Effects of Sexual Behavior, Family Support, Peer Support, Stigma, and Discrimination on Quality of Life Among Gay Community in Tulungagung, East Java


  • Dily Ekasari Masters Program in Public Health, Universitas Sebelas Maret
  • Argyo Demartoto Department of Sociology, Faculty of Social and Political Sciences, Universitas Sebelas Maret
  • Bhisma Murti Masters Program in Public Health, Universitas Sebelas Maret


Background: Stigma and discrimination that are experienced by gay community have long been documented to occur in Indonesia, including Tulungagung District, East Java. Gay community often experience stigma, discrimination, and rejection by the society and health personnel. Stigma and discrimination may worsen the quality of life among gay community. This study aimed to examine the effects of sexual behavior, family support, family income, peer support, stigma, and discrimination on quality of life among gay community in Tulungagung, East Java.

Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted in Pelangi Gay Community, Tulungagung District, from October to November, 2017. A total sample of 181 gays was selected by stratified random sampling. The exogenous variables were sexual behavior, family income, peer support, stigma, and discrimination. The endogenous variables were family support and quality of life. The data were collected by questionnaire and analyzed by path analysis.

Results: Better quality of life was positively affected by safe sexual behavior (b= 1.32; 95% CI= 0.18 to 2.46; p= 0.023) and strong family support (b= 1.47; 95% CI= 0.42 to 2.51; p= 0.006). Strong family support was positively affected by family income (b= 1.62; 95% CI= 0.97 to 2.27; p= 0.001). Better quality of life was positively affected by participation in peer support program (b= 2.84; 95% CI= 1.77 to 3.91; p= 0.001), freedom of stigma (b= 1.11; 95% CI= -0.04 to 2.26; p= 0.060), and freedom of discrimination (b= 1.43; 95% CI= 0.37 to 2.48; p= 0.008).

Conclusion: Safe sexual behavior and strong family support have direct positive effect on the quality of life among gay community. Stigma and discrimination have indirect effect on lower quality of life among gay community.

Keyword: quality of life, sexual behavior, family support, stigma, discrimination, gay

Correspondence: Dily Ekasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dilyekasari89@gmail.com.

Journal of Epidemiology and Public Health (2018), 3(1): 50-59


Albuquerque GA, Garcia CDL, Quirino S, Juscinaide M, Alves H, Belem JM, Winter F, et al. (2016). Access to Health Services by Lesbian, Gay, Bisexual, and Transgender Persons : Systematic Literature Review. BMC International Health and Human Rights, 1–10. doi: 10.1186/s1291401500729.

Charles B, Jeyaseelan L, Pandian AK, Sam AE, Thenmozhi M, Jayaseelan V (2012). Association between Stigma, Depression and Quality of Life of People Living with HIV/AIDS (PLHA) in South India A Community Based Cross Sectional Study, BMC Public Health, 12(1): 1. doi: 10.1186/1471245812463.

Dalmeri (2016) Proceding Tinjauan Terhadap Lesbian Gay Biseksual dan Transgender (LGBT) Dari Perspektif Hukum Pendidikan Dan Psikologi. Available at: http:// metrouniv.ac.id/ uploaddata/file/66lgbt1. pdf.

Demartoto A, Soemanto RB, Zunariyah S (2016). Supporting and Inhibiting Factors in the Structured Peer Network among Housewives in Coping with HIV/ AIDS, 710: 424–427. doi: 10.2991/icse15.2016.92.

Demartoto A, Zunariyah S, Soemanto RB (2017). Pendidikan Sebaya Terstruktur Responsif AIDS. Edited by A.K. Putra. CV.Kekata Group Surakarta.

Flynn TJ, Gow AJ (2015). Examining Associations between Sexual Behaviours and Quality of Life in Older Adults, Age and Ageing, 44(5): 823–828. doi: 10.1093/ageing/afv083.

Forum Pelangi (2017). Hawro T, Zalewska A, Hawro M, Kaszuba A, Krolikowska M and Maurer M. (2015). Impact of Psoriasis Severity on Family Income and Quality of Life, Journal of the European Academy of Dermatology and Venereology, 29(3): 438–443. doi: 10.1111/ jdv. 12572.

Hidru TH, Wang F, Lolokote S, Jia Y, Chen M, Tong W (2016). Associated Factors of SelfReported Psychopathology and Health Related Quality of Life Among Men Who Have Sex With Men (MSM) with HIV/ AIDS in Dalian, China: A Pilot Study, Infectious Diseases of Poverty. 1–10. doi: 10.1186/s40249-016-0204-z.

Komisi Penanggulangan AIDS Kabupaten Tulungagung (2017).

Kurniasari MA, Murti B, Demartoto A (2016). Association Between Participation in HIV/ AIDS Peer Group, Stigma, Discrimination, and Quality of Life of People Living with HIV/ AIDS, (September), 127–134.

