Social Transition Research Articles

Clinical profiles and care of transgender children and adolescents who receive specialized consultations: do individuals who are assigned female at birth differ?

ContextClinical data on transgender children and adolescents are scarce, and sample sizes often do not allow for comparisons according to sex assigned at birth. Besides, most gender identity clinics have pointed to a recent switch in favor of an increase in the number of adolescents assigned females at birth (AFAB) over assigned males at birth (AMAB).MethodWe collected data on sociodemographic characteristics, and psychiatric and social vulnerabilities according to sex assigned at birth for all youths who were treated at the French largest gender identity clinic. In addition, management modalities for gender transition were discussed in multidisciplinary concertation meetings.ResultsWe collected data from 239 youths [162(68%) AFAB, 74(32%) AMAB, and 3(1%) intersex; mean age = 14.5(± 3.16) years]. The distribution of age at referral was better explained by two clusters (C1: N = 61, mean age = 11.3 years, with more AMAB; C2: N = 175, mean age = 15.9 years with more AFAB). 215(91%) youths had gender incongruence, with 32% reporting it before puberty. School drop-out, suicidality, depression, and anxiety were common and occurred significantly more often in the AFAB group. 178(74%) youths experienced social transition within the family, and 144(61%) at school [mean age = 15.13(± 2.06) years]. The social transition was more frequent in the AFAB group. Twenty-six (11%) youths received puberty blockers [mean age = 13.87(± 2.31) years], and 105(44%) received gender-affirming hormones [mean age = 16.87(± 1.4) years]. AMABs were more likely to take puberty blockers, and there was no difference in the proportion of AMAB and AFAB taking gender-affirming hormones. Surgical requests (mainly torsoplasty) were very rare.ConclusionAge at referral should be considered when exploring gender incongruence. During adolescence, we found that gender incongruence has substantial social and psychological effects, particularly on AFAB youths, possibly explaining their higher referral rates to specialized centers, as in other specialized clinics around the world.

Mental Health during Medical Transition in a US and Canadian Sample of Early Socially Transitioned Transgender Youth

PurposeThis study aimed to shed light on the mental health of a unique group of medically transitioning transgender adolescents: those who had made a binary social transition during childhood and who, in general, had not experienced substantial gender-incongruent puberty. MethodsStudy participants were part of a broader longitudinal study comprising 3 groups: transgender youth, their cisgender siblings, and unrelated cisgender peers. Using multilevel models, we compared self-reported and parent-reported levels of anxiety and depressive symptoms among transgender youth at 3 stages: before youth had begun puberty blockers; after they had begun blockers; and after they had begun hormone therapy. We also compared age-based mental health trajectories in transgender and cisgender youth. ResultsIn this sample of transgender youth who sought and received gender-affirming medical care, participants experienced stable and relatively low levels of psychological distress across stages of medical transition and across time. There was one exception: transgender girls showed increased, followed by decreased, parent-reported depressive symptoms over time. In contrast, cisgender girls showed increases in internalizing symptomatology (with the exception of parent-reported anxiety) as they got older, and cisgender boys showed decreased self-reported anxiety and increased, followed by decreased, parent-reported depressive symptoms. By mid-adolescence, levels of anxiety and depressive symptoms among transgender girls and transgender boys generally fell between those of cisgender girls and cisgender boys. DiscussionResults demonstrate that transgender youth who are socially and medically supported in their gender identity can experience stable and positive mental health throughout the notoriously challenging developmental period of adolescence.

Lamenting the Idyllic--Thomas Hardy’s Nostalgia in Far from the Madding Crowd

The useful conceptions of nostalgia are instrumental for a close look at Thomas Hardy’s pastoral sentiment towards the vanishing rustic life, which is disturbed by the abrupt intrusion of industrialization in the country. Hardy’s pastoral nostalgia finds its refuge in the partly real, partly dreamlike Wessex, in which a self-contained atmosphere of idyllic contentment remains. Through a nostalgic interpretation of Hardy’s Far from the Madding Crowd, the essay explores Hardy’s nostalgic construction of a fraternal Weatherbury community, including the incarnation of his idealized peasant type Shepherd Oak and the desirably pastoral romance. Through a collection of Hardy’s imaginations, the research aims to probe into the individual’s ambiguous psychology and complicated perception when confronting with the social and cultural transitions in the late nineteenth century England.

