Perceptions of aging and ageism among Mexican physicians-in-training

  • C. Gomez-Moreno
  • H. Verduzco-Aguirre
  • S. Contreras-Garduño
  • A. Perez-de-Acha
  • J. Alcalde-Castro
  • Y. Chavarri-Guerra
  • J. M. A. García-Lara
  • A. P. Navarrete-Reyes
  • J. A. Avila-Funes
  • E. Soto-Perez-de-CelisEmail author
Research Article



Attributing negative stereotypes to older adults (ageism) may lead to undertreatment, but little is known about the prevalence of ageism among physicians treating patients with cancer in Ibero-America. We studied stereotypes of aging among Mexican physicians-in-training.

Materials and methods

Physicians-in-training attending an oncology meeting answered the “Negative Attributes and Positive Potential in Old Age” survey. Ten questions assessed positive characteristics of aging (PPOA; score 1–4, higher scores represent a positive perception), and four assessed negative characteristics (NAOA; score 1–4, higher score representing a negative perception). Descriptive statistics were used to analyze the questionnaires. Participants completed the “Image-of-Aging” question by writing five words describing older adults and young individuals. Each word was rated from − 5 (negative) to + 5 (positive), and presented as word clouds.


One hundred physicians-in-training (median age 28.5) were included. For the PPOA scale, the mean score was 2.9 (SD 0.4), while for the NAOA scale it was 2.1 (SD 0.4). Perceptions of aging were better among women and trainees enrolled in geriatrics and/or oncology-related programs. In the “Image-of-Aging” questions, median rating of words describing older adults was − 2, compared to + 3 for young individuals (p < 0.001). Among words used to describe older adults, the most frequent was “frail/frailty” (n = 45), while “health” (n = 46) was the most frequent for younger individuals.


Mexican physicians-in-training showed mostly negative perceptions of aging, exemplified by the use of negative terms to describe older adults. Creating educational initiatives aimed at decreasing ageism among oncology trainees is necessary across Ibero-America.


Ageism Medical residency Patient care Stereotyping Latin America Oncology Clinical 



No funding was received for the research reported in this manuscript.

Compliance with ethical standards

Conflict of interest

Yanin Chavarri-Guerra reports research funding from Roche, not related to the current work. All other authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was waived for this study by the ethical and research committees.

Supplementary material

12094_2019_2107_MOESM1_ESM.pdf (425 kb)
Supplementary file1 (PDF 425 kb)


