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Psychological and Social Impact of HIV on Women Living with HIV and Their Families in Low- and Middle-Income Asian Countries: A Systematic Search and Critical Review

Author

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  • Nelsensius Klau Fauk

    (Research Centre for Public Health Policy, Torrens University Australia, 88 Wakefield St, Adelaide, SA 5000, Australia
    Institute of Resource Governance and Social Change, Jl. R. W. Monginsidi II, No. 2, Kupang 85221, Indonesia)

  • Lillian Mwanri

    (Research Centre for Public Health Policy, Torrens University Australia, 88 Wakefield St, Adelaide, SA 5000, Australia)

  • Karen Hawke

    (Aboriginal Communities and Families Research Alliance, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia)

  • Leila Mohammadi

    (College of Medicine and Public Health, Flinders University, Adelaide, SA 5001, Australia)

  • Paul Russell Ward

    (Research Centre for Public Health Policy, Torrens University Australia, 88 Wakefield St, Adelaide, SA 5000, Australia)

Abstract

Human Immunodeficiency Virus (HIV) infection adds a significant burden to women in Low- and Middle-Income Countries (LMICs), often leading to severe detrimental impact, not only on themselves, but also on their families and communities. Given that more than half of all people living with HIV globally are females (53%), this review seeks to understand the psychological and social impact of HIV infection on Women Living with HIV (WLHIV) and their families in LMICs in Asia, and the interrelationships between one impact and another. A systematic review was conducted to find literature using the following databases: Medline, PsycINFO, CINAL, Emcare, Scopus and ProQuest. Research articles included in this review were selected based on the following inclusion criteria: conducted in LMICs in Asia, published in English language between 1 January 2004 and 31 December 2021, had full text available, involved WLHIV (married and unmarried) and explored the psychological and social impacts of HIV on these women and their families. Critical appraisal tools developed by Joanna Briggs Institute (JBI) were used to assess the methodological quality of the studies, and thematic narrative synthesis was used to analyse the findings. A total of 17 articles met the inclusion criteria. The review showed that HIV has a range of negative psychological consequences on WLHIV, such as stress, fear, worry, anxiety and depression, as well as social impacts on the women and their families, including stigma, discrimination and family separation. The findings indicate the need for targeted interventions—specific to WLHIV—that address the psychological challenges, stigma and discrimination these women and their families face. These interventions should also incorporate education and sustainable support structures for WLHIV and their families.

Suggested Citation

  • Nelsensius Klau Fauk & Lillian Mwanri & Karen Hawke & Leila Mohammadi & Paul Russell Ward, 2022. "Psychological and Social Impact of HIV on Women Living with HIV and Their Families in Low- and Middle-Income Asian Countries: A Systematic Search and Critical Review," IJERPH, MDPI, vol. 19(11), pages 1-25, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6668-:d:827860
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    References listed on IDEAS

    as
    1. Rigmor C Berg & Samantha Page & Anita Øgård-Repål, 2021. "The effectiveness of peer-support for people living with HIV: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-24, June.
    2. Nelsensius Klau Fauk & Karen Hawke & Lillian Mwanri & Paul Russell Ward, 2021. "Stigma and Discrimination towards People Living with HIV in the Context of Families, Communities, and Healthcare Settings: A Qualitative Study in Indonesia," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    3. Dionius B. Mahamboro & Nelsensius K. Fauk & Paul R. Ward & Maria S. Merry & Theodorus A. Siri & Lillian Mwanri, 2020. "HIV Stigma and Moral Judgement: Qualitative Exploration of the Experiences of HIV Stigma and Discrimination among Married Men Living with HIV in Yogyakarta," IJERPH, MDPI, vol. 17(2), pages 1-15, January.
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    Cited by:

    1. Mathildah Mokgatle & Sphiwe Madiba, 2023. "Community Perceptions of HIV Stigma, Discriminatory Attitudes, and Disclosure Concerns: A Health Facility-Based Study in Selected Health Districts of South Africa," IJERPH, MDPI, vol. 20(14), pages 1-15, July.
    2. Nelsensius Klau Fauk & Gregorius Abanit Asa & Caitlan McLean & Paul Russell Ward, 2023. "“I Was Very Shocked, I Wanted It to Be Over”: A Qualitative Exploration of Suicidal Ideation and Attempts among Women Living with HIV in Indonesia," IJERPH, MDPI, vol. 21(1), pages 1-14, December.
    3. Nelsensius Klau Fauk & Lillian Mwanri & Hailay Abrha Gesesew & Paul Russell Ward, 2023. "Biographical Reinvention: An Asset-Based Approach to Understanding the World of Men Living with HIV in Indonesia," IJERPH, MDPI, vol. 20(16), pages 1-16, August.
    4. Nelsensius Klau Fauk & Maria Silvia Merry & Lillian Mwanri & Karen Hawke & Paul Russell Ward, 2022. "Mental Health Challenges and the Associated Factors in Women Living with HIV Who Have Children Living with HIV in Indonesia: A Qualitative Study," IJERPH, MDPI, vol. 19(11), pages 1-12, June.

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