The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Long-Term Care Expectations and Plans of Transgender and Nonbinary Older Adults
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.
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“It is also documented that many LGBTQ+ older adults are terrified of the notion of moving into a nursing home due to awareness that they may be in greater physical or emotional danger or forced back into the closet (Singleton, 2018; Wilson et al., 2018; Knochel and Flunker, 2021).”
From Algorithmic harms and digital ageism in the use of surveillance technologies in nursing homes (2022) · cites this paper as Knochel and Flunker, 2021
Citations
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Cited by
Algorithmic harms and digital ageism in the use of surveillance technologies in nursing homes
Berridge, C., & Grigorovich, A. (2022) · Frontiers in Sociology · doi:10.3389/fsoc.2022.957246 · Cited by 47
“It is also documented that many LGBTQ + older adults are terrified of the notion of moving into a nursing home due to awareness that they may be in greater physical or emotional danger or forced back into the closet (Singleton, 2018; Wilson et al., 2018; Knochel and Flunker, 2021).”
Background
Metadata
- Authors
- Knochel, K. A., & Flunker, D.
- Affiliations
- University of Minnesota, Duluth (US)
- JustUs Health, Saint Paul, MN, USA
- Corresponding author
- Knochel, K. Abel
- ORCID
- Knochel, K. Abel
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2021-02-12
- Volume
- 40
- Issue
- 11
- Pages
- 1542-1550
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- OpenAlex
- W3127538678
- Cited by
- 32
- References
- 2
- Citations by year
- 2026: 9 · 2025: 4 · 2024: 9 · 2023: 6 · 2022: 4
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- university of minnesota
- University of Minnesota Clinical and Translational Science Institute – Community Health Collaborative Grant
- national center for advancing translational sciences (UL1TR000114)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Life-span and Life-course Studies › Aging, Elder Care, and Social Issues
- Keywords
- transgender older adults, long-term care, institutional care, gender identity discrimination, gender expression, suicide, care planning
- MeSH terms
- Aged, Female, Gender Identity, Humans, Long-Term Care, Male, Motivation, Transgender Persons, Sexism
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- CoChat. (2026). Citation check: Long-Term Care Expectations and Plans of Transgender and Nonbinary Older Adults. https://app.cochat.ai/papers/10.1177/0733464821992919
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- Knochel, K. A., & Flunker, D. (2021). Long-Term Care Expectations and Plans of Transgender and Nonbinary Older Adults. Journal of Applied Gerontology. https://doi.org/10.1177/0733464821992919
