自我对衰老的看法和医疗歧视的看法
Na Sun1, Ziyao Xu1, Cassandra L Hua2,3
1Department of Sociology and Gerontology, Miami University, Oxford, Ohio, USA.
Journal of the American Geriatrics Society
|August 18, 2023
概括
对衰老的积极自我认知 (SPA) 减少了基于年龄和种族的医疗歧视. 负的SPA增加了经历与年龄有关的歧视和其他形式的医疗偏见的可能性.
科学领域:
- 老年学是一门学科.
- 健康和疾病的社会学
- 健康差异 在健康上的差异
背景情况:
- 医疗歧视对个人有重大负面影响.
- 自我对衰老的看法 (SPA) 可能会塑造对临床护理的期望.
- 种族歧视可以放大医疗保健中的基于年龄的歧视.
研究的目的:
- 探讨老化自我感知 (SPA) 和医疗歧视感知之间的关系.
- 检查基于年龄,种族及其交集的歧视.
- 探讨老年人因其他原因而受到的歧视.
主要方法:
- 利用了健康和退休研究 (HRS) 数据的三波 (2008年,2012年,2016年) 数据.
- 样本包括10,188名51岁及以上的社区居民成年人.
- 使用多项逻辑回归,调整共变量,分析SPA和感知医疗歧视.
主要成果:
- 大约有11%的人报告了基于年龄或种族的医疗歧视.
- 阳性SPA与15-20%的感知年龄和/或种族歧视的可能性降低有关.
- 负的SPA与年龄歧视的可能性增加了38%,其他歧视的可能性增加了12%.
结论:
- 对衰老的积极自我认知可能会减轻医疗歧视的感知.
- 减少歧视可能有助于改善患者与医疗服务提供者的沟通.
- 这可能会导致老年人更及时,更适当的医疗治疗.
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