Evidence map›Paper›PMID 28087796›Full record

ArticleThe Gerontologist2017

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

Charles P Hoy-Ellis, Chengshi Shiu, Kathleen M Sullivan, Hyun-Jun Kim, Allison M Sturges, Karen I Fredriksen-Goldsen

Open access · greenAbstract read
In one paragraph

Article in The Gerontologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Transgenderism in studies on the health of older adults: a systematic review.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Mental health of gender minority older adults in the United States: A systematic review.Psychology of sexual orientation and gender diversity · 2024
    Article
  10. Article
  11. Article
  12. Mental Health Outcomes Among Transgender Veterans and Active-Duty Service Members in the United States: A Systematic Review.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Review
  13. Article
  14. Article
  15. Review
  16. Evidence Review-Social Determinants of Health for Veterans.Journal of general internal medicine · 2018
    Review
  17. Article
  18. Shifting Social Context in the Lives of LGBTQ Older Adults.The Public policy and aging report · 2018
    Article
  19. Depression Among Transgender Older Adults: General and Minority Stress.American journal of community psychology · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Charles P Hoy-EllisCollege of Social Work, University of Utah, Salt Lake City. charles.hoy-ellis@socwk.utah.edu.
Chengshi ShiuSchool of Social Work, University of Washington, Seattle.
Kathleen M SullivanSchool of Social Work, University of Washington, Seattle.
Hyun-Jun KimSchool of Social Work, University of Washington, Seattle.
Allison M SturgesSchool of Social Work, University of Washington, Seattle.
Karen I Fredriksen-GoldsenSchool of Social Work, University of Washington, Seattle.
University of Washington · USUniversity of Utah · US

Funding

Social and Health Behaviors, and the Mediating Role of Treatment Engagement in Predicting Health Outcomes of Older Adults Living with HIVR01AG026526 · NIA · UNIVERSITY OF WASHINGTON · PI FREDRIKSEN-GOLDSEN, KAREN ILENE · 2009 to 2023
$7.5M
NIA NIH HHS R01 AG026526
6 · The paper itself

Abstract

purpose of the studyConverging 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

methodsWe 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.

resultsIdentity 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.

Indexed as

Gender IdentityMental HealthQuality of LifeSocial StigmaAgedAged, 80 and overCross-Sectional StudiesDepressionFemaleHealth StatusHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisTransgender PersonsDepressionGender identityQuality of lifeResilienceVeterans

Identifiers

PMID28087796
PMCPMC5241755
OpenAlexW2576136937

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.