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医学环境中与年龄歧视刻板印象威胁相关因素的探索。

An Exploration of Factors Associated With Ageist Stereotype Threat in a Medical Setting.

机构信息

College of Public Health and Human Sciences, School of Social and Behavioral Health Sciences, Oregon State University, Corvallis.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2018 Sep 20;73(7):1160-1165. doi: 10.1093/geronb/gbx034.

Abstract

OBJECTIVES

Experiencing stereotype threat in a medical setting may be triggered by routine clinical activities, and may be detrimental to healthcare processes and outcomes. This study estimated the prevalence of, and identified factors associated with, reporting ageist stereotype threat in a medical setting using a nationally representative dataset.

METHODS

Participants were community-dwelling adults aged 50 and older who had visited the doctor at least once in the past 2 years (n = 1,662). We analyzed data from the Health and Retirement Study using multivariate logistic regression.

RESULTS

8.31% of participants felt worry or fear that they were judged by medical staff because of their age. Previous experiences of age discrimination (adjusted odds ratio [AOR] = 2.47, p < .01), poorer self-perceptions of aging (AOR = 1.34, p < .05), and having greater control over one's health (AOR = 0.84, p < .05) were associated with reporting stereotype threat because of age.

DISCUSSION

Future research should investigate if measures to reduce age discrimination and to improve self-perceptions of aging and individual control over health protect against experiencing ageist stereotype threat in healthcare settings.

摘要

目的

在医疗环境中体验刻板印象威胁可能是由常规临床活动引发的,这可能对医疗保健过程和结果产生不利影响。本研究使用全国代表性数据集估计在医疗环境中报告年龄歧视刻板印象威胁的患病率,并确定其相关因素。

方法

参与者为过去 2 年内至少看过一次医生的社区居住的 50 岁及以上成年人(n=1662)。我们使用多变量逻辑回归分析了健康与退休研究的数据。

结果

8.31%的参与者表示担心或害怕因年龄而受到医务人员的评判。以前经历过年龄歧视(调整后的优势比[OR] = 2.47,p<.01)、对衰老的自我认知较差(OR = 1.34,p<.05)以及对自身健康的控制能力更强(OR = 0.84,p<.05)与因年龄而报告刻板印象威胁有关。

讨论

未来的研究应调查是否采取措施减少年龄歧视,改善对衰老的自我认知和个人对健康的控制能力,可以预防在医疗保健环境中体验到年龄歧视的刻板印象威胁。

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