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Vidas olvidadas: un estudio de métodos mixtos sobre el deterioro cognitivo asociado con la discriminación entre las

S Gnana Sanga Mithra¹, S Bhavana²

¹Vinayaka Mission's Law School, Vinayaka Mission's Research Foundation (DU), Chennai, India.

Social science & medicine (1982)

|August 30, 2025

Resumen

Las personas mayores transgénero en la India experimentan un mayor deterioro cognitivo debido a la discriminación y el estigma de por vida. Los hallazgos ponen de relieve la necesidad urgente de una formación inclusiva de los profesionales de la salud y de la asistencia a las personas mayores.

Área de la Ciencia:

Gerontología
Salud pública
Sociología

Sus antecedentes:

Los adultos mayores transgénero enfrentan disparidades de salud únicas.
El deterioro cognitivo en esta población es poco investigado.
La discriminación a lo largo de toda la vida plantea importantes riesgos para la salud.

Objetivo del estudio:

Para explorar la vulnerabilidad cognitiva en personas mayores transgénero en la India.
Investigar el impacto de la discriminación de por vida en la salud cognitiva.
Identificar necesidades específicas en el cuidado de personas mayores transgénero.

Principales métodos:

Métodos mixtos que combinan encuestas cuantitativas y entrevistas cualitativas.
Datos de la encuesta recopilados de 137 participantes transgénero (mayores de 45 años).
Se realizaron entrevistas semiestructuradas con 35 participantes.

Principales resultados:

Significativamente mayores puntuaciones medias de deterioro cognitivo en comparación con la población general (p < 0,001).
Los datos cualitativos revelaron el miedo a la inversión de género relacionado con la pérdida de memoria.
Más del 69% no confiaba en los conocimientos de salud transgénero de los proveedores de atención médica; el 60% informó de un aislamiento social frecuente.

Conclusiones:

La Teoría del Estrés de las Minorías explica el impacto compuesto del estigma, el abandono médico y el envejecimiento.
Necesidad urgente de una reforma de la política de cuidado de la memoria y cuidado de las personas mayores.
Es esencial implementar capacitación especializada para los proveedores de atención médica sobre las necesidades de salud de las personas transgénero.

Palabras clave:

Envejecimiento Deterioro cognitivo La discriminación Identidad de género Cuidado de la salud Teoría del estrés minoritario Transgénero

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