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Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors.
- Source :
-
Journal of Aging & Health . Mar2024, Vol. 36 Issue 3/4, p147-160. 14p. - Publication Year :
- 2024
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TERMINAL care
*ATTITUDE (Psychology)
*AGE distribution
*GROUP identity
*RACE
*ADVANCE directives (Medical care)
*PSYCHOLOGY of gay people
*CATASTROPHIC illness
*RESEARCH funding
*AGING
*PSYCHOSOCIAL factors
*SOCIAL classes
*HEALTH equity
*SOCIODEMOGRAPHIC factors
*ODDS ratio
*ETHNIC groups
*SECONDARY analysis
Subjects
Details
- Language :
- English
- ISSN :
- 08982643
- Volume :
- 36
- Issue :
- 3/4
- Database :
- Academic Search Index
- Journal :
- Journal of Aging & Health
- Publication Type :
- Academic Journal
- Accession number :
- 175158528
- Full Text :
- https://doi.org/10.1177/08982643231177725