Self-determination and self-affirmative paths of trans* and gender diverse people in Portugal: Diverse identities and healthcare

Abstract Background Trans* and gender diverse (TGD) people are very heterogeneous. While legal contexts and healthcare practices have been growingly endorsing self-determination and consent for gender affirmative care in some countries, gender affirmation trajectories need to be understood as unique and fluid processes, constructed and negotiated by each individual in a given social and cultural context. This study aimed to characterize diverse profiles of TGD people in Portugal, regarding individual choices and trajectories in social, legal, and medical gender affirmative processes. Methods A questionnaire, first developed in France and used in Brazil, Italy, Norway, and Chile, was adapted to the Portuguese context. The conducted survey is comprised of 120 questions, organized into six sections: 1) sociodemographic variables; 2) gender affirmation processes and medical and psychological care; 3) general health and sexual health; 4) mental health; 5) sexuality and sexual concerns; 6) experiences of discrimination and gender identity. Data were collected from a convenience sample of 115 adults who identified as TGD. Content analysis was performed on the written responses, and later categorized. Results Approximately 21% of people identified as men, 17% as trans men, 7% as women, 12% as trans women, 26% as non-binary persons, and 17% as agender or other identifications. Differences were calculated among profiles of TGD participants and their choices for affirmative care, social, and legal transition, revealing an association between the way people self-identify and the request for legal recognition of gender identity, as well as the choices of procedures (or aspirations) for medical affirmation (i.e., hormonal treatments, top surgery, bottom surgery). Conclusions The provision of health care practices consistent with the principles of self-determination requires training of health care professionals and adjustment of public policies, to allow for unique trajectories and profiles.

The impact of collaborative agglomeration of manufacturing and services on carbon emission efficiency: spatial effect and mechanism analysis

ABSTRACT Urban economic development benefits from industrial agglomeration by enhancing efficiency, but it may also bring negative effects, such as environmental pollution. This research uses data from 283 Chinese cities from 2007 to 2019, and applies the Spatial Durbin Model to investigate the spatial effects of industrial agglomeration on carbon emission efficiency, along with its impact mechanisms at various stages of collaborative agglomeration between the manufacturing and service sectors. The results indicate that: (1) The upgrading of the service industry from consumption-oriented to production-oriented has proved to be conducive to enhancing carbon emission efficiency and alleviating the environmental problems associated with manufacturing agglomeration. (2) The industrial collaborative agglomeration exerts a spatial spillover effect on carbon emission efficiency. Over time, as the degree of industrial collaborative agglomeration reaches a specific threshold, it positively impacts the carbon emission efficiency within the local area but exerts an inhibitory effect in neighboring regions. (3) The urban agglomerations of Yangtze River Delta, Beijing-Tianjin-Hebei, and Pearl River Delta regions, along with low-carbon pilot cities, demonstrate a greater capacity to enhance the positive impact of industrial collaborative agglomeration on carbon emission efficiency. (4) Collaborative industrial clustering fosters technological progress through domestic technology transfer and green technology innovation. It also mitigates mismatches between labor and capital, enhances land-intensive utilization efficiency, and optimizes resource allocation, ultimately leading to improve carbon emission efficiency. This research contributes to China’s economic and social transition towards a low-carbon future and provides valuable insights for the green development and industrial upgrading of developing countries.

Mechanism of ESG System Construction Promoting Sustainable Financial Development under the "Dual Carbon" Goals

Abstract: China is advancing green and low-carbon development in a coordinated manner, and at the 75th session of the United Nations General Assembly, China officially proposed the goals of carbon peaking and carbon neutrality. The "dual carbon" strategy is an essential path to achieving green and sustainable development, as well as a necessary measure to enhance the momentum of high-quality economic growth. The construction of the ESG (Environmental, Social, and Governance) system is a crucial factor influencing the development of green finance, and the importance of green finance and sustainable development for high-quality corporate and social development is further elevated. This paper analyzes the significance of ESG system construction for the green transition of the economy and society. Based on the development status of ESG practices domestically and internationally, and grounded in the issues and needs of the domestic economic and social green transition, this study explores the mechanism by which ESG system construction promotes the sustainable development of finance.

The Diverse Effects of Government Sponsored Health Insurance and the Role of Public Hospitals in Kerala

The Kerala model of development, founded on ‘good health at low cost’ in the 1970s, was seriously threatened by economic, social, demographic, and epidemiological transitions in Kerala, leading to ‘poor health at exorbitant cost’ by the early 2000s. To tackle these exorbitant healthcare costs, mainly precipitated by a reliance on private hospitals, the state government partnered with the central government to introduce various Government-Sponsored Health Insurance (GSHI) schemes. This study traces the diverse effects that the state policy might have created in Kerala by using GSHI as a mechanism to divert the GSHI-covered households towards public hospitals between 2008 and 2020.

Image of Social World in Metaphors and Narratives of Adults

The image of the social world is a predictor of social behavior and its development during stable social transitivity, i.e., COVID-19 pandemic, economic crises, local military conflicts, etc. It can also be interpreted as a variable linguistic phenomenon. However, very little empirical research has featured its integral structural and content characteristics through the prism of narratives, metaphors, and social representations. The author used the methods of thematic narrative analysis and content analysis of metaphors to identify the narrative constructions used by adult subjects to describe their image of the social world. The data obtained were subjected to frequency analysis and hierarchical cluster analysis. The experiment involved 193 respondents aged 35–49 years old, employed in the city of Rostov-on-Don, Russia. In their metaphors and narratives, they described the social world as balancing between stability and dynamism, predictability and stochasticity, as well as endowed it with differentiation in the absence of universal laws. The rationality of the metaphors reflected the age identity while the subject of biographical narratives reflected the subjective adaptation to current social processes.

Female breast cancer survivor narratives on paths to healing after the conclusion of primary treatment: A qualitative study.

Female breast cancer survivors (BCS) experience different paths to healing after the conclusion of primary treatment. This study sought to describe the experiences of female BCS in the months and years after primary treatment by determining how and when healing happens, as well as what healing means to BCS. A qualitative approach was used through thematic analysis of data collected through questionnaires and semi-structured interviews from 17 female BCS. Data analysis identified four major themes: (i) the process of finishing treatment and continuity of care, (ii) support systems for BCS, (iii) self-efficacy and personal accountability, and (iv) the social transition after cancer. Factors that affect the healing of BCS can be conceptualized as external or personal. Participants found that barriers to healing created by external factors were addressed by improved coordination of care and high-involvement transition programs as opposed to conversational support groups. Barriers created by personal factors were mitigated through organically formed support systems and promotion of self-efficacy and resilience. Participants expressed a desire for a shift in mainstream discourse to better reflect their experiences. Each BCS conceptualized survivorship differently, with some seeing a clear end to healing, and others who viewed it as a lifelong process. Understanding the many paths to healing taken by BCS after concluding primary treatment, as well as common barriers to and catalysts for healing, can aid providers in addressing patient needs based on their individual experiences.

Caring for Transgender and Gender Diverse Prehospital Patients: a NAEMSP Position Statement and Resource Document

ABSTRACT Transgender and gender diverse (TGD) people have long faced significant barriers to safely accessing medical care–especially gender-affirming care, which has been shown to strikingly improve health outcomes like suicidality and depression. In the prehospital setting, gender-affirming care amounts to showing respect for the TGD patient’s identified gender and maintaining a safe environment that fosters a positive therapeutic relationship throughout the encounter. This represents a challenge for many Emergency Medical Services (EMS) systems due to the lack of TGD-specific training for EMS clinicians, a paucity of TGD-specific research to inform EMS education and clinical care, and in some cases the resistance of EMS clinicians to such training. Transgender and gender diverse people are facing a regression in legal access to essential medical care. With this position statement, NAEMSP joins other professional medical societies in providing recommendations to improve care for TGD patients, thereby affirming TGD individuals’ right to exist as their authentic selves, as well as their entitlement to the same high-quality prehospital medical care as their cisgender peers. NAEMSP Recommends: EMS clinicians should maintain basic cultural competency regarding TGD populations, including familiarity with TGD-related health and health care disparities, consideration of TGD populations as underserved, and understanding the centrality of stigma and transphobia in creating disparities and other challenges which complicate daily life for TGD people. EMS clinicians should demonstrate cultural humility towards the TGD community, which includes self-assessment of knowledge gaps, as well as openness to new or unfamiliar ideas, information, and advice from those with different lived experiences. EMS clinicians should understand basic TGD-specific terminology and use appropriate language–including patient-identified name and pronouns–during direct patient care, in handoffs, and in documentation. EMS clinicians should treat a patient’s TGD status as sensitive health information and take care not to inadvertently disclose this information without the patient’s express permission. EMS clinicians should have a basic understanding of social transitioning and of gender-affirming medical and surgical treatments. EMS clinicians should employ a trauma-informed approach when caring for TGD patients. EMS education and training should incorporate learning domains that address comprehensive care for TGD patients, with educational content providing the specific knowledge and skills required to promote equitable care. EMS workplaces should implement policies to improve recruitment and retention of TGD personnel, covering harassment protection, non-discrimination practices, inclusive working environments, equal advancement opportunity and tailored employee benefits. Future EMS research should focus on elucidating the disparities in and barriers to prehospital care of the TGD patient population with emphasis on patient experience and education of prehospital clinicians.

