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Cited by 32LGBTQ Health, Identity, and PolicyGeriatric Care and Nursing HomesAging, Elder Care, and Social Issues

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

Knochel, K. Abel, Flunker, Dylan·2021·Journal of Applied Gerontology
DOI 10.1177/0733464821992919
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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.

Overview

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Crossref · 10.1177/0733464821992919

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Citations

Cites

Research works printed but not linked: 27

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Cited by

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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
DOI
10.1177/0733464821992919
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
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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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