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


ABSTRACT: 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.Cross-sectional interview.Twenty-two senior centers in greater Los Angeles.One hundred forty-seven Latinos aged 60 and older.EOL care preferences, extent of ACP, attitudes regarding patient autonomy, family-centered decision-making, trust in healthcare providers, and health and sociodemographic characteristics.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 (adjusted odds ratio (AOR)=1.6, 95% confidence interval (CI)=1.1-2.4) and preferring greater autonomy (AOR=1.6, 95% CI=1.1-2.3) were independently associated with having an advance directive.The majority of older Latinos studied preferred less-aggressive, comfort-focused EOL care, yet few had documented or communicated this preference. This discrepancy places older Latinos at risk of receiving high-intensity care inconsistent with their preferences.

SUBMITTER: Kelley AS 

PROVIDER: S-EPMC2924957 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature

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

Kelley Amy S AS   Wenger Neil S NS   Sarkisian Catherine A CA  

Journal of the American Geriatrics Society 20100507 6


<h4>Objectives</h4>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.<h4>Design</h4>Cross-sectional interview.<h4>Setting</h4>Twenty-two senior centers in greater Los Angeles.<h4>Participants</h4>One hundred forty-seven Latinos aged 60 and older.<h4>Measurements</h4>EOL care preferences, extent of ACP, attitudes regarding patient autonomy, family-centered decision-making  ...[more]

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