自我报告的医疗保健刻板印象威胁对老年性少数成年人预先护理计划的影响：黑白差异
The Impact of Self-Reported Healthcare Stereotype Threat on Advance Care Planning Among Older, Sexual Minority Adults: A Black and White Difference.
作者信息
Singleton Mekiayla C, Kozlov Elissa, Friedman M Reuel, Enguidanos Susan M
机构信息
Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Health Behavior, Society, and Policy, School of Public Health, Rutgers University, Piscataway, NJ, USA.
出版信息
J Appl Gerontol. 2025 Jul 9:7334648251357028. doi: 10.1177/07334648251357028.
Healthcare stereotype threat (HCST), defined as "the threat of being reduced to group stereotypes within healthcare encounters," may occur when social identities negatively impact healthcare experiences. The aim of this study was to examine the association between advance care planning (ACP) activities and HCST related to sexual orientation and race. Data from an online survey ( = 281) asked Black and White sexual minority (SM) adults ages 50+ about their ACP activities and perceptions of HCST. Higher scores of HCST-sexual orientation were associated with having had ACP discussions and higher scores of HCST-race were associated with having ACP discussions, having completed a living will, and having designated a healthcare proxy. Past experiences of HCST or concerns about experiencing HCST may be a motivating factor for older SM adults to engage in ACP, highlighting how prior and/or current healthcare experiences can potentially impact how SM individuals plan for end-of-life.
医疗保健刻板印象威胁（HCST）被定义为“在医疗保健接触中被简化为群体刻板印象的威胁”，当社会身份对医疗保健体验产生负面影响时可能会出现。本研究的目的是探讨预先护理计划（ACP）活动与与性取向和种族相关的HCST之间的关联。一项在线调查（n = 281）的数据询问了50岁及以上的黑人和白人性少数群体（SM）成年人关于他们的ACP活动以及对HCST的看法。较高的HCST-性取向得分与进行过ACP讨论相关，较高的HCST-种族得分与进行过ACP讨论、完成生前遗嘱以及指定医疗代理人相关。过去的HCST经历或对经历HCST的担忧可能是老年SM成年人参与ACP的一个激励因素，这突出了先前和/或当前的医疗保健经历如何可能影响SM个体对临终的规划。
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