Evidence map›Paper›PMID 26497263›Full record

ArticleAmerican journal of preventive medicine2016

Healthcare Stereotype Threat in Older Adults in the Health and Retirement Study.

Cleopatra M Abdou, Adam W Fingerhut, James S Jackson, Felicia Wheaton

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
19.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The Impact of Self-Reported Healthcare Stereotype Threat on Advance Care Planning Among Older, Sexual Minority Adults: A Black and White Difference.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  4. Review
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  6. Article
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  8. Article
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  12. Article
  13. Healthcare Stereotype Threat and Health Outcomes Among LGB Individuals.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Article
  14. Racial and oral health equity in dental school curricula.Journal of public health dentistry · 2022
    Article
  15. Review
  16. Review
  17. Article
  18. Examining "race" in physiology.American journal of physiology. Heart and circulatory physiology · 2020
    Article
  19. The Applied Implications of Age-Based Stereotype Threat for Older Adults.Journal of applied research in memory and cognition · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Cleopatra M AbdouDavis School of Gerontology and Department of Psychology, University of Southern California, Los Angeles, California. Electronic address: cabdou@usc.edu.
Adam W FingerhutDepartment of Psychology, Loyola Marymount University, Los Angeles, California.
James S JacksonInstitute for Social Research, Department of Psychology, and School of Public Health, University of Michigan, Ann Arbor, Michigan;
Felicia WheatonDavis School of Gerontology, University of Southern California, Los Angeles, California.
University of Southern California · USLoyola Marymount University · USUniversity of Michigan–Ann Arbor · US

Funding

USC Resource Center for Minority Aging Research (US-RCMAR)P30AG043073 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI EMMA AGUILA, JENNIFER A AILSHIRE · 2012 to 2026
$10.1M
NIA NIH HHS P30 AG043073NIA NIH HHS P30AG043073
6 · The paper itself

Abstract

introductionHealthcare stereotype threat is the threat of being personally reduced to group stereotypes that commonly operate within the healthcare domain, including stereotypes regarding unhealthy lifestyles and inferior intelligence. The objective of this study was to assess the extent to which people fear being judged in healthcare contexts on several characteristics, including race/ethnicity and age, and to test predictions that experience of such threats would be connected with poorer health and negative perceptions of health care.

methodsData were collected as part of the 2012 Health and Retirement Study (HRS). A module on healthcare stereotype threat, designed by the research team, was administered to a random subset (n=2,048 of the total 20,555) of HRS participants. The final sample for the present healthcare stereotype threat experiment consists of 1,479 individuals. Logistic regression was used to test whether healthcare stereotype threat was associated with self-rated health, reported hypertension, and depressive symptoms, as well as with healthcare-related outcomes, including physician distrust, dissatisfaction with health care, and preventative care use.

resultsSeventeen percent of respondents reported healthcare stereotype threat with respect to one or more aspects of their identities. As predicted, healthcare stereotype threat was associated with higher physician distrust and dissatisfaction with health care, poorer mental and physical health (i.e., self-rated health, hypertension, and depressive symptoms), and lower odds of receiving the influenza vaccine.

conclusionsThe first of its kind, this study demonstrates that people can experience healthcare stereotype threat on the basis of various stigmatized aspects of social identity, and that these experiences can be linked with larger health and healthcare-related outcomes, thereby contributing to disparities among minority groups.

Indexed as

Attitude of Health PersonnelHealth StatusAgedAge FactorsAgeismDepressionFemaleHumansHypertensionMaleMental HealthMiddle AgedOverweightPhysician-Patient RelationsPhysiciansPrejudice

Identifiers

PMID26497263
PMCPMC4755717
OpenAlexW1788237621

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.