Developing the Resilient Seropositive Community (RSC) Model: A Conceptual Approach to Empowerment and HIV Risk Reduction among Young Adults
DOI:
https://doi.org/10.31674/ijbb.2025.v02i04.001Abstract
The persistent challenge of HIV/AIDS among high-risk young adults calls for innovative community-based strategies that go beyond individual-level interventions. Despite advances in prevention and treatment, structural and psychosocial barriers, such as stigma, limited access to health services, and risky sexual behavior, continue to exacerbate vulnerability among youth in developing countries like Indonesia. These realities underscore the need for a holistic, culturally responsive framework that integrates both individual and collective dimensions of health behavior. Herein, we developed a conceptual model of the Resilient Seropositive Community (RSC), which integrates the principles of empowerment, self-resilience, and risk reduction to strengthen HIV/AIDS management among young adults at risk. The model is conceptually grounded in resilience theory, community empowerment, and the health belief framework, recognizing that sustainable health outcomes require the synergy of personal agency and community capacity. Using a conceptual synthesis approach, recent theoretical and empirical literature (2020–2025) was reviewed to identify the interconnections between personal resilience, peer support, social capital, and health service accessibility. The proposed RSC model explains how community resilience and empowerment can transform risk behavior into adaptive coping and proactive health-seeking actions through mechanisms of social support, peer engagement, and collective self-efficacy. Our review contributes to public health theory by offering a culturally sensitive and community-centered conceptual framework for HIV prevention and management. Practically, it provides guidance for policymakers, practitioners, and educators in designing interventions that promote empowerment, participation, and sustainable resilience within seropositive and high-risk populations. The model also offers a foundation for future empirical studies to test the dynamic relationships among resilience, empowerment, and behavior change in diverse sociocultural contexts.
Keywords:
Resilient Seropositive Community, Empowerment, Risk Reduction, Young AdultsReferences
Abubakar, A., Van de Vijver, F. J., & Suryani, A. O. (2020). ‘Cultural influences on health behaviors among youth in collectivist societies, Journal of Cross-Cultural Psychology, 51(3), 203–218.
Bernard, C., Brown, A. & Miller, S. (2020) ‘Community resilience and social connectedness in HIV prevention programs’, Health Promotion Practice, 21(4), 564–574.
Community Connectedness Study (2023). Community connectedness and empowerment in HIV prevention: Insights from participatory research. Geneva: WHO Regional Office for Europe.
Dulin, A. J., Hill, R., & McCreary, M. (2020). Resilience and social support as predictors of health outcomes among HIV-positive young adults, AIDS Care, 32(5), 603–610.
Firman, R., Fithri, N., & Arifin, Z. (2025). Conceptualizing collective resilience in community-based HIV interventions, Journal of Health Promotion and Behavior, 10(1), 33–47.
Kelly, J., Mufune, P., & Banda, C. (2025). ‘Culture, stigma, and youth resilience in HIV communication: Lessons from Southeast Asia’, Global Public Health, 20(2), 276–289.
Laverack, G. (2020). Public health: Power, empowerment and professional practice. 3rd edn. London: Palgrave Macmillan.
Li, X., Zhao, J., Stanton, B., & Fang, X. (2022). Empowerment and resilience among adolescents in HIV-affected communities: A multi-level framework, AIDS and Behavior, 26(3), 912–923.
Mbengo, F., Chirwa, M., & Banda, J. (2022). Empowerment-based peer education for HIV prevention among African youth: Lessons from Malawi, BMC Public Health, 22(1), 331. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-12555-8
Nasir, R., Suryani, A., & Rahmawati, I. (2021). Cultural silence, stigma, and barriers to HIV communication among Indonesian youth, Asian Pacific Journal of Public Health, 33(6–7), 35–744.
Nöstlinger, C., Rueda, S., & Tucker, J. D. (2022). Empowerment and resilience in HIV prevention: A synthesis of evidence from youth-centered programs, The Lancet HIV, 9(8), e540–e552.
Okeke, T. A., Ogbonna, C. O., & Ojukwu, R. (2022). The role of community connectedness in fostering resilience among youth living with HIV in Sub-Saharan Africa, African Journal of AIDS Research, 21(2), 118–128.
Poudel, A. N., & Subedi, P. (2023). Community empowerment and resilience in HIV prevention: A systematic review, Global Health Research and Policy, 8(1), 15. https://ghrp.biomedcentral.com/articles/10.1186/s41256-023-00297-w
Rueda, S., Mitra, S., & Nöstlinger, C. (2020). Peer-led empowerment and behavioral outcomes in HIV risk reduction among young adults, Health Education Research, 35(6), 542–556.
Saleem, T., & Khalid, R. (2023). The mediating role of social capital in the resilience–empowerment–behavioral change nexus’, Journal of Community & Applied Social Psychology, 33(4), 302–317.
Sipsma, H. L., Nsibirwa, C., & Okeke, T. (2021). Youth empowerment and HIV risk reduction: Evidence from community-based programs in low-resource settings, AIDS Care, 33(12), 1532–1540.
Tucker, J. D., Li, H., & Wong, V. C. (2021). Community empowerment for HIV prevention: Lessons from Asia-Pacific, PLOS Medicine, 18(4), e1003572. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003572
UNAIDS (2023) Global AIDS Update 2023: The path that ends AIDS. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS). https://www.unaids.org/sites/default/files/media_asset/2023_global-aids-update_en.pdf
Wallerstein, N., Duran, B., & Minkler, M. (2021). Community-based participatory research for health: Advancing social and health equity. 3rd edn. San Francisco, CA: Jossey-Bass.
Wong, V. C. & Schrager, S. M. (2024). Resilience and empowerment in HIV prevention: Integrating psychosocial and structural dimensions, Journal of Adolescent Health, 74(5), 812–820.
