THE VULNERABILITY OF THE DIGITAL NATIVE GENERATION TO HIV/AIDS INFECTION: A CONCEPT ANALYSIS
Abstract
Background: The digital native generation is the current generation of young people who are very familiar with the internet and gadget applications. This makes them vulnerable to the risk of disease transmission, both directly and indirectly. Objective: The study aimed to analyze the concept of the vulnerability of digital natives, or young adults, to HIV/AIDS. Methods: This study used the 8-step concept analysis framework developed by Walker and Avant, along with a comprehensive literature review done across three databases: google scholar, ProQuest, and ScienceDirect. The systematic literature reviewed included papers published between 2008 to 2022. Results: The concept identification findings derived from a comprehensive evaluation of 16 papers indicate that the defining features include individual characteristics, social factors, structural problems, and health programs. Conclusion: The digital generation, characterized by their convenient access to the internet and digital media, has a greater vulnerability to HIV/AIDS transmission as a result of engaging in hazardous behaviors and participating in health initiatives. The use of digital media in intervention programs has the potential to decrease healthcare expenditures and improve the efficacy of HIV/STI control measures.Downloads
References
Adenike, C. (2013). The Role of Parents in the Prevention of Hiv/Aids Among Secondary School Students in Ijebuode Ogun State, Nigeria. Canadian Social Science, 9(2), 99–103. https://doi.org/10.3968/j.css.1923669720130902.7269
Aral, S. O., Lipshutz, J., & Blanchard, J. (2007). Drivers of STD/HIV epidemiology and the timing and targets of STD/HIV prevention. Sexually Transmitted Infections, 83(suppl_1), i1–i4. https://doi.org/10.1136/sti.2007.027169 DOI: https://doi.org/10.1136/sti.2007.027169
Arije, O. O., Udoh, E. E., Ijadunola, K. T., Afolabi, O. T., Aransiola, J. O., Omoregie, G., … Onayade, A. A. (2021). Vulnerability to HIV infection among adolescent girls and young women in Nigeria. Vulnerable Children and Youth Studies, 16(3), 267–278. https://doi.org/10.1080/17450128.2021.1876964 DOI: https://doi.org/10.1080/17450128.2021.1876964
Arora, S., Shah, D., Chaturvedi, S., & Gupta, P. (2015). Defining and measuring vulnerability in young people. Indian Journal of Community Medicine, 40(3), 193. https://doi.org/10.4103/0970-0218.158868 DOI: https://doi.org/10.4103/0970-0218.158868
Baiyere, A., & Hukal, P. (2020). Digital disruption: A conceptual clarification. Proceedings of the Annual Hawaii International Conference on System Sciences, 2020-January, 5482–5491. IEEE Computer Society. https://doi.org/10.24251/hicss.2020.674 DOI: https://doi.org/10.24251/HICSS.2020.674
Birdthistle, I. J., Floyd, S., Machingura, A., Mudziwapasi, N., Gregson, S., & Glynn, J. R. (2008). From affected to infected? Orphanhood and HIV risk among female adolescents in urban Zimbabwe. AIDS, 22(6), 759–766. https://doi.org/10.1097/QAD.0b013e3282f4cac7 DOI: https://doi.org/10.1097/QAD.0b013e3282f4cac7
Bonar, E. E., Research, [, Whiteside, L. K., Walton, M. A., Zimmerman, M. A., & Booth, B. M. (2014). Prevalence and correlates of HIV risk among adolescents and young adults reporting drug use: Data from an urban Emergency Department in the U.S NIH Public Access. In J HIV AIDS Soc Serv (Vol. 28).