Effects of Adler's Theory‐Based nudge volunteer program on middle school students

AbstractAdler emphasized social interest as a social adaptive lifestyle. The study used a nudge strategy to generate social interest in middle school students through a volunteer program. If student gets a good reward for volunteering, it can be a nudge naturally toward social interest. The dependent variables for the volunteer program as a nudge are inferiority complex, social interest, and game over‐immersion. Using convenience sampling, it was assigning 28 participants to two groups each. The experimental group participated in an intervention consisting of 9 sessions of 90 min each, once a week. Both groups were assessed before and after intervention and at a 4‐weeks follow‐up. Program effectiveness was analyzed using repeated measures analysis of variance. The results showed that it was a significant difference in inferiority complex between the experimental and control groups immediately after intervention, and that it was a strong difference in social interest and game over‐emersion both immediately after the experiment and 4 weeks later. Therefore, it proposes that volunteer programs to increase social interest and transition to a pro‐social lifestyle be included as a nudge in school extracurricular activities or curriculum.

8768 Initiation of Exogenous Sex Hormones in a Pediatric Gender Clinic

Abstract Disclosure: C.M. Roberts: None. M.M. Knoll: None. G. Robertson: None. A. Egan: None. C. Moser: None. Introduction: The demographics of patients seeking care for gender dysphoria have changed significantly since care was started in 1987. The criteria for prescribing sex hormones have also evolved to allow a greater range of patients to receive gender-affirming hormones. We examined factors associated with prescription of gender-affirming hormones to patients presenting for gender-affirming care our clinic. Methods: Secondary analysis of sex hormone initiation as a minor among 14-17-year-old adolescents diagnosed with gender dysphoria, seen in the pediatric gender clinic between 2/19/2018 and 7/20/2022. We extracted demographic variables, appointment dates, and sex hormone prescription data from our electronic medical record. We collected patient reports of gender identity and suicidal behavior, and parent and adolescent reports of general adolescent well-being, months of gender dysphoria and social transition, and parental support for the adolescent’s gender identity from electronic clinic surveys. Results: We identified 273 adolescent-parent dyads with complete data. Most of our sample were assigned female at birth (74.4%), transgender male (59.3%), and white (83.5%) adolescents who lived in urban (86.4%) and lower-middle-income (64.5%) areas. The average age was 15.9+/-1.1 years. A minority of adolescents reported recent suicidal ideation 60/273 (22%), and prior suicide attempts 20/273 (7%). Parents reported a shorter duration of gender dysphoria (-16.7 months (95%CI: -22.0, -11.5)) and social transition (-4.7: -6.5, -3.0), and higher levels of parental support than adolescents. Approximately half, 146/273 (53.5%), of adolescents started sex hormones. The average age at initiation was 16.5 years +/- 0.9. Age at presentation, length of gender dysphoria or social transition, and the presence of suicidal ideation or attempts were not associated with initiation of sex hormones. Assigned males (OR:1.82:95%CI 1.04, 3.19), adolescents with higher parent-reported parental support for the adolescent’s identity (1.03:1.01, 1.04), and adolescents with private insurance rather than Medicaid (Blue Cross- 5.39:2.73, 10.64) were more likely to start sex hormones as a minor. Conclusion: Published criteria for the initiation of sex hormones among adolescents with gender dysphoria, including age, persistence of dysphoria, and the presence of suicidality, did not predict the prescription of sex hormones to minors in our clinic. Parent-reported support for the adolescent’s gender identity played a small role in predicting the prescription of hormones, but male sex assigned at birth and having private health insurance played larger roles. Further exploration of these findings is needed to ensure equity in the treatment of gender dysphoria. Presentation: 6/3/2024

Enabling the Built Environment for Sustainable Living and Climate Resilience

Climate crises and a myriad of anthropogenic hazards have induced multitude of diverse impacts on the built environment. These complex and interconnected crises bring impacts on the functionality and integrity of the built environment in various material and immaterial manners, exacerbating the already intense socioeconomic conflicts. Sustainable solutions, if properly planned and implemented, can help build more holistic crises resilience in the built environment by enhancing the capability and capacity to increase preparedness and agility of the built environment to disruptions. This paper aims to provide a better understanding about the research progress on sustainability and resilience of the built environment in response to climate changes. It reviews the impacts of climate crisis on the functionality and integrity of the built environment and examines the importance of integrating resilience in sustainability solution in the built environment. A framework is proposed to unveil how sustainability solutions with an integration of resilience can provide a more solid approach to accelerate the adaptation to and mitigation of climate change impacts within the built environment. Apart from optimising biodiversity and natural resources-based-solutions, sustainable built environment also facilitates powerful partnerships via social transition for environmental governance and human. Sustainability isn't about decarbonising the built environment. Instead, sustainability would contribute by making systemic changes in the built environment for increased resilience to climate changes and socioeconomic challenges. Keywords: Sustainability, built environment; climate change, resilience, adaptation, systematic review

Where is everybody? The unburied dead in late Roman and early medieval England

Substantial debate surrounds the relative lack of formal burials in Britain during the fifth century AD, which was a key period of social and economic transition following the withdrawal of the Roman army. Here, the authors argue that the ‘missing fifth century’ may be explained, in part, by the continuation of archaeologically invisible mortuary treatments practised in the preceding Iron Age and Roman period. Compilation of published radiocarbon dates from human remains found in cave and riverine contexts demonstrates that a variety of methods for the disposal of the dead—outside of formal cemeteries—existed in the first millennium AD.

Social Transition and Modernization of Eurasian Countries

Abstract Unlike political and economic transitions, the social transition of Eurasian countries exhibits a certain degree of passivity. Eurasian countries prioritize solving political and economic issues, with strict control over social aspects leading to a relatively delayed modernization of the social sector. The market-oriented economic transitions have resulted in a disparity in wealth among the populace, and political transformation has generated various conflicts and social divisions, which pose significant challenges to the simultaneously initiated social transformation. Currently, some Eurasian countries are still undergoing systemic reforms aimed at modernization, implemented as a long-term national strategy. The progress and prospects of these reforms depend on the interplay of multiple factors, and their future trajectory warrants continuous attention. The modernization of Eurasian countries is destined to follow a development path different from that of other countries, determined by their unique cultural traditions, social structures, and specific national conditions. Meanwhile, the social changes over more than 30 years of independence have profoundly altered the cultural and social characteristics of Eurasian countries. While preserving traditions, they need to incorporate valuable experiences from the modernization of other countries and seek development paths best suited to their own contexts.

Evolutionary trajectories of social transitions: Higher social complexity is associated with lower effective population size and reduced efficacy of selection in termites

Evolutionary trajectories of social transitions: Higher social complexity is associated with lower effective population size and reduced efficacy of selection in termites

“Intercultural Encounters”: Mentorship Relations as Spaces for Critical Intercultural Learning in Higher Education Institutions (HEIs)

There are growing numbers of African international students studying at Higher Education Institutions (HEIs) in North America and the United Kingdom. Intercultural mentoring is one response to supporting students in navigating the complex cultural, social, and academic transitions from home to host countries. This article examines the experiences of 18 participants who had recently mentored African international students attending higher education institutions in Canada or in the UK. Semi-structured interviews with participating mentors were transcribed and analysed from a critical intercultural perspective. Results highlight four themes that provide insight into mentors’ approaches to intercultural mentoring: navigating fields of action and intervention, engaging in reflective practice, intercultural mentoring as a relational practice, and mentoring as a decolonising practice. Study findings provide insight into how intercultural mentoring relationships develop and evolve and how mentors approach mentoring relationships as sites that hold transformative learning potential for both mentors and students.

