Multilevel Factors Affecting Health Equity for Transgender and Gender Diverse Older Adults
Bibliographic Data
| ID | 4706262 |
|---|---|
| Authors | Lauren Catlett (0000-0002-4920-8449, University of Virginia, corresponding author), Ames Simmons (0000-0003-0477-6423, School of Law, Duke University, Durham, NC, USA), Ishan C Williams (0000-0002-8329-9225, University of Virginia), Virginia Lebaron (0000-0002-1299-4730, University of Virginia), Charley Burton (Independent researcher), Gracie M Barker (Independent researcher), Kimberly D Acquaviva, Kimberly Acquaviva (0000-0003-2906-7762, University of Virginia) |
| Year | 2025 |
| Pages | 10497323251342162-10497323251342162 |
| Publication date | 2025-06-11 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/10497323251342162 |
| PMID | 40497716 |
| OpenAlex | W4411224487 |
| Language | EN |
| References cited | 43 |
The population of transgender and gender diverse (TGD) older adults in the United States may face inequities in the healthcare system due to factors at multiple levels. Research is needed to identify factors that limit and facilitate equitable healthcare delivery for this population. Therefore, researchers conducted a qualitative descriptive study called Shaping Affirming Futures with Elders of all gender experiences (SAFEage) to identify and explore factors that affect health equity for TGD older adults living in the United States. Through purposeful and snowball sampling, researchers enrolled 20 TGD older adults of diverse gender identities and racial and ethnic backgrounds. In Phase 1 of the study, participants discussed their healthcare experiences during semi-structured interviews. In Phase 2, participants reviewed study findings in individual and group sessions. Researchers coded transcripts of interviews and review sessions both deductively and inductively, conducting a thematic analysis informed by the conceptual framework Intersectionality Research for Transgender Health Justice. With participant input, researchers developed six primary themes describing factors that limit (L) and facilitate (F) health equity at (1) structural, (2) systemic, and (3) social levels of influence: (L1) Oppression driving adverse healthcare experiences; (L2) Gaps in healthcare resources and support; (L3) Disadvantages yielding poor health outcomes; (F1) Health justice promoting affirming healthcare experiences; (F2) Catalysts for change in healthcare; and (F3) Assets fostering agency and well-being. Study findings may inform future research, clinical practice changes, and policies that would promote equitable and inclusive healthcare for TGD older adults
Business · Family medicine · Gender diversity · Gender equity · Gender identity · Health equity · Public health · Sociology · Transgender · Transgender people · Transgender women · Clinical Psychology · Gender Studies · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Reproductive Health and Technologies · Social Psychology · Gerontology
Physical and Mental Health of Transgender Older Adults
Supporting best practice in reflexive thematic analysis reporting in Palliative Medicine
Global health burden and needs of transgender populations
Standards of Care for the Health of Transgender and Gender Diverse People, Version 8
Whatever happened to qualitative description?
Qualitative description – the poor cousin of health research?
Iridescent Life Course
Intersectionality Research for Transgender Health Justice
Conceptual and design thinking for thematic analysis
Is member checking the gold standard of quality in qualitative research
Forgotten lives
End-of-Life Care for Transgender Older Adults
The Graying Minority”
The Roles of Gender Affirmation and Discrimination in the Resilience of Transgender Individuals in the US
The terminology of identities between, outside and beyond the gender binary – A systematic review
Transformative Paradigm
A Typology of Mixed Methods Sampling Designs in Social Science Research
Gender Affirmation
US Black–White Differences in Mortality Risk Among Transgender and Cisgender People in Private Insurance, 2011–2019
Differences in All-Cause Mortality Among Transgender and Non-Transgender People Enrolled in Private Insurance
Social and Medical Gender Affirmation Experiences Are Inversely Associated with Mental Health Problems in a U.S. Non-Probability Sample of Transgender Adults
Sample Size in Qualitative Interview Studies
| Citation velocity | historical |
|---|---|
| Highly cited | No |