Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

Daniel Siconolfi*, Emma G. Thomas, Emily K. Chen, Sabina A. Haberlen, M. Reuel Friedman, Deanna Ware, Steven Meanley, Mark Brennan-Ing, Andre L. Brown, James E. Egan, Robert Bolan, Valentina Stosor, Michael Plankey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
JournalJournal of aging and health
DOIs
StateAccepted/In press - 2023

Keywords

  • advance care planning
  • advance directives
  • aging
  • sexual minority men

ASJC Scopus subject areas

  • Health(social science)
  • Life-span and Life-course Studies
  • Sociology and Political Science

Fingerprint

Dive into the research topics of 'Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors'. Together they form a unique fingerprint.

Cite this