Advance directives have not been uniformly used by different segments of the US population and studies have consistently shown a lower prevalence of advance directives among African Americans and Hispanics compared with non-Hispanic whites.
To examine barriers to completion of health care proxies for different ethnic groups.
One hundred ninety-seven subjects aged 65 years or older self-identified as African American (n=65), Hispanic (n=65), or non-Hispanic white (n=67) attending a geriatrics and internal medicine outpatient clinic of a large New York City teaching hospital were administered a questionnaire.
Questionnaires were developed to examine potential barriers to completion of health care proxies.
Barriers were drawn from the literature and from focus groups.
Significant predictors of proxy completion using logistic regression analysis included knowledge of health care proxies, availability of a health care agent, exposure to mechanical ventilation, age, and self-reported health status as fair to poor.
Subjects who believed that a health care agent was irrelevant in the setting of involved family were significantly less likely to have completed a health care proxy.
Although there were significant differences in the baseline completion rates of health care proxies for the 3 ethnic groups, ethnicity did not predict prior appointment of a health care agent in multivariate analysis. (...)
Mots-clés Pascal : Soin intégré, Contrat, Statut socioéconomique, Barrière, Ethnie, Noir américain, Latinoaméricain, Prévalence, Etude comparative, Questionnaire, Caucasoïde, Facteur prédictif, Homme, Etats Unis, Amérique du Nord, Amérique, Organisation santé, Politique sanitaire
Mots-clés Pascal anglais : Managed care, Contract, Socioeconomic status, Barrier, Ethnic group, Black American, Latinamerican, Prevalence, Comparative study, Questionnaire, Caucasoid, Predictive factor, Human, United States, North America, America, Public health organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0049386
Code Inist : 002B30A03C. Création : 31/05/1999.