SATISFICING DEATH: Ageing and end-of-life preparation among transgender older Americans

Sociol Health Illn. 2024 Jun;46(5):887-906. doi: 10.1111/1467-9566.13741. Epub 2023 Dec 27.

Abstract

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.

Keywords: advance care planning; ageing; end‐of‐life; good death; older adults; transgender.

MeSH terms

  • Advance Care Planning
  • Aged
  • Aged, 80 and over
  • Aging* / psychology
  • Attitude to Death*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Qualitative Research
  • Terminal Care* / psychology
  • Transgender Persons* / psychology
  • United States