Dailey, A. F., Gant, Z., Hu, X., Johnson Lyons, S., Okello, A., & Satcher Johnson, A. (2022). Association Between Social Vulnerability and Rates of HIV Diagnoses Among Black Adults, by Selected Characteristics and Region of Residence — United States, 2018. MMWR. Morbidity and Mortality Weekly Report, 71(5), 167–170. https://doi.org/10.15585/mmwr.mm7105a2 DOI: https://doi.org/10.15585/mmwr.mm7105a2
Diderichsen, F., Hallqvist, J., & Whitehead, M. (2019). Differential vulnerability and susceptibility: how to make use of recent development in our understanding of mediation and interaction to tackle health inequalities. International Journal of Epidemiology, 48(1), 268–274. https://doi.org/10.1093/ije/dyy167 DOI: https://doi.org/10.1093/ije/dyy167
Dingli, A., & Seychell, D. (2015). Who Are the Digital Natives? In The New Digital Natives (pp. 9–22). Berlin, Heidelberg: Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-662-46590-5_2 DOI: https://doi.org/10.1007/978-3-662-46590-5_2
Fadilurrahman, M., Kurniawan, T., Ramadhani, Misnasanti, & Shaddiq, S. (2021, January 1). Systematic literature review of disruption era in Indonesia: The resistance of industrial revolution 4.0. Journal of Robotics and Control (JRC), Vol. 2, pp. 51–59. Department of Agribusiness, Universitas Muhammadiyah Yogyakarta. https://doi.org/10.18196/jrc.2152 DOI: https://doi.org/10.18196/jrc.2152
Fernández, D. B., Cardona, Á. S., Arango, D. C., & Velasquez, B. C. (2017). HIV vulnerability index in homeless persons. Enfermeria Global, 16(2), 168–181. https://doi.org/10.6018/eglobal.16.2.252001 DOI: https://doi.org/10.6018/eglobal.16.2.252001
Gupta, G. R., Parkhurst, J. O., Ogden, J. A., Aggleton, P., & Mahal, A. (2008). Structural approaches to HIV prevention. The Lancet, 372(9640), 764–775. https://doi.org/10.1016/S0140-6736(08)60887-9 DOI: https://doi.org/10.1016/S0140-6736(08)60887-9
Hidayat, Z., Saefuddin, A., & Sumartono, S. (2017). Motivasi, Kebiasaan, dan Keamanan Penggunaan Internet. Jurnal ILMU KOMUNIKASI, 13(2), 129–150. https://doi.org/10.24002/jik.v13i2.675 DOI: https://doi.org/10.24002/jik.v13i2.675
Idele, P., Gillespie, A., Porth, T., Suzuki, C., Mahy, M., Kasedde, S., & Luo, C. (2014). Epidemiology of HIV and AIDS Among Adolescents. JAIDS Journal of Acquired Immune Deficiency Syndromes, 66(Supplement 2), S144–S153. https://doi.org/10.1097/QAI.0000000000000176 DOI: https://doi.org/10.1097/QAI.0000000000000176
Jewkes, R. K., Dunkle, K., Nduna, M., & Shai, N. (2010). Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. The Lancet, 376(9734), 41–48. https://doi.org/10.1016/S0140-6736(10)60548-X DOI: https://doi.org/10.1016/S0140-6736(10)60548-X
Kteily-Hawa, R., Hawa, A. C., Gogolishvili, D., Al Akel, M., Andruszkiewicz, N., Vijayanathan, H., & Loutfy, M. (2022). Understanding the epidemiological HIV risk factors and underlying risk context for youth residing in or originating from the Middle East and North Africa (MENA) region: A scoping review of the literature. Plos One, 17(1), e0260935. https://doi.org/10.1371/journal.pone.0260935 DOI: https://doi.org/10.1371/journal.pone.0260935
Lorraine Olszewski Walker, & Kay Coalson Avant. (2019). Strategies for theory construction in Nursing (6th ed.; Ashley Dodge, Ed.). Boston: Pearson.
