping mechanism determines the status of self-esteem. Positive self-esteem demonstrates the adaptive response of youths with TB, thereby increasing youth motivation for rehabilitation in healthcare.
References
Ani, N. K., Irawan, A., & Arief Wicaksono, M. (2024). Hubungan Dukungan Keluarga Terhadap Perilaku Medication Adherence Pada Penderita TB di UPT Puskesmas Pekauman Kota Banjarmasin. Journal of Nursing Invention, 4(2), 80–91. https://doi.org/10.33859/jni.v4i2.441
Asriwati, A., & Tristiyana, P. I. (2020). The Determinants of Family Support of Lung TB Patients in Consuming Anti Tuberculosis Medicine in Polonia Health Center Medan. Health Notions, 4(1), 1–6. https://doi.org/10.33846/hn40101
Benya Adriani, R., Sulistyowati, D., Editya Darmawan, R., & D.T. Donsu, J. (2022). COGNITIVE BEHAVIORAL THERAPY (CBT) TERHADAP STIGMA DIRI, HARGA DIRI DAN KUALITAS HIDUP PASIEN TBC. Jurnal Kesehatan Kusuma Husada, 243–251. https://doi.org/10.34035/jk.v13i2.873
Candra, I. W., Harini, I. G., & Sumirta, I. N. (2017). Psikologi Landasan Keilmuan Praktik Keperawatan Jiwa. ANDI (Anggota IKAPI).
Chen, W.-W., Xu, G., Wang, Z., & Mak, M. C. K. (2022). Unhappy us, unhappy me, unhappy life: The role of self-esteem in the relation between adult attachment styles and mental health. Current Psychology, 41(2), 837–846. https://doi.org/10.1007/s12144-019-00594-2
Chen, X., Chen, Y., Zhou, L., & Tong, J. (2023). The role of self-esteem as moderator of the relationship between experienced stigma and anxiety and depression among tuberculosis patients. Scientific Reports, 13(1), 6889. https://doi.org/10.1038/s41598-023-34129-4
Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., Zhu, X., & Zhou, L. (2021). Tuberculosis-related stigma and its determinants in Dalian, Northeast China: a cross-sectional study. BMC Public Health, 21(1), 1–10. https://doi.org/10.1186/s12889-020-10055-2
Chiang, S. S., Dolynska, M., Rybak, N. R., Cruz, A. T., Aibana, O., Sheremeta, Y., Petrenko, V., Mamotenko, A., Terleieva, I., Horsburgh, C. R., & Jenkins, H. E. (2020). Clinical manifestations and epidemiology of teenage tuberculosis in ukraine. ERJ Open Research, 6(3), 1–11. https://doi.org/10.1183/23120541.00308-2020
Das, M., Mathur, T., Ravi, S., Meneguim, A. C., Iyer, A., Mansoor, H., Kalon, S., Hossain, F. N., Acharya, S., Ferlazzo, G., Isaakidis, P., & Thakur, H. P. (2021). Challenging drug-resistant TB treatment journey for children, teenagers and their care-givers: A qualitative study. PLOS ONE, 16(3), e0248408. https://doi.org/10.1371/journal.pone.0248408
Dinkes Jatim. (2021). Profil Kesehatan Dinas Kesehatan Provinsi Jawa Timur 2021. Dinas Kesehatan Provinsi Jawa Timur, 1–149.
Enane, L. A., Eby, J., Arscott-Mills, T., Argabright, S., Caiphus, C., Kgwaadira, B., Steenhoff, A. P., & Lowenthal, E. D. (2020). TB and TB-HIV care for teenagers and young adults. The International Journal of Tuberculosis and Lung Disease, 24(2), 240–249. https://doi.org/10.5588/ijtld.19.0416
Fabanyo, R. A., Momot, S. L., & Mustamu, A. C. (2023). Buku Ajar Keperawatan Keluarga (Family Nursing Care). PT Nasya Expanding Management.
Fang, M., Li, G., Kang, X., Hou, F., Lv, G., Xu, X., Kong, L., & Li, P. (2021). The role of gender and self-esteem as moderators of the relationship between stigma and psychological distress among infertile couples. Psychology, Health & Medicine, 26(10), 1181–1194. https://doi.org/10.1080/13548506.2020.1808233
Gittins, C. B., & Hunt, C. (2020). Self-criticism and self-esteem in early adolescence: Do they predict depression? PLOS ONE, 15(12), e0244182. https://doi.org/10.1371/journal.pone.0244182
Hidayat, N., Hidayat, U., Rehman, S., & Ullah, Z. (2022). Emotional Distress, Resilience and Mental Well-being among TB Patients in Peshawar. 28(01), 38–44.