Liu J, Qu B, Zhu Y, Hu B (2015). The Influence of Social Support on Quality of Life of Men Who Have Sex With Men in China: A Preliminary Study, PLoS ONE, 10(5): 1–10. doi: 10.1371/journal.pone.0127644.

Luo Y, Zhu C, Chen S, Geng Q, Fu R, Li X, Xu K, Cheng J, Ding J (2015). Risk Factors for HIV and Syphilis Infection among Male Sex Workers Who Have Sex With Men: A Cross Sectional Study in Hangzhou, China, 2011, BMJ open, 5(4): e006791. doi: 10.1136/ bmjopen2014006791.

Magno L, Dourado I, Silva LAVD, Brignol S, Brito AMD, Guimaraes MDC, Benzaken A, Pinho A de A, Kendall C, Kerr LRF.S (2017) Factors Associated with SelfReported Discrimination Against Men Who Have Sex With Men in Brazil, Rev Saude Publica, 51(102): 1–11. doi: 10. 11606/S15188787. 2017051000016.

Makadon MJ, Mayer KH, Potter J, Goldhammer H (2007). Fenway Guide to Lesbian, Gay, Bisexual, And Transgender Health, 2nd Edition.

Mays VM, Cochran SD (2001). Mental Health Correlates of Perceived Discrimination Among Lesbian, Gay, and Bisexual Adults in the United States, American Journal of Public Health, 91(11): 1869–1876. doi: 10.2105/ AJPH.91.11.1869.

Nascimento GB, Schiling NDO, Ubal SR, Biaggio EPV, Kessler TM (2016). Classificacao Socioeconômica e Qualidade de Vida de Familiares de Crianças e Adolescentes Com Deficiencia Auditiva, Revista CEFAC, 18(3): 657–666. doi: 10.1590/19820216201618313215.

Patrick DL, Bell JF, Huang JY, Lazarakis NC, Edwards TC (2013). Bullying and Quality of Life in Youths Perceived as Gay, Lesbian, or Bisexual in Washington State, 2010, American Journal of Public Health, 103(7): 1255–1261. doi: 10.2105/ AJPH. 2012. 301101.

Poggiogalle E, Lazzaro LD (2014). Health Related Quality of Life and Quality of Sexual Life in Obese Subjects, International journal, 847871. doi: 10.1155/2014/ 847871.

Prestage G, Brown G, Allan B, Ellard J, Down I (2016). Impact of Peer Support on Behavior Change Among Newly Diagnosed Australian Gay Men, JAIDS Journal of Acquired Immune Deficiency Syndromes, doi: 10.1097/ QAI. 0000000000001017.

Qi J, Zhang D, Fu X, Li C, Meng S, Dai M, Liu H, Sun J (2015). High Risks of HIV Transmission for Men Who Have Sex With Men A Comparison Of Risk Factors of HIV Infection among MSM associated with Recruitment Channels In 15 Cities of China, PLoS ONE, 10(4): 1–14. doi: 10.1371/journal.pone.0121267.

Rao D, Chen WT, Pearson CR, Simoni JM, Fredriksen GK, Nelson K, Zhao H, Zhang F (2012). Social Support Mediates The Relationship between HIV Stigma and Depression/ Quality of Life among People Living with HIV in Beijing, China, International Journal of STD and AIDS, 23(7): 481–484. doi: 10.1258/ ijsa. 2009. 009428.

Thomas H, Hess R, Thurston R (2015). Correlates of Sexual Activity and Satisfaction in Midlife ind Older Women, Annals of Family Medicine, 13(4): 336–342. doi: 10.1370/ afm. 1820.

Tomori C, Srikrishnan AK, Ridgeway K, Solomon SS, Mehta SH, Solomon S, Celentano DD (2016). Friends, Sisters, and Wives: Social Support and Social Risk in Peer Relationships among Men Who Have Sex With Men (MSM) in India, 8(5): 444–454. doi: 10.1158/19406207. CAPR140359. Nrf2dependent.

Ventegodt S, Merrick J, Andersen NJ (2003). Quality of Life Theory I. The IQOL Theory: An Integrative Theory of the Global Quality of Life Concept, The Scientific World JOURNAL, 3: 1030–1040. doi: 10.1100/tsw. 2003. 82.

Zahn R, Grosso A, Scheibe A, Bekker LG, Ketende S, Dausab F, Iipinge S, Beyrer C, Trapance G, Baral S (2016). Human Rights Violations among Men Who Have Sex with Men in Southern Africa: Comparisons Between Legal Contexts, PLoS ONE, 11(1): 1–12. doi: 10.1371/journal.pone.0147156.




How to Cite

Ekasari, D., Demartoto, A., & Murti, B. (2018). Effects of Sexual Behavior, Family Support, Peer Support, Stigma, and Discrimination on Quality of Life Among Gay Community in Tulungagung, East Java. Journal of Epidemiology and Public Health, 3(1), 50–59. Retrieved from https://jepublichealth.com/index.php/jepublichealth/article/view/62




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