Self-stigma relationship with self-esteem in teenage tuberculosis using Roy's adaptation theory approach in Jember

Abstract

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.