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未来的规划:提前护理规划知识,讨论和决策在老年人,性少数民族成年人
Mekiayla C Singleton1, Elissa Kozlov2, M Reul Friedman3
1Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
The American journal of hospice & palliative care
|December 19, 2024
概括
在性少数群体 (SM) 成年人之间的事先护理规划 (ACP) 知识和讨论中,种族差异仍然存在. 与黑人SM成年人相比,白人SM成年人具有更高的ACP知识和讨论机会.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 现有研究突出了提前护理计划 (ACP) 知识和讨论中的种族差异.
- 然而,性少数群体 (SM) 人口中的类似差异仍未得到充分研究.
研究的目的:
- 检查性少数群体成年人对非洲和非洲的知识,讨论和决策方面的种族差异.
- 为了确定影响该人口中的ACP因素.
主要方法:
- 在281名年龄在50岁以上的黑人和白人性少数群体成年人进行了在线调查.
- 收集的数据包括非洲和非洲国家和地区的知识,讨论历史和医疗决策的舒适性.
- 多变量后勤回归分析了种族,ACP和决策之间的关联,控制共变量.
主要成果:
- 白人性少数群体成年人拥有ACP知识 (aOR = 3.56) 和参与ACP讨论 (aOR = 2.43) 的几率明显更高.
- 在医疗决策的舒适性方面没有观察到任何显著的种族差异,尽管其他社会人口统计学因素也与之相关.
- 大多数参与者 (74%) 听说过ACP,65% 讨论过它.
结论:
- 在性少数群体中,在非洲和非洲的知识和讨论中存在着持续的种族差异.
- 解决系统性问题至关重要,以确保所有性少数群体成年人平等获得和参与ACP.
- 进一步的研究应探讨影响ACP国家制定有针对性的干预措施的因素.
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