Lukitosari, E. (2023). Laporan HIV/AIDS di Indonesia Triwulan I Tahun 2023. Jakarta. Retrieved from https://hivaids-pimsindonesia.or.id/download?kategori=Laporan%20Triwulan
Mabala, R. (2008). Adolescent Girls’ Vulnerability to HIV Infection in Dar es Salaam: The Need to Link Protection with Prevention Beyond Behaviour Change. IDS Bulletin, 39(5), 45–51. https://doi.org/10.1111/j.1759-5436.2008.tb00494.x DOI: https://doi.org/10.1111/j.1759-5436.2008.tb00494.x
Mabaso, M., Sokhela, Z., Mohlabane, N., Chibi, B., Zuma, K., & Simbayi, L. (2018). Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey. BMC Public Health, 18(1), 183. https://doi.org/10.1186/s12889-018-5051-3 DOI: https://doi.org/10.1186/s12889-018-5051-3
Mahayanti, A., & Ismoyo, I. (2021). Peran Pendidikan Keperawatan Menghadapi Era Society 5.0. Prosiding Seminar Nasional Sains Teknologi Dan Inovasi Indonesia (SENASTINDO), 3, 303–310. https://doi.org/10.54706/senastindo.v3.2021.153 DOI: https://doi.org/10.54706/senastindo.v3.2021.153
Marshall, B. D. L., Wood, E., Shoveller, J. A., Patterson, T. L., Montaner, J. S. G., & Kerr, T. (2011). Pathways to HIV risk and vulnerability among lesbian, gay, bisexual, and transgendered methamphetamine users: A multi-cohort gender-based analysis. BMC Public Health, 11. https://doi.org/10.1186/1471-2458-11-20 DOI: https://doi.org/10.1186/1471-2458-11-20
Miller, R. L., Strzyzykowski, T., Lee, K.-S., Chiaramonte, D., Acevedo-Polakovich, I., Spring, H., … Ellen, J. M. (2018). Structural Effects on HIV Risk Among Youth: A Multi-level Analysis. AIDS and Behavior, 22(11), 3451–3467. https://doi.org/10.1007/s10461-018-2031-7 DOI: https://doi.org/10.1007/s10461-018-2031-7
Naidoo, P., Chirinda, W., Mchunu, G., Swartz, S., & Anderson, J. (2015). Social and structural factors associated with vulnerability to HIV infection among young adults in South Africa. Psychology, Health & Medicine, 20(3), 369–379. https://doi.org/10.1080/13548506.2014.936883 DOI: https://doi.org/10.1080/13548506.2014.936883
Namisi, F. S., Flisher, A. J., Overland, S., Bastien, S., Onya, H., Kaaya, S., & Aarø, L. E. (2009). Sociodemographic variations in communication on sexuality and HIV/AIDS with parents, family members and teachers among in-school adolescents: A multi-site study in Tanzania and South Africa. Scandinavian Journal of Public Health, 37(SUPPL. 2), 65–74. https://doi.org/10.1177/1403494808086986 DOI: https://doi.org/10.1177/1403494808086986
Nies, M. A., & McEwen, M. (2015). Community/Public Health Nursing: Promoting the Health of Populations (6th ed.). St. Louis, Missouri: Elsevier.
