What Explains Racial Differences in the Use of Advance Directives and Attitudes Toward Hospice Care?

Cultural beliefs and values are thought to account for differences between African Americans and whites in the use of advance directives and beliefs about hospice care, but few data clarify which beliefs and values explain these differences. Two hundred five adults aged 65 and older who received pri...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2008-10, Vol.56 (10), p.1953-1958
Main Authors: Johnson, Kimberly S., Kuchibhatla, Maragatha, Tulsky, James A.
Format: Article
Language:English
Subjects:
Advance directives
Advance Directives - psychology
African Americans - psychology
Aged
Aged, 80 and over
Attitude
Attitude surveys
Attitude to Death
Biological and medical sciences
Cultural values
Culture
end-of-life care
Epidemiology
Ethics
European Continental Ancestry Group - psychology
Female
General aspects
hospice
Hospice Care - psychology
Humans
Male
Medical sciences
Older people
Palliative care
Public health. Hygiene
Public health. Hygiene-occupational medicine
race
Racial differences
Spirituality
Terminal Care - psychology
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Summary:Cultural beliefs and values are thought to account for differences between African Americans and whites in the use of advance directives and beliefs about hospice care, but few data clarify which beliefs and values explain these differences. Two hundred five adults aged 65 and older who received primary care in the Duke University Health System were surveyed. The survey included five scales: Hospice Beliefs and Attitudes, Preferences for Care, Spirituality, Healthcare System Distrust, and Beliefs About Dying and Advance Care Planning. African Americans were less likely than white subjects to have completed an advance directive (35.5% vs 67.4%, P
ISSN:0002-8614
1532-5415
DOI:10.1111/j.1532-5415.2008.01919.x