Liminal Lives in Uncertain Times: Health Management During the COVID-19 Pandemic Among Transgender and Non-Binary Older Adults.
Liminal Lives in Uncertain Times: Health Management During the COVID-19 Pandemic Among Transgender and Non-Binary Older Adults.
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DOI：
10.1177/23337214221127753
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发表时间：
2022-01
影响因子：
2.7
通讯作者：
Lampe, Nik M.
中科院分区：
文献类型：
--
作者：
Lampe, Nik M.
老年是跨性别和非二元（TNB）人群健康管理旅程的关键时期。了解COVID-19大流行如何影响TNB老年患者（65岁及以上），为成功的卫生服务改革和持续的交付系统变革提供了重要指导。使用47个半结构化个人访谈的定性数据，我调查了TNB老年美国人-作为美国的医疗和社会弱势群体-在COVID-19大流行期间如何管理他们的健康。结果表明，需要加强卫生服务和资源的TNB老年人，同时创造一种文化的年龄友好和性别肯定的医疗保健。出现了四个主要主题：（1）心理健康挑战加剧，（2）社会关系和支持中断，（3）采用具有成本效益的健康管理策略，（4）将家庭护理伙伴纳入健康管理。这些主题是由受访者的特权和边缘化的社会位置，如获得财政保障，社会支持和适当的医疗保健。尽管这些研究结果不应推广到TNB老年人群体，但它们表明，更广泛的不平等模式影响了TNB老年美国人在COVID-19大流行期间如何管理自己的健康。
Older adulthood is a crucial time in the health management journeys of transgender and non-binary (TNB) people. Understanding how the COVID-19 pandemic has impacted TNB older patients (65 years and over) offers critical guidance for successful health services reform and continued delivery systems change. Using qualitative data from 47 semi-structured individual interviews, I investigate how TNB older Americans—as a medically and socially vulnerable population in the United States—manage their health during the COVID-19 pandemic. Results indicated a need for enhancing health services and resources for TNB older adults while creating a culture of age-friendly and gender-affirming healthcare. Four primary themes emerged: (1) exacerbated mental health challenges, (2) disrupted social relationships and support, (3) adopting cost-effective health management strategies, and (4) incorporating family care partners in health management. Such themes were shaped by respondents’ privileged and marginalized social locations, such as access to financial security, social support, and adequate medical care. Although these research findings should not be generalized to the TNB older adult population, they suggest that broader patterns of inequity affect how TNB older Americans manage their health during the COVID-19 pandemic.
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