Edson College of Nursing and Health Innovation , Arizona State University , Tempe, Arizona, Phoenix, AZ, USA.
Center for Innovation in Healthy and Resilient Aging , Arizona State University, Tempe, Arizona, Phoenix, AZ, USA.
J Gerontol Soc Work. 2021 Sep;64(6):571-584. doi: 10.1080/01634372.2021.1904080. Epub 2021 Apr 12.
Older adults have been identified as a high-risk population for COVID-19 by the United States Centers for Disease Control and Prevention (CDC). Though well-intentioned, this nonspecific designation highlights stereotypes of older adults as frail and in need of protection, exacerbating negative age-based stereotypes that can have adverse effects on older adults' well-being. Healthcare stereotype threat (HCST) is concern about being judged by providers and receiving biased medical treatment based on stereotypes about one's identity - in this case age. Given the attention to older adults' physical vulnerabilities during the COVID-19 pandemic, older adults may be especially worried about age-based judgments from medical providers and sensitive to ageist attitudes about COVID-19. Online data collection (April 13 to May 15, 2020) with adults aged 50 and older ( = 2325, = 63.11, = 7.53) examined age-based HCST. Respondents who worried that healthcare providers judged them based on age ( = 584) also reported more negative COVID-19 reactions, including perceived indifference toward older adults, young adults' lack of concern about health, and unfavorable media coverage of older adults. The results highlight the intersection of two pandemics: COVID-19 and ageism. We close with consideration of the clinical implications of the results.
美国疾病控制与预防中心(CDC)将老年人确定为 COVID-19 的高风险人群。虽然这种说法是出于好意,但这种非特异性的指定突出了老年人身体脆弱且需要保护的刻板印象,加剧了对老年人的负面刻板印象,这可能对老年人的健康产生不利影响。医疗保健刻板印象威胁(HCST)是指担心提供者根据关于其身份(在这种情况下是年龄)的刻板印象进行判断并接受有偏见的治疗。考虑到在 COVID-19 大流行期间对老年人身体脆弱性的关注,老年人可能特别担心医疗服务提供者基于年龄的判断,并对 COVID-19 中的年龄歧视态度敏感。对 50 岁及以上成年人(n=2325,M=63.11,SD=7.53)的在线数据收集(2020 年 4 月 13 日至 5 月 15 日)检验了基于年龄的 HCST。担心医疗服务提供者根据年龄对他们进行判断的受访者(n=584)也报告了更多对 COVID-19 的负面反应,包括对老年人漠不关心、年轻人对健康缺乏关注以及对老年人的不利媒体报道。结果突出了两个大流行的交集:COVID-19 和年龄歧视。我们最后考虑了结果的临床意义。