National studies revealed the transgender population has barriers to positive health outcomes, but also showed evidence of resilience. A focus on health strengths such as resilience may help mitigate health barriers. This work focused on the sociodemographic predictors of and interrelationships between resilience, sense of coherence (SOC), and health perception. There were three aims of this work. The first aim was to review the literature surrounding resilience and SOC in the adult transgender population. Results from an integrative literature review revealed three themes of resilience in the adult transgender population: social support, individual factors, and resources. Prior to the current study, only two studies investigated SOC in the adult transgender population. In the first study, SOC was measured as a psychosocial resource after gender-affirming surgery. The second study found SOC mitigated the effects of stigma. The second aim was to investigate sociodemographic factors related to resilience, SOC, and health perception in a sample of adult transgender identified persons as well as the interrelation between resilience, SOC, and health perception. The results from the current study revealed number of people in one's social support network was the exclusive statistically significant predictor of sociodemographic factors related to resilience; having a graduation education was the only sociodemographic factor predicting SOC; the sociodemographic factors did not produce a significant predictor of health perception. The third aim was to provide a methodological analysis of using Facebook as the sole recruitment method in the current study. Facebook is a feasible modern recruitment method that can generate a diverse sample from the adult transgender population inasmuch as researchers utilize ethically sound social media recruitment approaches.
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Doctor of Philosophy (Ph.D.)
College of Nursing
Length of Campus-only Access
Doctoral Dissertation (Open Access)
Bush, Jake, "Factors Associated with Resilience and Sense of Coherence in Adult Transgender Persons: Identifying Predictors to Reduce Health Disparities in a Vulnerable Population" (2021). Electronic Theses and Dissertations, 2020-. 657.