Skip to content Skip to navigation

Opiniones: end-of-life care preferences and planning of older Latinos

TitleOpiniones: end-of-life care preferences and planning of older Latinos
Publication TypeJournal Article
Year of Publication2010
AuthorsKelley, AS, Wenger, NS, Sarkisian, CA
JournalJ Am Geriatr SocJ Am Geriatr Soc
Date PublishedJun
ISBN Number1532-5415 (Electronic)<br/>0002-8614 (Linking)
Accession Number20487080
KeywordsAdvance Care Planning, Aged, Aged, 80 and Over, Attitude to Death, Chi-Square Distribution, Cross-Sectional Studies, Cultural Characteristics, Decision Making, Female, Hispanic Americans/ psychology, Humans, Interviews as Topic, Logistic Models, Los Angeles, Male, Middle Aged, Personal Autonomy, Quality of Life, Terminal Care/ psychology
AbstractOBJECTIVES: To measure end-of-life (EOL) care preferences and advance care planning (ACP) in older Latinos and to examine the relationship between culture-based attitudes and extent of ACP. DESIGN: Cross-sectional interview. SETTING: Twenty-two senior centers in greater Los Angeles. PARTICIPANTS: One hundred forty-seven Latinos aged 60 and older. MEASUREMENTS: EOL care preferences, extent of ACP, attitudes regarding patient autonomy, family-centered decision-making, trust in healthcare providers, and health and sociodemographic characteristics. RESULTS: If seriously ill, 84% of participants would prefer medical care focused on comfort rather than care focused on extending life, yet 47% had never discussed such preferences with their family or doctor, and 77% had no advance directive. Most participants favored family-centered decision making (64%) and limited patient autonomy (63%). Greater acculturation, education, and desire for autonomy were associated with having an advance directive (P-values <.03 controlling="" for="" sociodemographic="" characteristics="" greater="" acculturation="" odds="" ratio="" confidence="" interval="" and="" preferring="" autonomy="" ci="1.1-2.3)" were="" independently="" associated="" with="" having="" an="" advance="" directive.="" conclusions:="" the="" majority="" of="" older="" latinos="" studied="" preferred="" less-aggressive="" comfort-focused="" eol="" care="" yet="" few="" had="" documented="" or="" communicated="" this="" preference.="" discrepancy="" places="" at="" risk="" receiving="" high-intensity="" inconsistent="" their="" preferences.="">