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Centre for Policy on Ageing | |
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| Racial variations in end-of-life care | | Author(s) | Faith P Hopp, Sonia A Duffy |
| Journal title | Journal of the American Geriatrics Society, vol 48, no 6, June 2000 |
| Pages | pp 658-663 |
| Keywords | Ethnic groups ; Terminal care ; Consumer choice ; United States of America. |
| Annotation | Differences between American whites and blacks aged 70 and over in their advanced care planning and end-of-life decision-making are identified, using the 1993 study, Asset and Health Dynamics Among the Oldest Old (AHEAD). Relatives (proxy respondents - 454 whites and 86 blacks) were interviewed at home by telephone. Whites were significantly more likely than blacks to discuss treatment preferences before death, to complete a living will, and to designate a Durable Power of Attorney for Health Care (DPAHC). Treatment decisions for whites were more likely to involve limiting care in certain situations and withholding treatment before death. In contrast, the treatment for blacks was more likely to be based on the desire to provide all care possible in order to prolong life. Logistic regression models revealed that race continued to be a significant predictor of advance care planning and treatment decisions, even after controlling for sociodemographic factors. Health care professionals need to be aware of and to understand the preferences of different ethnic groups, with regard to sensitive issues such as end-of-life decision-making. (RH). |
| Accession Number | CPA-000824221 A |
| Classmark | TK: LV: WYC: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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