End- of- life treatment preference among low-income older adults: A race/ethnicity comparison study

Eunjeong Ko, Jaehoon Lee

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1021-1033
Number of pages13
JournalJournal of Health Care for the Poor and Underserved
Volume25
Issue number3
DOIs
StatePublished - Aug 2014

Keywords

  • End- of- life treatment
  • Low income
  • Older adults
  • Preference
  • Race/ethnicity

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