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

Research output: Contribution to journalArticle

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. Understandi
Original languageEnglish
Pages (from-to)1021–1033
JournalJournal of Health Care for the Poor and Underserved
StatePublished - 2014

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