@article{ref1,
title="Long-Term Care Expectations and Plans of Transgender and Nonbinary Older Adults",
journal="Journal of applied gerontology",
year="2021",
author="Knochel, K. Abel and Flunker, Dylan",
volume="40",
number="11",
pages="1542-1550",
abstract="PROBLEM: Transgender and nonbinary (TNB) older adults endure discrimination from medical providers and expect it in institutional long-term care. Gender identity-based discrimination is connected to negative health outcomes and reluctance to access needed care. OBJECTIVE: The aim of this study is to explore how gender identity affects TNB older adults' fears, hopes, and plans for use of institutional long-term care. METHOD: Co-investigators conducted semi-structured interviews with 24 TNB older adults in Minnesota, collaboratively analyzed the results using reflexive thematic analysis, and member-checked emergent themes. FINDINGS: Oppression is central to participants' consideration of future long-term care. They fear mistreatment and loss of authentic gender expression and recognition in long-term care facilities. Fears of oppression factor into consideration of suicide and physical transition, although some participants hope societal shifts will lead to unbiased long-term care. CONCLUSION: Creation of anti-oppressive institutional and community-based long-term care options is critical to effectively serve TNB people as they age into dependence.<p /><p>Language: en</p>",
language="en",
issn="0733-4648",
doi="10.1177/0733464821992919",
url="http://dx.doi.org/10.1177/0733464821992919"
}