Cover: Advance Care Planning Among Sexual Minority Men

Advance Care Planning Among Sexual Minority Men

Sociodemographic, Health Care, and Health Status Predictors

Published in: Journal of Aging and Health (2023). doi: 10.1177/08982643231177725

Posted on rand.org Jun 21, 2023

by Daniel Siconolfi, Emma Thomas, Emily K. Chen, Sabina A. Haberlen, M. Reuel Friedman, Deanna Ware, Steven Meanley, Michael Brennan, Andre L. Brown, James E. Egan, et al.

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.

Research conducted by

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