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Palliative Care Awareness and Misconceptions By Sexual Orientation: HINTS 2018 and 2024
Jiamin Hu1, Young-Rock Hong2, Zhigang Xie3
1Department of Health Services Research (J.H., Z.X.), Management, and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA.
Journal of Pain and Symptom Management
|April 17, 2026
Summary
Sexual minority adults show greater palliative care (PC) awareness compared to heterosexual adults, even after accounting for socioeconomic and health factors. Misconceptions about PC were similar between groups.
Area of Science:
- Health Services Research
- Health Equity
- Palliative Care
Background:
- Sexual minority individuals face inequities in end-of-life care, including reduced access to palliative care (PC).
- Existing disparities highlight the need to understand PC awareness and misconceptions in this population.
Purpose of the Study:
- To examine differences in palliative care awareness and misconceptions between U.S. sexual minority and heterosexual adults.
- To identify potential disparities in end-of-life care information access.
Main Methods:
- Analysis of nationally representative data from the 2018 and 2024 Health Information National Trends Survey (HINTS).
- Used multivariable robust Poisson regression to estimate prevalence ratios for PC awareness and misconceptions.
- Models were progressively adjusted for demographics, socioeconomic, and health-related factors.
Main Results:
- Sexual minority adults (6.5% of sample) demonstrated significantly higher PC awareness after adjusting for socioeconomic and health factors (aPR=1.22).
- No statistically significant differences in PC misconceptions were found between sexual minority and heterosexual adults.
- Initial unadjusted differences in PC awareness were not statistically significant.
Conclusions:
- Sexual minority adults exhibit greater palliative care awareness compared to heterosexual adults when controlling for key confounders.
- Levels of palliative care misconceptions are comparable between sexual minority and heterosexual adults.
- Further research is needed to explore the PC awareness-utilization gap in sexual minority populations.
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