Huq, K. A. T. M. E., Moriyama, M., Krause, D., Shirin, H., Awoonor-Willaims, J. K., Rahman, M., & Rahman, M. M. (2022). Perceptions, Attitudes, Experiences and Opinions of Tuberculosis Associated Stigma: A Qualitative Study of the Perspectives among the Bolgatanga Municipality People of Ghana. International Journal of Environmental Research and Public Health, 19(22), 14998. https://doi.org/10.3390/ijerph192214998
Indriani, F. (2021). Perkembangan Peserta Didik Terintegrasi dengan Nilai-Nilai Keislaman. UAD Press.
Insan, I. (2023). Pengantar Psikologi Sosial. Zahir Publish.
Kirana, S. A. C., Martyasturi, N. E., Lestari, A. S., Achjar, K. A. H., Nuryanti, Y., Gama, I. K., Fabanjo, I. J., Rukmini, Pertiwi, G. H., Ratanto, Sudiantara, K., Mawaddah, N., Aryanti, S., & Mustika, I. W. (2023). Falsafah & Teori Keperawatan (P. I. Daryaswanti (ed.)). PT. Sonpedia Publishing Indonesia.
Laycock, K. M., Enane, L. A., & Steenhoff, A. P. (2021). Tuberculosis in teenagers and young adults: Emerging data on tb transmission and prevention among vulnerable young people. Tropical Medicine and Infectious Disease, 6(3). https://doi.org/10.3390/TROPICALMED6030148
Lodhi, F. S., Rabbani, U., Khan, A. A., Raza, O., Holakouie-Naieni, K., Yaseri, M., Farooq, U., & Montazeri, A. (2021). Factors associated with quality of life among joint and nuclear families: a population-based study. BMC Public Health, 21(1), 234. https://doi.org/10.1186/s12889-021-10265-2
Magee, W., & Upenieks, L. (2019). Gender differences in self-esteem, unvarnished self-evaluation, future orientation, self-enhancement and self-derogation in a U.S. national sample. Personality and Individual Differences, 149, 66–77. https://doi.org/10.1016/j.paid.2019.05.016
Martinez, I., Garcia, F., Veiga, F., Garcia, O. F., Rodrigues, Y., & Serra, E. (2020). Parenting Styles, Internalization of Values and Self-Esteem: A Cross-Cultural Study in Spain, Portugal and Brazil. International Journal of Environmental Research and Public Health, 17(7), 2370. https://doi.org/10.3390/ijerph17072370
Moscibrodzki, P., Enane, L. A., Hoddinott, G., Brooks, M. B., Byron, V., Furin, J., Seddon, J. A., Meyersohn, L., & Chiang, S. S. (2021). The impact of tuberculosis on the well-being of teenagers and young adults. Pathogens, 10(12), 1–17. https://doi.org/10.3390/pathogens10121591
Novieastari, E. et al. (Ed.). (2020). Dasar-Dasar Keperawatan, Volume 2 (9th ed.). Elsevier Pte Ltd.
Nursalam. (2020). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis (5th ed.). Salemba Medika.
Pandini, I., Lahdji, A., Noviasari, N. A., & Anggraini, M. T. (2022). The Effect of Family Social Support and Self Esteem in Improving the Resilience of Tuberculosis Patients. Media Keperawatan Indonesia, 5(1), 14. https://doi.org/10.26714/mki.5.1.2022.14-21
Putra, I. G. Y., Suardana, I. W., Nurlela, L., Sya’diyah, H., Achjar, K. A. H., Januarti, L. F., Silvanasari, I. A., Sari, N. M. C. C., Putra, I. K. A. D., Rachmawati, D. S., Lestari, A. S., Mustika, I. W., Miryanti, N. K. A., Kertapati, Y., & Kirana, S. A. C. (2023). Keperawatan Keluarga (Teori & Studi Kasus) (P. I. Daryaswanti (Ed.)). PT. Sonpedia Publishing Indonesia.
Rachmawati, D. S., Priyantini, D., & Aini, Q. (2020). Family Factors and Their Relation to the Treatment Adherence of Pulmonary TB Patients in Surabaya. Jurnal Ners, 15(2 Special Issue), 45–49. https://doi.org/10.20473/jn.v15i2.18909
Rahma, F. N., Putrii, Y. S. E., & Wardhani, I. Y. (2023). Peningkatan Harga Diri pada Remaja dengan Tuberkulosis Kelenjar melalui Terapi Ners Generalis. Journal of Telenursing (JOTING), 5(1), 1446–1452. https://doi.org/10.31539/joting.v5i1.4549
Rahyaniah, S. A. (Ed.). (2021). Human Relations. Media Sains Indonesia.
Raza Naqvi, S., & Khan, A. (2020). Does Perceive Organizational Support Moderate in the Relationship Between Internal Tuberculosis Stigmatized Individuals and Deviant Workplace Behavior of Employees Through Mediating Role of Self-Esteem. Hamdard Islamicus, 43(1), 466–474. https://doi.org/10.17051/ilkonline.2021.02.109
Redwood, L., Mitchell, E. M. H., Nguyen, T. A., Viney, K., Duong, L., Phạm, H. T., Nguyen, B. H., Nguyen, V. N., & Fox, G. J. (2022). Adaptation and validation of the Van Rie tuberculosis stigma scale in Vietnam. International Journal of Infectious Diseases, 114, 97–104. https://doi.org/10.1016/j.ijid.2021.10.040
Rosyad, Y. S. (Ed.). (2022). Keperawatan Jiwa. Media Sains Indonesia.
Saragih, J., & Damanik, D. W. (2022). Keperawatan Dasar. Tim Mitra Cendikia Media.
Siagian, I. O., & Niman, S. (2022). Efektifitas Logoterapi terhadap Harga Diri Rendah Situasional pada Mahasiswa. Jurnal Keperawatan Jiwa, 10(2), 337. https://doi.org/10.26714/jkj.10.2.2022.337-344
Snow, K. J., Cruz, A. T., Seddon, J. A., Ferrand, R. A., Chiang, S. S., Hughes, J. A., Kampmann, B., Graham, S. M., Dodd, P. J., Houben, R. M., Denholm, J. T., Sawyer, S. M., & Kranzer, K. (2020). Teenage tuberculosis. The Lancet Child & Teenage Health, 4(1), 68–79. https://doi.org/10.1016/S2352-4642(19)30337-2
Susanto, A. (2018). Bimbingnan dan Konseling di Sekolah. Prenadamedia Group.
Sya’diyah, H., Fathonah, S., Pramestirini, R. A., Purwaningsih, E., Achjar, K. A. H., Suardana, I. W., Supatmi, Fajria, S. H., Sastrini, Y. E., Rohmawati, D. A., Kumalasari, D. N., & Agustiningsih. (2023). Keperawatan Holistik: (Pendekatan Komprehensif dalam Perawatan Pasien). PT. Sonpedia Publishing Indonesia.
Teksin, G. (2020). Stigma-related factors and their effects on health-care workers during COVID-19 pandemics in Turkey: a multicenter study. SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital. https://doi.org/10.14744/SEMB.2020.02800
Teo, A. K. J., Tan, R. K. J., Smyth, C., Soltan, V., Eng, S., Ork, C., Sok, N., Tuot, S., Hsu, L. Y., & Yi, S. (2020). Characterizing and Measuring Tuberculosis Stigma in the Community: A Mixed-Methods Study in Cambodia. Open Forum Infectious Diseases, 7(10). https://doi.org/10.1093/ofid/ofaa422
UNICEF. (2022). Desk Review: Pediatric Tuberculosis with a Focus on Indonesia i Pediatric Tuberculosis with a Focus on Indonesia Desk revIew. 4–30. https://www.unicef.org/indonesia/media/14436/file/Desk Review: Pediatric Tuberculosis with a Focus on Indonesia.pdf
Wandira, S. A., & Alfianto, A. G. (2021). Merubah Stigma Sosial pada Seseorang dengan COVID-19 (Sebuh Pedoman Psikoterapi). CV. Literasi Nusantara Abadi.
WHO. (2022). Global Tuberculosis Report.
Yin, X., Li, C., & Jiang, S. (2020). The mediating effect of self-esteem on the relationship of living environment, anxiety, and depression of underprivileged children: A path analysis in Chinese context. Journal of Health Psychology, 25(7), 941–952. https://doi.org/10.1177/1359105317739966
Zhou, J., Li, X., Tian, L., & Huebner, E. S. (2020). Longitudinal association between low self‐esteem and depression in early teenagers: The role of rejection sensitivity and loneliness. Psychology and Psychotherapy: Theory, Research and Practice, 93(1), 54–71. https://doi.org/10.1111/papt.12207
