The ethical and legal implications of decisions to withhold and withdraw life support have been widely debated.
Making end-of-life decisions is never easy, and when the cultural background of doctor and patient differ, communication about these issues may become even more difficult.
In this study, we examined the attitudes of people aged 65 and older from different ethnic groups toward forgoing life support.
To this end, we conducted a survey of 200 respondents from each of four ethnic groups :
Korean-American and Mexican-American (800 total), followed by in-depth ethnographic interviews with 80 respondents.
European-Americans were the least likely to both accept and want life-support (p<0.001).
Mexican-Americans were generally more positive about the use of life-support and were more likely to personally want such treatments (p<0.001).
Ethnographic interviews revealed that this was due to their belief that life-support would not be suggested if a case was truly hopeless.
Compared to European-Americans, Korean-Americans were very positive regarding life-support (RR=6.7, p<0.0001) ; however, they did not want such technology personally (RR=1.2, p=0.45).
Ethnographic interviews revealed that the decision of life support would be made by their family.
Compared to European-Americans, African-Americans felt that it was generally acceptable to withhold or withdraw life-support (RR=1.6, p=0. (...)
Mots-clés Pascal : Soin intensif, Réanimation, Ethique, Législation, Prise décision, Ethnie, Attitude, Mort, Homme, Etats Unis, Amérique du Nord, Amérique, Entretien
Mots-clés Pascal anglais : Intensive care, Resuscitation, Ethics, Legislation, Decision making, Ethnic group, Attitude, Death, Human, United States, North America, America, Interview
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0312148
Code Inist : 002B30A09. Création : 16/11/1999.