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Non-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older.

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Title: Non-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older.
Authors: Wolfe, Hill L., Jeon, Amy, Goulet, Joseph L., Simpson, Tracy L., Eleazer, Jacob R., Jasuja, Guneet K., Blosnich, John R., Kauth, Michael R., Shipherd, Jillian C., Littman, Alyson J.
Source: Aging & Mental Health. Oct2024, Vol. 28 Issue 10, p1357-1363. 7p.
Subjects: Competency assessment (Law), Cross-sectional method, Poisson distribution, Transphobia, Patient safety, Research funding, Transgender people, Questionnaires, LGBTQ+ people, Minority stress, Disease prevalence, Descriptive statistics, Psychology of veterans, Odds ratio, Cognition disorders, Research, Psychological stress, Sexual minorities, Health equity, Comparative studies, Confidence intervals, Psychosocial factors, Active aging, Regression analysis, Social stigma
Geographic Terms: United States
Abstract: Objectives: To examine the associations of two measures of minority stress, non-affirmation minority stress and internalized transphobia, with subjective cognitive decline (SCD) among transgender and gender diverse (TGD) veterans. Method: We administered a cross-sectional survey from September 2022 to July 2023 to TGD veterans. The final analytic sample included 3,152 TGD veterans aged ≥45 years. We used a generalized linear model with quasi-Poisson distribution to calculate prevalence ratios (PR) and 95% confidence intervals (CIs) measuring the relationship between non-affirmation minority stress and internalized transphobia and past-year SCD. Results: The mean age was 61.3 years (SD = 9.7) and the majority (70%) identified as trans women or women. Overall, 27.2% (n = 857) reported SCD. Adjusted models revealed that TGD veterans who reported experiencing non-affirmation minority stress or internalized transphobia had greater risk of past-year SCD compared to those who did not report either stressor (aPR: 1.09, 95% CI: 1.04–1.15; aPR: 1.19, 95% CI: 1.12–1.27). Conclusion: Our findings demonstrate that proximal and distal processes of stigma are associated with SCD among TGD veterans and underscore the need for addressing multiple types of discrimination. Above all, these results indicate the lasting sequelae of transphobia and need for systemic changes to prioritize the safety and welfare of TGD people. [ABSTRACT FROM AUTHOR]
Copyright of Aging & Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Non-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older.
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  Data: <searchLink fieldCode="AR" term="%22Wolfe%2C+Hill+L%2E%22">Wolfe, Hill L.</searchLink><br /><searchLink fieldCode="AR" term="%22Jeon%2C+Amy%22">Jeon, Amy</searchLink><br /><searchLink fieldCode="AR" term="%22Goulet%2C+Joseph+L%2E%22">Goulet, Joseph L.</searchLink><br /><searchLink fieldCode="AR" term="%22Simpson%2C+Tracy+L%2E%22">Simpson, Tracy L.</searchLink><br /><searchLink fieldCode="AR" term="%22Eleazer%2C+Jacob+R%2E%22">Eleazer, Jacob R.</searchLink><br /><searchLink fieldCode="AR" term="%22Jasuja%2C+Guneet+K%2E%22">Jasuja, Guneet K.</searchLink><br /><searchLink fieldCode="AR" term="%22Blosnich%2C+John+R%2E%22">Blosnich, John R.</searchLink><br /><searchLink fieldCode="AR" term="%22Kauth%2C+Michael+R%2E%22">Kauth, Michael R.</searchLink><br /><searchLink fieldCode="AR" term="%22Shipherd%2C+Jillian+C%2E%22">Shipherd, Jillian C.</searchLink><br /><searchLink fieldCode="AR" term="%22Littman%2C+Alyson+J%2E%22">Littman, Alyson J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Aging+%26+Mental+Health%22">Aging & Mental Health</searchLink>. Oct2024, Vol. 28 Issue 10, p1357-1363. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Competency+assessment+%28Law%29%22">Competency assessment (Law)</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Transphobia%22">Transphobia</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Transgender+people%22">Transgender people</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22LGBTQ%2B+people%22">LGBTQ+ people</searchLink><br /><searchLink fieldCode="DE" term="%22Minority+stress%22">Minority stress</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+veterans%22">Psychology of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Active+aging%22">Active aging</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Data: Objectives: To examine the associations of two measures of minority stress, non-affirmation minority stress and internalized transphobia, with subjective cognitive decline (SCD) among transgender and gender diverse (TGD) veterans. Method: We administered a cross-sectional survey from September 2022 to July 2023 to TGD veterans. The final analytic sample included 3,152 TGD veterans aged ≥45 years. We used a generalized linear model with quasi-Poisson distribution to calculate prevalence ratios (PR) and 95% confidence intervals (CIs) measuring the relationship between non-affirmation minority stress and internalized transphobia and past-year SCD. Results: The mean age was 61.3 years (SD = 9.7) and the majority (70%) identified as trans women or women. Overall, 27.2% (n = 857) reported SCD. Adjusted models revealed that TGD veterans who reported experiencing non-affirmation minority stress or internalized transphobia had greater risk of past-year SCD compared to those who did not report either stressor (aPR: 1.09, 95% CI: 1.04–1.15; aPR: 1.19, 95% CI: 1.12–1.27). Conclusion: Our findings demonstrate that proximal and distal processes of stigma are associated with SCD among TGD veterans and underscore the need for addressing multiple types of discrimination. Above all, these results indicate the lasting sequelae of transphobia and need for systemic changes to prioritize the safety and welfare of TGD people. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Aging & Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/13607863.2024.2335565
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Competency assessment (Law)
        Type: general
      – SubjectFull: Cross-sectional method
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      – SubjectFull: Poisson distribution
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      – SubjectFull: Transphobia
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      – SubjectFull: Patient safety
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      – SubjectFull: Research funding
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      – SubjectFull: Transgender people
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      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: LGBTQ+ people
        Type: general
      – SubjectFull: Minority stress
        Type: general
      – SubjectFull: Disease prevalence
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Psychology of veterans
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      – SubjectFull: Odds ratio
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      – SubjectFull: Sexual minorities
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      – SubjectFull: Social stigma
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      – SubjectFull: United States
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              Text: Oct2024
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