High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria

Main Article Content

Surilena Hasan
Yovita Alviany
Cerellia Clarissa
Sonia Sudana

Abstract

Background
Family support and low discrimination perceptions are a factor in protecting against mental disorders and poor quality of life in male to female (MtF) gender dysphoric individuals. The aim of this study was to determine the role of family factors, peer support, self-esteem, perceived discrimination, depression, anxiety, and stress on the quality of life among MtF gender dysphoric individuals.

Methods
A cross-sectional study was conducted involving 106 MtF gender dysphoric individuals of Sanggar Swara Jakarta. Respondents filled out questionnaires on demographics, WHOQL-BREF, perceived discrimination, Rosenberg self-esteem, family support, social support (SSQ6), family relations (FACES III), and depression anxiety stress scale (DASS). Simple and multivariate logistic regression tests were used to analyze the data.

Results
Among the 106 MtF gender dysphoric individuals of Sanggar Swara Jakarta with an age range of 18-45 years, 78.3% had no family support, 64.1% no peer support, 62.3% high perception discrimination, 64.1% low self-esteem, 36% extreme family relations, 44.3% depression, 59.4% anxiety, 35.8% stress and 62.3% poor quality of life. Employment, perception of discrimination, self-esteem, family support, and anxiety were significantly associated with quality of life (p<0.05). Multiple logistic regression analysis showed that perceived discrimination (Odds Ratio=13.89; 95% CI: 5.89-11.99), and family support (Odds Ratio=29.11; 95% CI: 2.45-8.21) were significantly associated with quality of life.

Conclusion
High perceived discrimination and no family support increase the risk of poor quality of life in MtF gender dysphoric individuals. These findings suggest the need for prevention and intervention of stigmatization and discrimination that should have a special focus on families with MtF gender dysphoric individuals.

Article Details

How to Cite
Hasan, S., Alviany, Y., Clarissa, C., & Sudana, S. (2017). High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria. Universa Medicina, 36(3), 187–196. https://doi.org/10.18051/UnivMed.2017.v36.187-196
Section
Original Articles
Author Biographies

Surilena Hasan, Department of Psychiatry, Faculty of Medicine, Atma Jaya Catholic University of Indonesia

Lektor Kepala 700, Departemen Psikiatri

Fakultas Kedokteran Unika Atma Jaya

Jln Pluit Raya no. 2 Jakarta Utara

14440

Yovita Alviany, Medical Profession Program, Faculty of Medicine, Atma Jaya Catholic University of Indonesia

Departemen Psikiatri

Fakultas Kedokteran Unika Atma Jaya

Jln Pluit Raya no. 2 Jakarta Utara

14440

Cerellia Clarissa, Medical Profession Program, Faculty of Medicine, Atma Jaya Catholic University of Indonesia

Departemen Psikiatri

Fakultas Kedokteran Unika Atma Jaya

Jln Pluit Raya no. 2 Jakarta Utara

14440

Sonia Sudana, Medical Profession Program, Faculty of Medicine, Atma Jaya Catholic University of Indonesia

Departemen Psikiatri

Fakultas Kedokteran Unika Atma Jaya

Jln Pluit Raya no. 2 Jakarta Utara

14440

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