Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
School of Social Work, Salisbury University, Salisbury, MA, USA.
J Appl Gerontol. 2023 Sep;42(9):1965-1973. doi: 10.1177/07334648231167944. Epub 2023 Apr 11.
Healthcare stereotype threat (HCST) is defined as "being reduced to group stereotypes within an individual's healthcare encounter," leading to experiences of stigma and discrimination. This current study explores how older gay men living with HIV attribute their healthcare experiences to their social identities. Using HCST as a guiding framework, a content and structural coding analysis was conducted on transcripts from 11 interviews of older gay men living with HIV. The majority of HCST experiences were connected to the social identities of , , and Many of the healthcare experiences that participants discussed were related to interactions with healthcare providers and the attitudes of healthcare providers. This study illustrates how participants attributed social identities to healthcare experiences that showed qualities of HCST. These outcomes highlight how marginalized social identities impacted the lifetime healthcare experiences of this group of older gay men living with HIV.
医疗保健刻板印象威胁（HCST）被定义为“在个体的医疗保健接触中被简化为群体刻板印象”，导致污名化和歧视的体验。本研究探讨了老年 HIV 阳性男同性恋者如何将其医疗保健体验归因于他们的社会身份。本研究使用 HCST 作为指导框架，对 11 名 HIV 阳性老年男同性恋者访谈的记录进行了内容和结构编码分析。大多数 HCST 体验与 、 和 等社会身份有关。参与者讨论的许多医疗保健体验都与与医疗保健提供者的互动以及医疗保健提供者的态度有关。本研究说明了参与者如何将社会身份归因于表现出 HCST 特征的医疗保健体验。这些结果突出了边缘化的社会身份如何影响这一群体老年 HIV 阳性男同性恋者的终身医疗保健体验。