  1. 1.
    Soto-Perez-de-Celis E, Cordoba R, Gironés R, Karnakis T, Paredero I, Chavarri-Guerra Y, Navarrete-Reyes AP, Avila-Funes JA. Cancer and aging in Ibero-America. Clin Transl Oncol. 2018;20:1117–26.CrossRefGoogle Scholar
  2. 2.
    Hurria A, Naylor M, Cohen HJ. Improving the quality of cancer care in an aging population: recommendations from an IOM report. JAMA. 2013;310:1795–6.CrossRefGoogle Scholar
  3. 3.
    Gironés R, Morilla I, Guillen-Ponce C, Torregrosa MD, Paredero I, Bustamante E, et al. Geriatric oncology in Spain: survey results and analysis of the current situation. Clin Transl Oncol. 2018;20:1087–92.CrossRefGoogle Scholar
  4. 4.
    Ayalon L, Tesch-Römer C. Contemporary perspectives on ageism. 1st ed. Berlin: Springer; 2018.CrossRefGoogle Scholar
  5. 5.
    Lawler M, Selby P, Aapro MS, Duffy S. Ageism in cancer care. BMJ. 2014;348:g1614.CrossRefGoogle Scholar
  6. 6.
    Cherubini A, Del Signore S, Ouslander J, Semla T, Michel JP. Fighting against age discrimination in clinical trials. J Am Geriatr Soc. 2010;58:1791–6.CrossRefGoogle Scholar
  7. 7.
    Castellano-Fuentes CL, Miguel-Negredo A. Ageist stereotypes by aging people: real factor structures and psychometric properties of two early questionnaires. Int J Psychol Psychol Ther. 2010;2:19.Google Scholar
  8. 8.
    Levy BR, Kasl SV, Gill TM. Image of aging scale. Percept Mot Skills. 2004;99:208–10.CrossRefGoogle Scholar
  9. 9.
    Flamion A, Missotten P, Marquet M, Adam S. Impact of contact with grandparents on children’s and adolescents’ views on the elderly. Child Dev. 2017. Scholar
  10. 10.
    Bensadon BA, Teasdale TA, Odenheimer GL. Attitude adjustment: shaping medical students’ perceptions of older patients with a geriatrics curriculum. Acad Med. 2013;88:1630–4.CrossRefGoogle Scholar
  11. 11.
    Schroyen S, Adam S, Marquet M, Jerusalem G, Thiel S, Giraudet AL, et al. Communication of healthcare professionals: Is there ageism? Eur J Cancer Care (Engl). 2018. Scholar
  12. 12.
    Schroyen S, Marquet M, Jerusalem G, Dardenne B, Van den Akker M, Buntinx F, et al. The link between self-perceptions of aging, cancer view and physical and mental health of older people with cancer: a cross-sectional study. J Geriatr Oncol. 2017;8:64–8.CrossRefGoogle Scholar
  13. 13.
    Mandelblatt JS, Edge SB, Meropol NJ, Senie R, Tsangaris T, Grey L, et al. Predictors of long-term outcomes in older breast cancer survivors: perceptions versus patterns of care. J Clin Oncol. 2003;21:855–63.CrossRefGoogle Scholar
  14. 14.
    Löckenhoff CE, De Fruyt F, Terracciano A, McCrae RR, De Bolle M, Costa PT, et al. Perceptions of aging across 26 cultures and their culture-level associates. Psychol Aging. 2009;24:941–54.CrossRefGoogle Scholar
  15. 15.
    Lasagni-Colombo VX, Rodríguez-Bessolo MS, Bernal-Angarita R, Tuzzo-Gatto MR, Heredia-Calderón D, Muñoz-Miranda LM et al. Stereotypes towards aging among older adults and university students in ten Latin American Countries. In Spanish. Envejecimiento y Salud, Red Latinoamericana de Gerontología. 2012. Accessed 2 Jan 2019.
  16. 16.
    Duran-Badillo T, Miranda-Posadas C, Cruz-Barrera LG, Martínez-Aguilar M, Gutiérrez-Sánchez G, Aguilar-Hernández RM. Negative stereotypes about aging in nursing university students. In Spanish. Rev Enferm IMSS. 2016;24:205–9.Google Scholar
  17. 17.
    Almeida S, Olivera M, Perez P. Perception of students regarding positive and negatives stereotypes of aging. In Spanish. Tesis de grado. Montevideo. 2014.Google Scholar
  18. 18.
    Huang CS. Undergraduate students' knowledge about aging and attitudes toward older adults in east and west: a socio-economic and cultural exploration. Int J Aging Hum Dev. 2013;77:59–76.CrossRefGoogle Scholar
  19. 19.
    Chang GJ, Skibber JM, Feig BW, Rodriguez-Bigas M. Are we undertreating rectal cancer in the elderly? An epidemiologic study. Ann Surg. 2007;246:215–21.CrossRefGoogle Scholar
  20. 20.
    O’Connell JB, Maggard MA, Ko CY. Cancer-directed surgery for localized disease: decreased use in the elderly. Ann Surg Oncol. 2004;11:962–9.CrossRefGoogle Scholar
  21. 21.
    Schrag D, Cramer LD, Bach PB, Begg CB. Age and adjuvant chemotherapy use after surgery for stage III colon cancer. J Natl Cancer Inst. 2001;93:850–7.CrossRefGoogle Scholar
  22. 22.
    Vernet R, Borras JM, Aliste L, Antonio M, Guarga A, Manchon-Walsh P. Influence of age on variation in patterns of care in patients with rectal cancer in Catalonia (Spain). Clin Transl Oncol. 2018;20:1538–47.CrossRefGoogle Scholar
  23. 23.
    Thumala D, Kennedy BK, Calvo E, Gonzalez-Billault C, Zitko P, Lillo P, et al. Aging and health policies in Chile: new agendas for research. Health Syst Reform. 2017;3:253–60.CrossRefGoogle Scholar
  24. 24.
    Sarabia-Cobo CM, Pfeiffer CC. Changing negative stereotypes regarding aging in undergraduate nursing students. Nurse Educ Today. 2015;35:e60–e6464.CrossRefGoogle Scholar

Copyright information

© Federación de Sociedades Españolas de Oncología (FESEO) 2019

Authors and Affiliations

  • C. Gomez-Moreno
    • 1
  • H. Verduzco-Aguirre
    • 2
  • S. Contreras-Garduño
    • 1
  • A. Perez-de-Acha
    • 1
  • J. Alcalde-Castro
    • 2
  • Y. Chavarri-Guerra
    • 2
  • J. M. A. García-Lara
    • 1
  • A. P. Navarrete-Reyes
    • 1
  • J. A. Avila-Funes
    • 1
  • E. Soto-Perez-de-Celis
    • 1
    Email author
  1. 1.Department of GeriatricsInstituto Nacional de Ciencias Médicas Y Nutrición Salvador ZubiránMexico CityMexico
  2. 2.Department of OncologyInstituto Nacional de Ciencias Médicas Y Nutrición Salvador ZubiránMexico CityMexico

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