Nkosi, B., Seeley, J., Chimbindi, N., Zuma, T., Kelley, M., & Shahmanesh, M. (2022). Putting research ethics in context: Rethinking vulnerability and agency within a research ethics case study on HIV prevention for young girls in South Africa. SSM - Qualitative Research in Health, 2, 100081. https://doi.org/10.1016/j.ssmqr.2022.100081 DOI: https://doi.org/10.1016/j.ssmqr.2022.100081
Nyblade, L., Jain, A., Benkirane, M., Li, L., Lohiniva, A., McLean, R., … Thomas, W. (2013). A brief, standardized tool for measuring HIV‐related stigma among health facility staff: results of field testing in China, Dominica, Egypt, Kenya, Puerto Rico and St. Christopher & Nevis. Journal of the International AIDS Society, 16(3S2). https://doi.org/10.7448/IAS.16.3.18718 DOI: https://doi.org/10.7448/IAS.16.3.18718
Osborne, J., Paget, J., Giles-Vernick, T., Kutalek, R., Napier, D., Baliatsas, C., & Dückers, M. (2021). Community engagement and vulnerability in infectious diseases: A systematic review and qualitative analysis of the literature. Social Science & Medicine, 284, 114246. https://doi.org/10.1016/j.socscimed.2021.114246 DOI: https://doi.org/10.1016/j.socscimed.2021.114246
Patrick, M. E., O’Malley, P. M., Johnston, L. D., Terry-McElrath, Y. M., & Schulenberg, J. E. (2012). HIV/AIDS Risk Behaviors and Substance Use by Young Adults in the United States. Prevention Science, 13(5), 532–538. https://doi.org/10.1007/s11121-012-0279-0 DOI: https://doi.org/10.1007/s11121-012-0279-0
Pei, R., Ji-Ke, C., Yang, S., Nan, L., Wang, Q., Zhang, S., … Wang, Z. (2018). Risk factors for HIV infection among 15 to 25-year-old rural unmarried Yi adolescents in an ethnic minority region of China. Medicine (United States), 97(36). https://doi.org/10.1097/MD.0000000000012279 DOI: https://doi.org/10.1097/MD.0000000000012279
Pramiyanti, A., Putri, I. P., & Nureni, R. (2014). Motif Remaja dalam Menggunakan Media Baru (Studi Pada Remaja di Daerah Sub-Urban Kota Bandung). KomuniTi, VI(2). Retrieved from https://journals.ums.ac.id/index.php/komuniti/article/view/2783/1776
Queiroz, A. A. F. L. N., Sousa, A. F. L. de, Brignol, S., Araújo, T. M. E., & Reis, R. K. (2019). Vulnerability to HIV among older men who have sex with men users of dating apps in Brazil. The Brazilian Journal of Infectious Diseases, 23(5), 298–306. https://doi.org/10.1016/j.bjid.2019.07.005 DOI: https://doi.org/10.1016/j.bjid.2019.07.005
Rodgers, B. L., Jacelon, C. S., & Knafl, K. A. (2018). Concept Analysis and the Advance of Nursing Knowledge: State of the Science. Journal of Nursing Scholarship, 50(4), 451–459. https://doi.org/10.1111/jnu.12386 DOI: https://doi.org/10.1111/jnu.12386
Saad, B. M., Subramaniam, G., & Tan, P.-L. (2013). Awareness and Vulnerability to HIV/AIDS among Young Girls. Procedia - Social and Behavioral Sciences, 105, 195–203. https://doi.org/10.1016/j.sbspro.2013.11.020 DOI: https://doi.org/10.1016/j.sbspro.2013.11.020
Santelli, J. S., Edelstein, Z. R., Mathur, S., Wei, Y., Zhang, W., Orr, M. G., … Serwadda, D. M. (2013). Behavioral, Biological, and Demographic Risk and Protective Factors for New HIV Infections Among Youth in Rakai, Uganda. JAIDS Journal of Acquired Immune Deficiency Syndromes, 63(3), 393–400. https://doi.org/10.1097/QAI.0b013e3182926795 DOI: https://doi.org/10.1097/QAI.0b013e3182926795
Santrock, John. W. (2019). ADOLESCENCE (Seventeenth). New York,: McGraw-Hill Education.
