title: Social Context of Depressive Distress in Aging Transgender Adults.
abstract: This study investigates the relationship between discrimination and mental health in aging transgender adults. Survey responses from 61 transgender adults above 50 ( Mage= 57.7, SD = 5.8; 77.1% male-to-female; 78.7% White non-Hispanic) were analyzed. Multivariable logistic regression models examined the relationship between gender- and age-related discrimination, number of everyday discrimination experiences, and past-week depressive distress, adjusting for social support, sociodemographics, and other forms of discrimination. The most commonly attributed reasons for experiencing discrimination were related to gender (80.3%) and age (34.4%). More than half of participants (55.5%) met criteria for past-week depressive distress. In an adjusted multivariable model, gender-related discrimination and a greater number of everyday discrimination experiences were associated with increased odds of past-week depressive distress. Additional research is needed to understand the effects of aging and gender identity on depressive symptoms and develop interventions to safeguard the mental health of this vulnerable aging population.
authors.affiliation: 1 Yale School of Public Health, New Haven, CT, USA.|2 The Fenway Institute, Fenway Health, Boston, MA, USA.
authors.forename: Jaclyn M
authors.initials: JM
authors.lastname: White Hughto
authors.affiliation: 2 The Fenway Institute, Fenway Health, Boston, MA, USA.|3 Boston Children's Hospital/Harvard Medical School, Boston, MA, USA.|4 Harvard T.H. Chan School of Public Health, Boston, MA, USA.
authors.forename: Sari L
authors.initials: SL
authors.lastname: Reisner
mesh_terms: D000368:Aged; D063506:Ageism; D003863:Depression / Q000209:etiology*; D005260:Female; D005783:Gender Identity; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D063507:Sexism; D012944:Social Support; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology*
keywords: aging; depression; discrimination; social support; transgender