#11395. End-of-Life Wishes Among Non-Hispanic Black and White Middle-Aged and Older Adults

July 2026publication date
Proposal available till 17-05-2025
4 total number of authors per manuscript0 $

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Journal’s subject area:
Anthropology;
Sociology and Political Science;
Health (social science);
Health Policy;
Public Health, Environmental and Occupational Health;
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More details about the manuscript: Science Citation Index Expanded or/and Social Sciences Citation Index
Abstract:
Although some research has been done on end-of-life (EOL) preferences and wishes, our knowledge of racial differences in the EOL wishes of middle-aged and older adults is limited. In need of examination are aspects of EOL care that are not decision-based and therefore not normally covered by written advance healthcare directives. This study focuses on racial differences in non-decision-based aspects of EOL care, that is, EOL care that incorporates patients’ beliefs, culture, or religion. To test the combined effects of race, socioeconomic status, health status, spirituality, perceived discrimination and medical mistrust on the EOL non-decision-based desires and wishes of a representative sample of older adults. In addition to gender, age, and education other determinants of EOL non-decision-based medical desires and wishes included perceived and objective health status, spirituality, and medical trust. Blacks desired a closer relationship with their providers as well as a higher level of respect for their cultural beliefs and values from their providers compared with their White counterparts. Awareness, understanding, and respecting the cultural beliefs and values of older patients, that usually are seen by providers, is the first step for meaningful relationship between patients and their providers that directly improve the end-of-life quality of life for this segment of our population.
Keywords:
African Americans; Blacks; Discrimination; End-of-life; Ethnic groups; Ethnicity; Mistrust; Population groups; Race

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