Impact of Anticipated Bias from Healthcare Professionals on Perceived Successful Aging Among Transgender and Gender Nonconforming Older Adults
Impact of Anticipated Bias from Healthcare Professionals on Perceived Successful Aging Among Transgender and Gender Nonconforming Older Adults
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DOI：
10.1089/lgbt.2016.0165
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发表时间：
2017-11-07
期刊：
影响因子：
4.8
通讯作者：
Witten, Tarynn M.
中科院分区：
文献类型：
--
作者：
Walker, Ruth V.;Powers, Sara M.;Witten, Tarynn M.
目的：跨性别者和性别歧视者（TGNC）经常遭受暴力和歧视的比例很高。医疗保健方面的歧视可能影响到“过渡性、非正常和老年人”成功地步入老年的能力，因为这往往阻碍他们寻求护理。本研究的目的是确定是否预期的偏见，从医疗保健专业人员，以及其他变量，预测感知成功老化的样本中的TGNC成人。方法：总共384（最初的1963年）50岁以上的参与者完成了83项在线调查的相关部分，作为后来跨性别调查的一部分，结果：更大的社会支持网络和更高的信心水平，医疗保健专业人员将对待他们的尊严和尊重作为一个TGNC人在他们的生命结束时，与增加的几率感知他们是成功的老化。结论：在各种情况下对TGNC人的歧视和偏见率很高（例如，医疗、教育和住房），从业者、研究人员、政策制定者和机构必须共同努力，消除医疗差距，促进社会变革，并支持鼓励成功老龄化的环境。这就需要一个协调的、积极的外联努力，把信任重新放回一个历史上让整个人口子集失望的系统。
Purpose: Transgender and gender nonconforming (TGNC) persons have routinely experienced high rates of violence and discrimination. Discrimination in healthcare can affect the ability of TGNC persons to age successfully as it often deters them from seeking care. The purpose of this study was to determine if anticipation of bias from healthcare professionals, as well as other variables, predicted perceived successful aging in a sample of TGNC adults.Methods: A total of 384 (of the original 1963) participants older than 50 years completed the relevant parts of an 83-item online survey as part of the Trans MetLife Survey on Later-Life Preparedness and Perceptions in Transgender-Identified Individuals.Results: Larger social support networks and higher levels of confidence that a healthcare professional will treat them with dignity and respect as a TGNC person at the end of their life were associated with increased odds of perceiving that they were aging successfully.Conclusion: With high rates of discrimination and prejudice toward TGNC persons in various contexts (e.g., healthcare, education, and housing), it is imperative that practitioners, researchers, policymakers, and institutions work together to eradicate healthcare disparities, promote social change, and support an environment that encourages successful aging. This calls for a coordinated, proactive outreach effort to put trust back into a system that has historically let down an entire subset of the population.