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Introduction&#xa0; <p>This paper examines differences in advanced care planning (ACP) discussions among Two Spirit, lesbian, gay, bisexual, transgender, queer, non-binary, and sexually or gender diverse (2SLGBTQ+) Canadians, focusing on subgroup differences in both the occurrence of these discussions and the individuals involved.</p> Method <p>This descriptive research is part of the Global Pride Study. The cross-sectional survey was conducted online in Canada in 2022, with a sample size of 106 2SLGBTQ + individuals aged 18 and older. Respondents were asked if they had discussions about the care and treatment they would prefer at the end of their life and with whom such discussions had taken in place. We also explored how demographic, social, and health factors predicted these discussions.&#xa0;</p> Results <p>Overall, 55.8% of respondents reported having had an ACP discussion. Lesbian women and sexually diverse individuals were significantly less likely to engage in ACP discussions with medical providers than gay men, while sexually diverse people were significantly more likely to engage in ACP discussions with friends than gay men. Being older increased the odds of having ACP discussions along with being married and higher levels of community engagement.</p> Conclusion <p>These significant variations within 2SLGBTQ + populations underscore that a one-size-fits-all approach to initiating ACP discussions will not be effective for this diverse population.</p> Policy Implications <p>Targeted interventions should be developed to support individuals who are less likely to engage in ACP conversations; enhancing community-based programs and leveraging existing social and community networks may also be effective strategies for promoting ACP, ensuring that ACP practices are both inclusive and accessible.</p>

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Advance Care Planning Discussions among LGBTQ + Persons: Results from the Global Pride Study in Canada

  • 期刊论文

  • 发表日期：

    2026年1月6日

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  • Robert Beringer,
  • Brian de Vries,
  • Austin Oswald

摘要

Introduction 

This paper examines differences in advanced care planning (ACP) discussions among Two Spirit, lesbian, gay, bisexual, transgender, queer, non-binary, and sexually or gender diverse (2SLGBTQ+) Canadians, focusing on subgroup differences in both the occurrence of these discussions and the individuals involved.

Method

This descriptive research is part of the Global Pride Study. The cross-sectional survey was conducted online in Canada in 2022, with a sample size of 106 2SLGBTQ + individuals aged 18 and older. Respondents were asked if they had discussions about the care and treatment they would prefer at the end of their life and with whom such discussions had taken in place. We also explored how demographic, social, and health factors predicted these discussions. 

Results

Overall, 55.8% of respondents reported having had an ACP discussion. Lesbian women and sexually diverse individuals were significantly less likely to engage in ACP discussions with medical providers than gay men, while sexually diverse people were significantly more likely to engage in ACP discussions with friends than gay men. Being older increased the odds of having ACP discussions along with being married and higher levels of community engagement.

Conclusion

These significant variations within 2SLGBTQ + populations underscore that a one-size-fits-all approach to initiating ACP discussions will not be effective for this diverse population.

Policy Implications

Targeted interventions should be developed to support individuals who are less likely to engage in ACP conversations; enhancing community-based programs and leveraging existing social and community networks may also be effective strategies for promoting ACP, ensuring that ACP practices are both inclusive and accessible.