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- Title
Theory Integration for Examining Health Care Discrimination among Minoritized Older Adults with Chronic Illness.
- Authors
Olmos, Brenda; Nava, Adrianna; Jones, Emily J.
- Abstract
Prevalence of chronic illnesses, including type 2 diabetes (T2DM), is increasing disproportionately among Latinx adults in the United States. Health care inequities such as health care discrimination contribute to the disparities in this population. Academic and clinical nurses must address health care discrimination from a strong theoretical framework. In this article, we integrate the minority stress theory and ecosocial theory of disease distribution to offer a whole-person model that identifies the concepts most relevant to Latinx older adults who function at multiple levels of intersectionality. This paper uses T2DM as an exemplar of chronic illness. The integrated model depicts possible pathways of physiological and psychological embodiment of lived experiences of minoritized older persons managing chronic illness who are living in a society deeply embedded with structural racism and oppression. This model may guide future research aimed at elucidating the social and structural determinants that impact health-related outcomes among Latinx older adults.
- Subjects
PHYSIOLOGICAL stress; EVALUATION of medical care; AGEISM; MINORITIES; LIFE course approach; SOCIAL determinants of health; CHRONIC diseases; MATHEMATICAL models; SOCIAL theory; HISPANIC Americans; GERIATRICS; CONCEPTUAL structures; TYPE 2 diabetes; MINORITY stress; THEORY; DISEASE prevalence; SOCIOECONOMIC disparities in health; HEALTH equity; POPULATION health; PSYCHOLOGICAL stress; OLD age
- Publication
Western Journal of Nursing Research, 2023, Vol 45, Issue 3, p262
- ISSN
0193-9459
- Publication type
Article
- DOI
10.1177/01939459221128123