| Title | Racial and ethnic differences in advance care planning: identifying subgroup patterns and obstacles |
| Publication Type | Journal Article |
| Year of Publication | 2012 |
| Authors | Carr, D |
| Journal | J Aging HealthJ Aging Health |
| Volume | 24 |
| Pagination | 923-47 |
| Date Published | Sep |
| ISBN Number | 1552-6887 (Electronic)<br/>0898-2643 (Linking) |
| Accession Number | 22740168 |
| Keywords | Adolescent, Adult, Advance Care Planning/ statistics & numerical data, African Americans/ statistics & numerical data, Asian Americans/ statistics & numerical data, European Continental Ancestry Group/ statistics & numerical data, Female, Hispanic Americans/ statistics & numerical data, Humans, Logistic Models, Male, Middle Aged, Socioeconomic Factors, United States, Young Adult |
| Abstract | OBJECTIVE: The author investigated (a) whether Whites, Blacks, Latinos, and Asians differ in their rates of advance care planning (ACP; that is, living will, health care proxies, discussions), (b) sources of within-racial group heterogeneity, and (c) racial differences in the explanations offered for not doing ACP. METHODS: The author estimated logistic regression models with data from a national sample of married and cohabiting adults ages 18 to 64 in the Knowledge Networks study (N = 2,111). RESULTS: Latinos are less likely than Whites to discuss preferences and to have a living will, although the latter gap is fully accounted for by education. Asians are less likely than Whites to have discussions, but more likely to have living wills. Black-White differences emerge only among low SES (socioeconomic status) subgroups. Each group noted distinctive obstacles to planning. DISCUSSION: Public policies should target increasing rates of ACP for all adults prior to onset of major health concerns. |
Ethno Med: