满足死亡:变性老年美国人的老龄化和临终准备。

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sociology of health & illness Pub Date : 2024-06-01 Epub Date: 2023-12-27 DOI:10.1111/1467-9566.13741
Nik M Lampe
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引用次数: 0

摘要

近年来,"美好的死亡"--一种关于美好生活和死亡的规范性意识形态--吸引了研究人员、临床医生和政策制定者的关注,这种意识形态可以让个体获得对死亡的认识、接受和准备。之前的社会学研究揭示了人们对美好死亡的细微看法,但对边缘化群体如何针对结构性和制度性不平等重建自己的美好死亡理想的探索却少之又少。利用 47 个深入访谈的数据,我研究了变性老年人如何通过预先护理规划来感知和规划老龄化和临终体验。我的分析表明,由于现有的不平等,变性老年人重新评估了自己对规范的理想美好死亡的概念。因此,他们积极地重新构建了足以满足其临终需求的个性化死亡意识形态。我进一步提出了 "满足死亡 "的概念,即来自边缘化社区的个人重新评估和重建他们自己的死亡意识形态的过程,这种意识形态足以满足他们的死亡需求,同时他们还利用各种策略来改善现有的社会条件。这些发现凸显了为跨性别群体提供肯定性临终关怀、支持和资源的迫切需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SATISFICING DEATH: Ageing and end-of-life preparation among transgender older Americans.

A good death-a normative ideology of living and dying well that may allow an individual to gain awareness, acceptance, and preparation for death-has captured the attention of researchers, clinicians, and policymakers in recent years. Prior sociological research has uncovered nuanced perspectives of a good death, yet there has been minimal exploration into how marginalised communities reconstruct their own ideals of a good death in response to structural and institutional inequities. Utilising data from 47 in-depth interviews, I examine how transgender older adults perceive and plan for ageing and end-of-life experiences through advance care planning. My analysis reveals transgender older adults' reevaluated notions of a normatively desirable good death for themselves due to existing inequities. Consequently, they actively reconstruct a personalised ideology of death that is adequate enough to meet their end-of-life needs. I further offer the conceptualisation of SATISFICING DEATH, as a process of individuals from marginalised communities reevaluating and reconstructing their own ideologies of a good death that is adequate enough while using resourceful strategies to improve existing social conditions for themselves. These findings highlight the critical need to provide affirming end-of-life care, support, and resources to transgender communities.

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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
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