We carried out a narrative review and thematic analysis of literature on the physical health care, mental health care and social care of trans older adults to ascertain what is known about older trans adults’ contacts with and use of health and social care. Thirty papers were found: a majority originated in the United States of America. Five themes were identified: experience of discrimination/prejudice and disrespect; health inequalities; socio-economic inequalities; positive practice; and staff training and education. The first three themes present challenges for providers and service users. Experiences of discrimination/prejudice and disrespect over the course of their lives powerfully influence how older trans adults engage with care services and practitioners. Health and socio-economic inequalities suggest that older trans adults are likely to have greater need of services and care. The remaining two themes offer opportunities for service improvement. We conclude that more research is needed, that there is a strong argument for taking a lifecourse perspective in a spirit of cultural humility, and that contextual societal factors influence service users and providers. We identify positive trans-inclusive practices which we commend to services. More needs to be done now to make older adult services appropriate and welcoming for trans service users.

我们对跨性别老年人的身体保健，心理健康和社会保健进行了叙述性回顾和主题分析，以了解跨性别老年人与健康和社会保健的接触和使用情况。发现了30篇论文：大多数来自美利坚合众国。确定了五个主题：歧视/偏见和不尊重的经历；健康不平等；社会经济不平等；积极实践；以及员工培训和教育。前三个主题对提供商和服务用户提出了挑战。一生中受到歧视/偏见和不尊重的经历，极大地影响了跨性别成年人与护理服务和从业者的互动方式。健康和社会经济不平等现象表明，跨性别的成年人可能更需要服务和护理。其余两个主题为改善服务提供了机会。我们得出的结论是，需要进行更多的研究，有一个强烈的理由要本着文化谦逊的精神来审视生活过程，并且上下文社会因素会影响服务使用者和提供者。我们确定了值得赞赏的积极跨领域实践。现在需要做更多的工作，以使跨性别服务的使用者适合并欢迎成人服务。并且上下文社会因素会影响服务用户和提供者。我们确定了值得赞赏的积极跨领域实践。现在需要做更多的工作，以使跨性别服务的使用者适合并欢迎成人服务。并且上下文社会因素会影响服务用户和提供者。我们确定了值得赞赏的积极跨领域实践。现在需要做更多的工作，以使跨性别服务的使用者适合并欢迎成人服务。