"The Graying Minority": Lived Experiences and Psychosocial Challenges of Older Transgender Adults During the COVID-19 Pandemic in India, A Qualitative Exploration.
"The Graying Minority": Lived Experiences and Psychosocial Challenges of Older Transgender Adults During the COVID-19 Pandemic in India, A Qualitative Exploration.
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DOI：
10.3389/fpsyt.2020.604472
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发表时间：
2020
影响因子：
4.7
通讯作者：
Rao TSS
中科院分区：
文献类型：
--
作者：
Banerjee D;Rao TSS
背景：2019冠状病毒病（COVID-19）已成为全球健康威胁。某些因素，如年龄、免疫功能低下状态和社会排斥等，可能会增加这种流行病期间的健康脆弱性。其中一个群体是老年变性人，他们往往同时承受着这些风险。随着世界老龄化速度的加快，他们的人数也在增加。考虑到这一点，本研究探讨了印度COVID-19大流行期间老年变性人的生活经历和心理社会挑战。方法：采用定性研究方法。研究对象为10名60岁以上的跨性别者，研究者通过立意抽样的方式，在征得同意的情况下进行了招募。深入的采访进行了电话使用预先设计的采访时间表。他们被记录，翻译和逐字转录。哈塞的改编Colaizzi的现象学方法用于分析。采用独立编码和答复者验证，以确保数据的严谨性。结果如下：超优先类别（有主题）是边缘化（“第二”优先事项、耻辱、社会脱节）、“年龄”和“性别”的双重负担（年龄歧视、他者化和性心理困难）以及流行病期间多方面的生存威胁（身体、情感、经济）。社会仪式、灵性、希望和接受“性别不和谐”成为主要的应对因素，而他们未满足的需求是社会包容、与COVID-19相关的意识、心理健康护理和倾听他们的痛苦。结论：在持续的大流行期间，老年性别少数群体的情感和社会风险增加，他们的声音大多被忽视。政策的执行和社区对其社会福利的认识对于改善他们的健康和福祉至关重要。
Background: The Coronavirus disease 2019 (COVID-19) has emerged as a global health threat. Certain factors like age, an immunocompromised state, and social impoverishment, etc. can add to health vulnerabilities during this pandemic. One such group is older transgender adults, who often bear a combination of these risks. As the world is aging fast, their numbers have also been increasing. With this in mind, this study explores the lived experiences and psychosocial challenges of older transgender adults during the COVID-19 pandemic in India. Methods: A qualitative approach was used. Ten individuals with “transgender” identity above the age of 60 were recruited with consent through purposive sampling. In-depth interviews were conducted on the telephone using a pre-designed interview schedule. They were recorded, translated, and transcribed verbatim. Hasse's adaptation of Colaizzi's phenomenological method was used for analysis. Independent coding and respondent validation were used to ensure the rigor of data. Results: The super-arching categories (with themes) were marginalization (“second” priority, stigma, social disconnection), the dual burden of “age” and “gender” (ageism, othering, and psychosexual difficulties), and multi-faceted survival threats (physical, emotional, financial) during the pandemic. Social rituals, spirituality, hope, and acceptance of “gender dissonance” emerged as the main coping factors, whereas their unmet needs were social inclusion, awareness related to COVID-19, mental health care, and audience to their distress. Conclusion: The elderly gender minorities are at increased emotional and social risks during the ongoing pandemic, and their voices are mostly unheard. The need for policy implementation and community awareness about their social welfare is vital to improving their health and well-being.
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