TY  - JOUR
PY  - 2021//
TI  - Long-Term Care Expectations and Plans of Transgender and Nonbinary Older Adults
JO  - Journal of applied gerontology
A1  - Knochel, K. Abel
A1  - Flunker, Dylan
SP  - 1542
EP  - 1550
VL  - 40
IS  - 11
N2  - 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>
LA  - en
SN  - 0733-4648
UR  - http://dx.doi.org/10.1177/0733464821992919
ID  - ref1
ER  -