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

Author:

Wolfe Hill L.123,Jeon Amy4,Goulet Joseph L.15,Simpson Tracy L.67,Eleazer Jacob R.89,Jasuja Guneet K.101112,Blosnich John R.213,Kauth Michael R.1415,Shipherd Jillian C.141617,Littman Alyson J.41819

Affiliation:

1. Pain Research, Informatics, Multi-morbidities, and Education (PRIME) Center, VA Connecticut Healthcare System, Connecticut, CT, USA

2. Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA

3. Section of Biomedical Informatics & Data Science, Yale School of Medicine, New Haven, CT, USA

4. Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, WA, USA

5. Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA

6. Center of Excellence in Substance Addiction Treatment & Education, VA Puget Sound Healthcare System, Seattle, WA, USA

7. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA

8. Department of Psychiatry and Psychology, Mayo Clinic Florida, Jacksonville, FL, USA

9. Transgender and Intersex Specialty Care Clinic, Mayo Clinic Florida, Jacksonville, FL, USA

10. Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA

11. Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA

12. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA, USA

13. Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA

14. Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Health Program, Veterans Health Administration, Washington, DC, USA

15. Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA

16. National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA

17. Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA

18. Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, US Department of Veterans Affairs, Seattle, WA, USA

19. Department of Epidemiology, University of Washington, Seattle, WA, USA

Funder

U.S. Department of Veterans Affairs

Publisher

Informa UK Limited

Reference33 articles.

1. THE EFFECTS OF TBI SEVERITY AND PTSD ON SUBJECTIVE COGNITIVE DECLINE IN OLDER VETERANS

2. PROMOTING HEALTHY AGING THROUGH LGBTQ+ AFFIRMING CARE

3. Experiences of Transgender-Related Discrimination and Implications for Health: Results From the Virginia Transgender Health Initiative Study

4. Centers for Disease Control and Prevention. (2019 July 30). Subjective cognitive decline—a public health issue. Retrieved August 18 2023 from https://www.cdc.gov/aging/data/subjective-cognitive-decline-brief.html#:∼:text=Subjective%20Cognitive%20Decline%20(SCD)%20is frequent%20confusion%20or%20memory%20loss.&text=It%20is%20a%20form%20of Alzheimer's%20disease%20and%20related%20dementias

5. Centers for Disease Control and Prevention. (2020). BRFSS statistical brief: Cognitive decline optional module. Behavioral risk factor surveillance system survey questionnaire. U.S. Department of Health and Human Services. https://www.cdc.gov/aging/publications/BRFSS-cognitive-decline-brief-508.pdf.

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