Advance care planning among sexual minority men : sociodemographic, health care, and health status predictors

Article indépendant

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

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.

http://dx.doi.org/10.1177/08982643231177725

Voir la revue «Journal of aging and health»

Autres numéros de la revue «Journal of aging and health»

• Description
• Sujet/Public
• Outil
• Outil d'anticipation
• Gestion