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Aging

Aging is typically understood to mean the changes that occur, over time, in a living organism—or the degradation of function that accompanies the passage of clock time. The fields that study aging are divided into two general areas: geriatrics (the medical/psychological facets of aging) and gerontology. The field of gerontology is divided into three subareas: biomedical aging (the study of biological age-related changes in the body), psychosocial aging (the study of age-related psychological and social changes over time), and health planning and social policy (the study of aging as it relates to such areas as Medicare/Medicaid, Social Security, end-of-life challenges, and health care disparities and access).

Trans people face many of the same aging-related challenges as other individuals. However, they also have many unique ways of experiencing the consequences of aging. With the current presence of the first large cohort of out, trans-identified mid- to late-life individuals (i.e., trans boomers), understanding the challenges and needs of the members of this community has become increasingly important from both a biomedical and a psychosocial viewpoint. While trans people face many of the same aging-related challenges as cis individuals, trans people also have distinctive ways of experiencing the repercussions of aging.

Given the need for brevity and a lack of data, it is difficult to cover the global trans aging experiences in this entry. Consequently, this entry focuses on Western experiences, for which there are more data. It is through the lenses of gerontology and geriatrics that trans people’s aging experiences are considered.

Who Are Contemporary Trans Elders?

This entry considers the age of entrance into the elder population to be 65 years. The Administration on Aging states that the U.S. population of persons 65 years or older numbered 39.6 million in 2009 (the latest year for which data are available). By 2030, it is projected that there will be about 72.1 million older persons in the United States. The National Institute on Aging global projections for the 65-years-or-older cohort are 524 million in 2010, with this number expected to increase to 1.5 billion in 2050.

It is difficult to provide an accurate estimate for the number of trans elders in the United States. There are many reasons for the absence of reliable population data on the trans elder community, including difficulties in identifying members of the population, trans people’s hesitancy to self-identify as such, and trans erasure in many data-gathering instruments. As a result, identification of the trans population is challenging. Indeed, the trans-identified population is itself dynamic; in the past three decades, with the advent of more reliable surgical and hormonal interventions, more people are making the decision to transition from their birth sex or gender to an identity more consistent with who they see themselves to be. Moreover, since 2000, some older adults, even into their 70s or later, are increasingly choosing to align their genital sex with their gender self-perception. Thus, even within the current cohort of trans elders, there is a diversity of life experience. This diversity will continue to broaden and grow as younger members of this community emerge and pioneer new labels. It is, however, possible to make some general population estimates.

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