SPSSI James Marshall Public Policy Fellow, Washington, District of Columbia, USA.
Department of Psycology, Wichita State University, Wichita, Kansas, USA.
J Prev Interv Community. 2021 Jul-Sep;49(3):251-265. doi: 10.1080/10852352.2019.1654262. Epub 2019 Sep 24.
Stereotype threats have been documented in an academic and work setting and have been found to have a significant impact on an individual's behavior as it could be a barrier in receiving healthcare services. This paper explores the impact of health-related stereotype threats and its influence within a LGBT sample with the use of an online survey to explore underlying and unconscious barriers within mental health services. A series of regressions were used to analyze and explore the potential predictability the health-related stereotype threats may have on the fear of communicating with a physician, delay in mental health services, and poor mental health outcomes. High reports of health-related stereotype threats significantly predicted high reports of fear of the physician which could indicate that many LGBT patients are afraid to communicate with their providers about their mental health due to stereotype threats ( (1,91) = 9.844, < .005). In addition, high reports of health-related stereotype threats slightly but significantly predicted reported delays in seeking mental health services ((1) = 4.220, < .05). In addition, although there was no significance related to positive affect scores, health related stereotype threats significantly predicted self-reported poor mental health outcomes ( (1,90) = 4.545, < .05) and high rates of negative affect scores (i.e., anxiety, depression; (1,89) = 4.933, < .05). Recommendations and future study will also be discussed.
刻板印象威胁在学术和工作环境中都有被记录,并已被发现对个人的行为产生重大影响,因为它可能成为获得医疗服务的障碍。本文探讨了与健康相关的刻板印象威胁及其在 LGBT 样本中的影响,使用在线调查来探索心理健康服务中潜在的、无意识的障碍。一系列回归分析用于分析和探索与健康相关的刻板印象威胁可能对与医生沟通的恐惧、心理健康服务延迟和心理健康不良结果的潜在可预测性。与健康相关的刻板印象威胁的高报告显著预测了对医生的恐惧的高报告,这可能表明许多 LGBT 患者由于刻板印象威胁而害怕与他们的提供者沟通他们的心理健康问题((1,91) = 9.844, <.005)。此外,与健康相关的刻板印象威胁的高报告略微但显著地预测了寻求心理健康服务的延迟((1) = 4.220, <.05)。此外,尽管与积极影响评分无关,但与健康相关的刻板印象威胁显著预测了自我报告的心理健康不良结果((1,90) = 4.545, <.05)和高的负面影响评分(即焦虑、抑郁;(1,89) = 4.933, <.05)。还将讨论建议和未来的研究。