Prior Military Service, Identity Stigma, and Mental Health Among Transgender Older Adults.

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  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: United States NLM ID: 0375327 Publication Model: Print Cited Medium: Internet ISSN: 1758-5341 (Electronic) Linking ISSN: 00169013 NLM ISO Abbreviation: Gerontologist Subsets: MEDLINE
    • Publication Information:
      Publication: 2009- : Cary, NC : Oxford University Press
      Original Publication: St. Louis, Gerontological Society.
    • Subject Terms:
      Gender Identity* ; Mental Health* ; Quality of Life* ; Social Stigma*; Depression/*epidemiology ; Transgender Persons/*statistics & numerical data ; Veterans/*statistics & numerical data; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Depression/psychology ; Female ; Health Status ; Humans ; Linear Models ; Male ; Middle Aged ; Multivariate Analysis ; Transgender Persons/psychology ; United States/epidemiology
    • Abstract:
      Purpose of the Study: Converging evidence from large community-based samples, Internet studies, and Veterans Health Administration data suggest that transgender adults have high rates of U.S. military service. However, little is known about the role of prior military service in their mental health later in life, particularly in relation to identity stigma. In this article, we examine relationships between prior military service, identity stigma, and mental health among transgender older adults.
      Design and Methods: We used a subsample of transgender older adults (n = 183) from the 2014 survey of Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS). We employed weighted multivariate linear models to evaluate the relationships between psychological health-related quality of life (HRQOL), depressive symptomatology (Center for Epidemiological Studies Depression Scale [CES-D] scores), identity stigma, and prior military service, controlling for background characteristics.
      Results: Identity stigma was significantly related with higher depressive symptomatology and lower psychological HRQOL. Having a history of prior military service significantly predicted lower depressive symptomatology and higher psychological HRQOL. The relationships between psychological HRQOL, identity stigma, and prior military service were largely explained by depressive symptomatology. Prior military service significantly attenuated the relationship between identity stigma and depressive symptomatology.
      Implications: By identifying the role of military service in the mental health of transgender older adults, this study provides insights into how prior military service may contribute to resilience and positive mental health outcomes. Directions for future research are discussed.
      (© The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].)
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    • Grant Information:
      R01 AG026526 United States AG NIA NIH HHS
    • Contributed Indexing:
      Keywords: Depression; Gender identity; Quality of life; Resilience; Veterans
    • Publication Date:
      Date Created: 20170115 Date Completed: 20171106 Latest Revision: 20190109
    • Publication Date:
      20221213
    • Accession Number:
      PMC5241755
    • Accession Number:
      10.1093/geront/gnw173
    • Accession Number:
      28087796