ArticleHealth expectations : an international journal of public participation in health care and health policy2020
Reluctant educators and self-advocates: Older trans adults' experiences of health-care services and practitioners in seeking gender-affirming services.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Identifying Themes in the Knowledge and Attitudes of UK Healthcare Professionals Towards Transgender and Nonbinary Patients: An Evidence Review.The clinical teacher · 2026Pooled it
- 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 · 2025Pooled it
- The experiences of transgender and nonbinary adults in primary care: A systematic review.The European journal of general practice · 2024Pooled it
- Systematic review in relation to support of diversity in nursing homes.Frontiers in aging · 2024Pooled it
- LGBTQ+ individuals' experiences of initial identity disclosure in primary healthcare services: a qualitative scoping review.International journal of nursing studies advances · 2026Review
- The experiences of transgender and nonbinary individuals in general practice in Denmark, with a focus on 'safer space'.Scandinavian journal of primary health care · 2026Article
- Gender affirmation among transgender and gender-diverse people in middle age and late life: a scoping review.The Gerontologist · 2026Article
- Healthcare experiences of transgender and gender-diverse people in the UK: a scoping review.BMJ open · 2026Article
- Encounters in the Swedish health and welfare sector: experiences of people identifying as LGBTQ.BMC public health · 2025Article
- Navigating payment and policy barriers to gender-affirming care for transmasculine individuals: A qualitative study and policy assessment.Social science & medicine (1982) · 2025Article
- Gender-affirming hormone therapy in Portugal: knowledge, safety and adherence.International journal of transgender health · 2025Article
- Equitable aging in health framework: a multi-systems and multilevel approach to health challenges and supports for transgender older adults.Innovation in aging · 2025Article
- Interventions addressing care staff views of older LGBTQ+ people in residential and homecare settings: a scoping review protocol.BMJ open · 2024Article
- Voices from a Multidisciplinary Healthcare Center: Understanding Barriers in Gender-Affirming Care-A Qualitative Exploration.International journal of environmental research and public health · 2023Article
- Factors Associated with Experiences of Gender-Affirming Health Care: A Systematic Review.Transgender health · 2023Review
- Unheard voices: A qualitative study of LGBT+ older people experiences during the first wave of the COVID-19 pandemic in the UK.Health & social care in the community · 2022Article
- Transgender women of color in the U.S. South: A qualitative study of social determinants of health and healthcare perspectives.International journal of transgender health · 2022Article
- Accessing and utilising gender-affirming healthcare in England and Wales: trans and non-binary people's accounts of navigating gender identity clinics.BMC health services research · 2021Article
- Relationships and Communication-the core components of person-centred care.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Reluctant educators and self-advocates: Older trans adults' experiences of health-care services and practitioners in seeking gender-affirming services.Health expectations : an international journal of public participation in health care and health policy · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTrans-identifying individuals experience unique barriers and challenges in negotiating health-care systems due to the cisnormative attitudes and practices which obstruct the receipt of trans-inclusive care. To date, there has been little exploration of older trans consumers' experiences of contemporary health-care services when seeking to transition medically in later life.
objectivesQualitative findings are presented from a study of trans ageing and trans-related health and social care needs in Wales, UK (2016-18). The objectives are to (1) examine supportive and obstructive points of interaction with health-care professionals, and (2) identify key learning messages for improving trans-related health care from the perspectives of trans-identifying adults in later life.
designTrans-identifying participants self-selected to take part in two interviews-a life-history interview and a semi-structured interview. Interview data were analysed thematically using the framework method approach. SETTING AND
participantsThis paper focuses on the accounts of 19 participants (50-74 years of age) who identified as trans and were seeking to transition medically in mid- to later life.
resultsFindings indicate how older trans patients are positioned as reluctant educators for GPs in primary care settings and illustrate the transphobic practices and cisnormative assumptions encountered across health-care interactions and systems that impede their journey of transitioning in later life. DISCUSSION AND
conclusionsMessages from this study speak to the importance of improving professionals' knowledge of gender identity diversity across the life course and making changes at a systemic level in redressing cisnormative assumptions and systems that reinforce inequities on the basis of gender identity.
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What OpenQuestion holds
Registered trials
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.