Faith, fear, and disclosure: Exploring serodiscordant relationships in Indonesia’s Muslim society
Issued Date
2025-09-01
Resource Type
ISSN
24774073
Scopus ID
2-s2.0-105019964761
Journal Title
Belitung Nursing Journal
Volume
11
Issue
5
Start Page
648
End Page
660
Rights Holder(s)
SCOPUS
Bibliographic Citation
Belitung Nursing Journal Vol.11 No.5 (2025) , 648-660
Suggested Citation
Ridwan E.S., Tanasugarn C., Benjakul S., Kengganpanich M., Mohammadnezhad M. Faith, fear, and disclosure: Exploring serodiscordant relationships in Indonesia’s Muslim society. Belitung Nursing Journal Vol.11 No.5 (2025) , 648-660. 660. doi:10.33546/bnj.4054 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112892
Title
Faith, fear, and disclosure: Exploring serodiscordant relationships in Indonesia’s Muslim society
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: In Indonesia’s Muslim society, serodiscordant couples navigate a complex web of faith, fear, and stigma. While HIV care efforts have advanced, understanding how religious beliefs and emotional responses shape disclosure remains limited. Objective: This study aimed to explore the lived experiences of serodiscordant couples in South Sulawesi, Indonesia, with a focus on how faith, fear, and gender roles influence HIV understanding and disclosure practices. Methods: A qualitative, phenomenological approach was employed, involving 34 participants who participated in in-depth interviews and focus group discussions conducted between February and May 2019. Data were thematically analyzed to capture emotional, cultural, and relational dimensions of HIV disclosure. Results: Two main themes emerged. (1) Faith and Fear: Navigating HIV Understanding, which includes knowledge of HIV, emotional responses to an HIV diagnosis, the role of religious teachings in shaping health decisions, and the fear of social exclusion; and (2) HIV Status Disclosure and Its Complexities, highlighting motivations for disclosure, barriers to openness, and the personal impact of revealing one’s HIV status to a partner. Disclosure was often delayed or mediated by third parties, driven by fear of rejection, shame, and limited communication skills. Conclusion: The findings revealed the dual role of faith as both a support and a barrier, and the complex interplay of gender dynamics in disclosure decisions. Community nurses in Indonesia’s primary health care settings should then play a critical role in HIV prevention by providing culturally sensitive, Islamic-faith-based counseling, gender-responsive disclosure support, and collaboration with peer support groups to foster trust, reduce stigma, and improve adherence.