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A narrative review of literature on the use of health and social care by older trans adults: what can United Kingdom services learn?

Benbow, Susan M.
Eost-Telling, Charlotte
Kingston, Paul
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Publication Date
2021-02-24
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Abstract
We carried out a narrative review and thematic analysis of literature on the physical healthcare, mental healthcare and social care of trans older adults to ascertain what is known about older trans adults’ contacts with and use of health and social care. Thirty papers were found: a majority originated in the United States. Five themes were identified: experience of discrimination/ prejudice and disrespect; health inequalities; socioeconomic inequalities; positive practice; and staff training and education. The first three themes present challenges for providers and service users. Experiences of discrimination/ prejudice and disrespect over the course of their lives powerfully influence how older trans adults engage with care services and practitioners. Health and socio-economic inequalities suggest that older trans adults are likely to have greater need of services and care. The remaining two themes offer opportunities for service improvement. We conclude that more research is needed, that there is a strong argument for taking a life course perspective in a spirit of cultural humility, and that contextual societal factors influence service users and providers. We identify positive trans-inclusive practices which we commend to services. More needs to be done now to make older adult services appropriate and welcoming for trans service users.
Citation
Benbow, S., Eost-Telling, C., & Kingston, P. (2022). A narrative review of literature on the use of health and social care by older trans adults: What can United Kingdom services learn? Ageing and Society, 42(10), 2262-2283. https://doi.org/10.1017/S0144686X21000039
Publisher
Cambridge University Press
Journal
Ageing & Society
Research Unit
DOI
10.1017/S0144686X21000039
PubMed ID
PubMed Central ID
Type
Article
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Description
This article has been accepted for publication and will appear in a revised form, subsequent to peer review and/or editorial input by Cambridge University Press, in Ageing & Society published by Cambridge University Press. Copyright The Author(s), 2021.
Series/Report no.
ISSN
0144-686X
EISSN
1469-1779
ISBN
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https://www.cambridge.org/core/journals/ageing-and-society/article/abs/narrative-review-of-literature-on-the-use-of-health-and-social-care-by-older-trans-adults-what-can-united-kingdom-services-learn/3F14BF8F487ECD3AC8F73C5C196565BE