Neighborly Surveillance: The Mississippi State Sovereignty Commission and the Development of a Post-Jim Crow Ideological Apparatus

The relations of production in Deep South regions like the Mississippi Delta require a high degree of control over race and class configurations. While the overt, de jure White supremacy that marked the post-Reconstruction era allowed for effective repression of dissent, the promise of federal intervention and grassroots organizing during the years of the civil rights movement required White elites to recalibrate methods of control. By integrating theories of racialization of space, internal colonialism, and Althusser’s (2006) notion of the ideological state apparatus, I suggest that this transition from overt to implicit control was accomplished by creating a culture of neighborly surveillance in which everyday Whites were deputized to surveil and report on civil rights organizing at the grassroots level. By neighborly surveillance, I refer to surveillance between and amongst private citizens enacted outside the purview of the formal state but in the interest of the powerful elite who control the state. I document this process through analysis of the archives of the Mississippi State Sovereignty Commission, an official state agency tasked with spying on and counteracting civil rights activity. These records demonstrate the extent to which non-state actors assumed the roles originally exercised by the de jure Jim Crow regime. Beyond augmenting understandings of the civil rights movement-era US South, this article contributes analytical insights to social and ideological transitions in other post-colonial, post-authoritarian spatial contexts.

Long-term effects of pre-weaning social housing on response to a social and housing transition in pregnant heifers

Dairy cattle are routinely managed in social groups and subject to various management and social transitions, yet conventional approaches to rearing dairy calves limit social experience during early weeks of life. The objective of this study was to evaluate long-term effects of dairy calf social housing, with calves housed individually or in pairs, on long-term behavioral responses observed in pregnant heifers following social regrouping and introduction to a novel housing environment. Holstein heifers were raised during the milk-feeding period (provided 8 L/d milk replacer) in either individual pens (n = 20 heifers) or paired pens (n = 20 pens; 1 focal heifer/pen) and subsequently identically managed in groups on pasture from 9 weeks of age. At 30 d before expected calving, pregnant heifers were moved from pasture to a free stall barn, which represented introduction to a novel social group and an unfamiliar housing environment. Behavior was continuously recorded from video for 24 h, beginning at 0000 h on the day after introduction, to characterize feeding behavior, locomotor activity, and stall usage, as well as social proximity and competitive behavior surrounding the feed bunk and stall. Stocking density of the free stall barn fluctuated and was categorized as low (≤75%, 100 × animals in pen/available stalls), medium (>75%, 100%), or high (≥100%). Body weights obtained following calving indicated that previously PH heifers were heavier (632.3 vs. 593.4 kg; PH vs. IH), and body weight was included as a covariate in analysis of feeding behavior. Upon introduction to the free stall pen, previously PH heifers spent more time walking (1.9 vs. 1.3 min/h) with no effect of calf social housing on duration of lying time. However, stall use was subject to an interaction between previous housing treatment and stocking density and differed overall between previous housing treatments; previously PH heifers spent less time in the stall, particularly at high stocking density (29.4 vs. 48 min/h), due to shorter (29.6 vs. 95.7 min/visit) but marginally more frequent stall visits. Previously pair-housed heifers were also less likely to be displaced from a stall (44 vs. 85% of heifers replaced; PH vs. IH). Feeding behavior was similarly influenced by previous housing treatment particularly at high stocking density, with previously PH heifers spending more time feeding (8.2 vs. 4.2 min/h) and visiting the feed bunk more frequently (1.5 vs. 0.8 visits/h). These results suggest that preweaning social housing had long-term effects on behavior and ability to adapt to a novel environment which became most apparent under heightened competitive pressure.

Trends, transitions and patterning in social activity over time among aging women and men: A secondary analysis of the Canadian Longitudinal Study on Aging (CLSA)

Social isolation matters for health and longevity, but little research examines transitions into or out of social isolation or whether transitions are gendered or socially patterned. We described gender-specific trends in breadth and lack of social participation over 6 years overall and by age, country of origin, geographic location, education, wealth, and household income. We used three waves of CLSA data to evaluate changes in social isolation (0–1 activities) and broad social participation (5+ activities) in adults aged 45–75 (n = 24,788), by gender and socio-demographics, in linear and multinomial logistic regressions with post-estimated predicted probabilities. The number of social activities decreased over time, with greater declines for women. About half the sample (more men than women) stayed not highly socially active (<5 activities) and almost 1 in 5 became not highly socially active. Most adults (77 %) remained not socially isolated and 14 % became or remained socially isolated. Women were more likely than men to remain not highly socially active and less likely to have multiple social isolation transitions. Broad social participation changed over time for several subgroups of women and men, with gender differences notable for income levels. Social disparities in social isolation transitions differed by gender only for education. Older age and socioeconomically disadvantaged adults had higher probabilities of becoming socially isolated or becoming less socially active. Findings indicated the diversity of social activities declined as Canadians age into later life and transitions in both social isolation and social participation differed between genders, especially for specific vulnerable subpopulations.