Age-Based Healthcare Stereotype Threat during the COVID-19 Pandemic

J Gerontol Soc Work. 2021 Sep;64(6):571-584. doi: 10.1080/01634372.2021.1904080. Epub 2021 Apr 12.

Abstract

Older adults have been identified as a high-risk population for COVID-19 by the United States Centers for Disease Control and Prevention (CDC). Though well-intentioned, this nonspecific designation highlights stereotypes of older adults as frail and in need of protection, exacerbating negative age-based stereotypes that can have adverse effects on older adults' well-being. Healthcare stereotype threat (HCST) is concern about being judged by providers and receiving biased medical treatment based on stereotypes about one's identity - in this case age. Given the attention to older adults' physical vulnerabilities during the COVID-19 pandemic, older adults may be especially worried about age-based judgments from medical providers and sensitive to ageist attitudes about COVID-19. Online data collection (April 13 to May 15, 2020) with adults aged 50 and older (N = 2325, M = 63.11, SD = 7.53) examined age-based HCST. Respondents who worried that healthcare providers judged them based on age (n = 584) also reported more negative COVID-19 reactions, including perceived indifference toward older adults, young adults' lack of concern about health, and unfavorable media coverage of older adults. The results highlight the intersection of two pandemics: COVID-19 and ageism. We close with consideration of the clinical implications of the results.

Keywords: COVID-19 worry; Stigma; healthcare stereotype threat.

MeSH terms

  • Aged
  • Ageism / psychology*
  • Attitude of Health Personnel*
  • COVID-19 / epidemiology*
  • Chronic Disease
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pandemics
  • Risk Factors
  • SARS-CoV-2
  • Socioeconomic Factors
  • Stereotyping*