Published online by Cambridge University Press: 08 January 2025
Introduction
In 2018, the National Institute for Health Research funded three national projects focusing on questions of trans healthcare in the UK. One of these was the Integrating Care for Trans Adults (ICTA) project, based at the Open University and conducted in collaboration with Yorkshire Mesmac and LGBT Foundation. This project included a national survey that gathered 2,056 responses, one of the largest surveys on trans adults to have taken place in the UK. This survey was used as a screening tool to invite participants to be interviewed, with over 800 individuals volunteering. Participants were purposively selected to explore how specific intersections could shape experiences of trans healthcare, which included Black trans people and trans people of colour, trans people living in rural areas, trans people with low incomes/ educational attainment, disabled/ chronically ill trans people and older trans people. While we use ‘older’ as a very broad term, we are referring here to participants aged between 51 and 82 years old. The data reported here include semi- structured interviews with 33 trans people living in the UK; nine were in their 50s, 15 in their 60s, eight in their 70s and one in their 80s at the time of the interview. The overall ‘younger’ age of this sample means that there is less information about the experiences of healthcare in older age, such as increasing physical frailty, dementia, experiences of social care and so on. These findings are further limited by the study being based on a majority White sample. Participants are described using their age at the time of the interview as well as their gender as they described it. It is important to highlight the experiences of this group as they face unique health challenges, both with transition- and non- transition- related care.
These interviews were conducted between February 2020 and January 2021. Most of the interviews were carried out by trans researchers, who frequently identified where follow- up questioning could lead to richer data on user experiences. Interviews typically lasted between one and three hours and were primarily carried out online. Thematic analysis was used, with at least two researchers (at least one of them trans) coding each interview.
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