Sexual and gender minorities (SGMs) have experienced progressive change over the last 50 years. However, this group still reports worse health and health care experiences. An innovative survey instrument that applies stereotype threat to the health care setting, health care stereotype threat (HCST), offers a new avenue to examine these disparities. We harmonized two national probability data sets of SGMs-Generations and TransPop-capturing 503 gay men, 297 lesbians, 467 bisexuals, and 221 trans people. Using these data, we, first, explored how HCST's association with self-rated health and psychological distress changed while considering more established constructs: discrimination and stigma. Second, we examined how HCST's association varied across SGM groups. Results suggest that HCST is a unique predictor net of the associations with discrimination and stigma. Furthermore, results highlight the more consequential associations for trans people on well-being compared to gay men. We discuss implications of these findings for future research and potential interventions.

中文翻译：

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医疗保健刻板印象威胁与性和性别少数群体的福祉。


过去 50 年来，性少数群体 (SGM) 经历了逐步的变化。然而，该群体的健康和医疗保健体验仍然较差。医疗保健刻板印象威胁 (HCST) 是一种将刻板印象威胁应用于医疗保健环境的创新调查工具，为检查这些差异提供了新途径。我们协调了 SGMs（Generations 和 TransPop）的两个国家概率数据集，捕获了 503 名男同性恋者、297 名女同性恋者、467 名双性恋者和 221 名跨性别者。利用这些数据，我们首先探讨了 HCST 与自评健康和心理困扰的关联如何变化，同时考虑更成熟的概念：歧视和耻辱。其次，我们研究了 HCST 的关联性在不同 SGM 团体中的差异。结果表明，HCST 是与歧视和耻辱相关的独特预测因子。此外，结果强调，与男同性恋者相比，跨性别者对幸福感的影响更为重要。我们讨论这些发现对未来研究和潜在干预措施的影响。