Shamu, S., Khupakonke, S., Farirai, T., Slabbert, J., Chidarikire, T., Guloba, G., & Nkhwashu, N. (2020). Knowledge, attitudes and practices of young adults towards HIV prevention: an analysis of baseline data from a community-based HIV prevention intervention study in two high HIV burden districts, South Africa. BMC Public Health, 20(1), 1249. https://doi.org/10.1186/s12889-020-09356-3 DOI: https://doi.org/10.1186/s12889-020-09356-3
Shokoohi, M., Karamouzian, M., Mirzazadeh, A., Haghdoost, A., Rafierad, A. A., Sedaghat, A., & Sharifi, H. (2016, September 1). HIV knowledge, attitudes, and practices of young people in Iran: Findings of a national population-based survey in 2013. PLoS ONE, Vol. 11. Public Library of Science. https://doi.org/10.1371/journal.pone.0161849 DOI: https://doi.org/10.1371/journal.pone.0161849
Southall, H. G., DeYoung, S. E., & Harris, C. A. (2017). Lack of cultural competency in international aid responses: The ebola outbreak in Liberia. Frontiers in Public Health, 5(JAN). https://doi.org/10.3389/FPUBH.2017.00005 DOI: https://doi.org/10.3389/fpubh.2017.00005
Stanhope, M., & Lancaster, J. (2016). Public Health Nursing: Population-Centered Health Care in The Community (9th ed.). St.Louis,Missouri: Elsevier.
Sumartojo, E. (2000). Structural factors in HIV prevention: concepts, examples, and implications for research. AIDS, 14, S3–S10. https://doi.org/10.1097/00002030-200006001-00002 DOI: https://doi.org/10.1097/00002030-200006001-00002
Terry, O. (2020). Disruption Innovation and Theory. Journal of Service Science and Management, 13(03), 449–458. https://doi.org/10.4236/jssm.2020.133030 DOI: https://doi.org/10.4236/jssm.2020.133030
The Joint United Nations Programme on HIV/AIDS (UNAIDS). (2008). UNAIDS practical guidelines for intensifying HIV prevention : towards universal access. Joint United Nations Programme on HIV/AIDS (UNAIDS). Retrieved from https://data.unaids.org/pub/manual/2007/20070306_prevention_guidelines_towards_universal_access_en.pdf
Thurman, T. R., Nice, J., Luckett, B., & Visser, M. (2018). Can family-centered programing mitigate HIV risk factors among orphaned and vulnerable adolescents? Results from a pilot study in South Africa. AIDS Care, 30(9), 1135–1143. https://doi.org/10.1080/09540121.2018.1455957 DOI: https://doi.org/10.1080/09540121.2018.1455957
Unite for Chlidren (UNICEF). (2016). Adolescents Living with HIV: Developing and Strengthening Care and Support Services. Geneva. Retrieved from https://www.unicef.org/eca/sites/unicef.org.eca/files/2017-10/Adolescents_Living_with_HIV.pdf
Wadhwa, V., Ghosh, J., & Kalipeni, E. (2012). Factors affecting the vulnerability of female slum youth to HIV/AIDS in Delhi and Hyderabad, India. GeoJournal, 77(4), 475–488. https://doi.org/10.1007/s10708-010-9359-5 DOI: https://doi.org/10.1007/s10708-010-9359-5
World Health Organization. (2013). HIV and Adolescents: Guidance for HIV Testing and Counselling and Care for Adolescents Living with HIV: Recommendations for a Public Health Approach and Considerations for Policy-Makers and Managers. Genewa,Switzerland: WHO. Retrieved from WHO website: https://www.ncbi.nlm.nih.gov/books/NBK217962/
World Health Organization. (2024). HIV statistics, globally and by WHO region, 2024. Geneva, Switzerland. Retrieved from https://cdn.who.int/media/docs/default-source/hq-hiv-hepatitis-and-stis-library/j0482-who-ias-hiv-statistics_aw-1_final_ys.pdf?sfvrsn=61d39578_3
Yang, F., Li, Z., Subramanian, S. V., & Lu, C. (2021). Assessment of Knowledge of HIV/AIDS and Association With Socioeconomic Disparities Among Young Women in Low- and Middle-Income Countries, 2003 to 2018. JAMA Network Open, 4(1), e2035000. https://doi.org/10.1001/jamanetworkopen.2020.35000 DOI: https://doi.org/10.1001/jamanetworkopen.2020.35000
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