End-Of-Life Treatment Preference among Low-Income Older Adults: A Race/Ethnicity Comparison Study.
Autor: | Eunjeong Ko, Jaehoon Lee |
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Předmět: |
ANALYSIS of variance
BLACK people CHI-squared test COMPARATIVE studies DEATH HEALTH attitudes HISPANIC Americans HUMAN comfort INTERVIEWING MEDICAL appointments RACE RELIGION RESEARCH RESEARCH funding STATISTICAL sampling SCALE analysis (Psychology) SURVEYS TERMINAL care WHITE people CULTURAL values MULTIPLE regression analysis SOCIAL support SOCIOECONOMIC factors EDUCATIONAL attainment CROSS-sectional method DATA analysis software DESCRIPTIVE statistics |
Zdroj: | Journal of Health Care for the Poor & Underserved; Aug2014, Vol. 25 Issue 3, p1021-1033, 13p |
Abstrakt: | Introduction. Racial/ethnic minority older adults in low-income status might be at a greater risk than others of developing chronic illness. We sought to examine the effects of race/ethnicity on end-of-life (EOL) treatment preference among low-income older adults. Methods. A cross-sectional study surveyed 256 low-income older adults (90 Whites, 82 Hispanics, 84 Blacks) in a California city. Results. Hierarchical multiple regression results showed that participants with greater religiosity (p < .01) or more frequent doctors' visits (p < .05) had greater preference for life-sustaining treatments during the final phase of life. Conversely, those with greater comfort about death (p < .01) or a belief that life and death are predestined (p < .05) preferred life-sustaining treatments less often. Race/ethnicity had no significant relationship with EOL treatment preference after accounting for other factors. Conclusion. Race/ethnicity encompasses multiple life contexts. Understanding the influences of both cultural beliefs and individual circumstances on EOL treatment preference is imperative. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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