期刊
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
卷 31, 期 3, 页码 247-253出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1049909113486170
关键词
advance directives; race; ethnicity; low income; older adults; end-of-life care; cultural competence
资金
- John A. Hartford Foundation
This study examined the prevalence of completion of advance directives (ADs) and the effects of race/ethnicity on AD completion using a cross-sectional design. Low-income older adults (n = 256) who were residents of supportive housing facilities or members of a senior center were interviewed in person. About 20% of the participants had completed ADs. Knowledge and attitudes toward ADs, income, and previous experience in an intensive care unit significantly predicted the completion of ADs after controlling for other factors. Those with higher levels of knowledge, positive attitudes, or those with higher incomes were more likely to complete ADs than their counterparts. Findings suggest that as a proxy for multiple socioeconomic, social and cultural factors, race, and ethnicity need to be considered in planning end-of-life care.
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