High perceived discrimination and no family support increase risk of poor quality of life in gender dysphoria
Abstract: 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.
Keywords: Quality of life;
family support; perceived discrimination; gender dysphoria
Author: Surilena Hasan, Yovita
Alviany, Cerellia Clarissa, Sonia Sudana
Journal Code: jpkedokterangg170051
