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Racial and ethnic differences in advance care planning: identifying subgroup patterns and obstacles

TitleRacial and ethnic differences in advance care planning: identifying subgroup patterns and obstacles
Publication TypeJournal Article
Year of Publication2012
AuthorsCarr, D
JournalJ Aging HealthJ Aging Health
Volume24
Pagination923-47
Date PublishedSep
ISBN Number1552-6887 (Electronic)<br/>0898-2643 (Linking)
Accession Number22740168
KeywordsAdolescent, 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
AbstractOBJECTIVE: 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: