Racial differences in future care planning in late life

Objectives: Although many older adults fear frailty and loss of independence in late life, relatively few make plans for their future care. Such planning is particularly limited among racial minorities. Given the benefits of future care planning (FCP), it is important to understand factors that faci...

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Published in:Ethnicity & health 2020-05, Vol.25 (4), p.625-637
Main Authors: Kahana, Eva, Kahana, Boaz, Bhatta, Tirth, Langendoerfer, Kaitlyn Barnes, Lee, Jeong Eun, Lekhak, Nirmala
Format: Article
Language:English
Subjects:
Adults
African Americans
Age differences
Aging
Care plans
Cultural values
Demographics
Demography
Disability
Education
Elder care
Future
Future care plan
Geriatrics
health conditions
Higher education
Life
Longitudinal studies
Minority & ethnic groups
Minority groups
Older people
Optimism
Planning
Race
Racial differences
Religiosity
Research facilities
Special education
Statistical analysis
stress
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container_issue 4
container_start_page 625
container_title Ethnicity & health
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creator Kahana, Eva
Kahana, Boaz
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Lekhak, Nirmala
description Objectives: Although many older adults fear frailty and loss of independence in late life, relatively few make plans for their future care. Such planning is particularly limited among racial minorities. Given the benefits of future care planning (FCP), it is important to understand factors that facilitate or hamper FCP in late life. Our study explored racial, demographic, and dispositional influences on thinking about and engagement in FCP among community-dwelling older adults. Design: This study utilized data from the Elderly Care Research Center's longitudinal study of successful aging based on interviews with 409 older adults. Along with race, education and other demographic factors, we explored dispositional influences of optimism and religiosity on FCP using logistic regression. Results: African American older adults had significantly lower odds of executing FCP (β = 0.36, p 
doi_str_mv 10.1080/13557858.2019.1573974
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Such planning is particularly limited among racial minorities. Given the benefits of future care planning (FCP), it is important to understand factors that facilitate or hamper FCP in late life. Our study explored racial, demographic, and dispositional influences on thinking about and engagement in FCP among community-dwelling older adults. Design: This study utilized data from the Elderly Care Research Center's longitudinal study of successful aging based on interviews with 409 older adults. Along with race, education and other demographic factors, we explored dispositional influences of optimism and religiosity on FCP using logistic regression. Results: African American older adults had significantly lower odds of executing FCP (β = 0.36, p &lt; .05) when compared to White older adults. However, this estimate was no longer statistically significant after controlling for education, disability status, optimism, and religiosity. Older adults with higher education had significantly higher odds of thinking about and executing FCP. Higher level of optimism was associated with lower odds of FCP. Conclusions: Limited educational resources and the greater prevalence of dispositions of religiosity and optimism among African American older adults may contribute to their reluctance to engage in FCP in comparison to their white counterparts. Our findings offer practice implications indicating a need for interventions to encourage older adults, particularly racial minorities, to recognize and actively plan for their future care needs.</description><identifier>ISSN: 1355-7858</identifier><identifier>EISSN: 1465-3419</identifier><identifier>DOI: 10.1080/13557858.2019.1573974</identifier><language>eng</language><publisher>Abingdon: Taylor &amp; Francis</publisher><subject>Adults ; African Americans ; Age differences ; Aging ; Care plans ; Cultural values ; Demographics ; Demography ; Disability ; Education ; Elder care ; Future ; Future care plan ; Geriatrics ; health conditions ; Higher education ; Life ; Longitudinal studies ; Minority &amp; ethnic groups ; Minority groups ; Older people ; Optimism ; Planning ; Race ; Racial differences ; Religiosity ; Research facilities ; Special education ; Statistical analysis ; stress</subject><ispartof>Ethnicity &amp; health, 2020-05, Vol.25 (4), p.625-637</ispartof><rights>2019 Informa UK Limited, trading as Taylor &amp; Francis Group 2019</rights><rights>2019 Informa UK Limited, trading as Taylor &amp; Francis Group</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-8b08fe888dd2dfb18ec3d4ed48cc650d68e2cc78e0004b4cc23984077720bcff3</citedby><cites>FETCH-LOGICAL-c422t-8b08fe888dd2dfb18ec3d4ed48cc650d68e2cc78e0004b4cc23984077720bcff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27898,27899,33197,33748</link.rule.ids></links><search><creatorcontrib>Kahana, Eva</creatorcontrib><creatorcontrib>Kahana, Boaz</creatorcontrib><creatorcontrib>Bhatta, Tirth</creatorcontrib><creatorcontrib>Langendoerfer, Kaitlyn Barnes</creatorcontrib><creatorcontrib>Lee, Jeong Eun</creatorcontrib><creatorcontrib>Lekhak, Nirmala</creatorcontrib><title>Racial differences in future care planning in late life</title><title>Ethnicity &amp; health</title><description>Objectives: Although many older adults fear frailty and loss of independence in late life, relatively few make plans for their future care. 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Older adults with higher education had significantly higher odds of thinking about and executing FCP. Higher level of optimism was associated with lower odds of FCP. Conclusions: Limited educational resources and the greater prevalence of dispositions of religiosity and optimism among African American older adults may contribute to their reluctance to engage in FCP in comparison to their white counterparts. 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source International Bibliography of the Social Sciences (IBSS); Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list); Sociological Abstracts
subjects Adults
African Americans
Age differences
Aging
Care plans
Cultural values
Demographics
Demography
Disability
Education
Elder care
Future
Future care plan
Geriatrics
health conditions
Higher education
Life
Longitudinal studies
Minority & ethnic groups
Minority groups
Older people
Optimism
Planning
Race
Racial differences
Religiosity
Research facilities
Special education
Statistical analysis
stress
title Racial differences in future care planning in late life
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