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Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors.
Siconolfi, Daniel; Thomas, Emma G; Chen, Emily K; Haberlen, Sabina A; Friedman, M Reuel; Ware, Deanna; Meanley, Steven; Brennan-Ing, Mark; Brown, Andre L; Egan, James E; Bolan, Robert; Stosor, Valentina; Plankey, Michael.
Afiliación
  • Siconolfi D; RAND Corporation, Pittsburgh, PA, USA.
  • Thomas EG; RAND Corporation, Pittsburgh, PA, USA.
  • Chen EK; RAND Corporation, Pittsburgh, PA, USA.
  • Haberlen SA; Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • Friedman MR; Rutgers School of Public Health, Rutgers University, Newark, NJ, USA.
  • Ware D; Georgetown University Medical Center, Washington, DC, USA.
  • Meanley S; Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
  • Brennan-Ing M; Brookdale Center for Healthy Aging, Hunter College, New York, NY, USA.
  • Brown AL; Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
  • Egan JE; Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
  • Bolan R; Los Angeles LGBT Center, Los Angeles, CA, USA.
  • Stosor V; Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Plankey M; Georgetown University Medical Center, Washington, DC, USA.
J Aging Health ; 36(3-4): 147-160, 2024 Mar.
Article en En | MEDLINE | ID: mdl-37249419
Objectives: Advance care planning (ACP) specifies decision-making surrogates and preferences for serious illness or end-of-life medical care. ACP research has largely neglected sexual minority men (SMM), a population that experiences disparities in health care and health status. Methods: We examined formal and informal ACP among SMM ages 40+ in the Multicenter AIDS Cohort Study (N = 1,071). Results: For informal ACP (50%), younger SMM and men with past cardiovascular events had greater odds of planning; single men had lower odds of planning. For formal ACP (39%), SMM with greater socioeconomic status had greater odds of planning; SMM who were younger, of racial/ethnic minority identities, who were single or in a relationship without legal protections, and who lacked a primary care home had lower odds of planning. Discussion: Findings warrant further exploration of both informal and formal planning. More equitable, culturally-humble engagement of SMM may facilitate access, uptake, and person-centered planning.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Etnicidad / Planificación Anticipada de Atención Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Límite: Humans / Male Idioma: En Revista: J Aging Health Asunto de la revista: GERIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Etnicidad / Planificación Anticipada de Atención Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Equity_inequality / Patient_preference Límite: Humans / Male Idioma: En Revista: J Aging Health Asunto de la revista: GERIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos