Idioma:

Ethnicity and attitudes towards life sustaining technology

Blackhall, Leslie J ; Frank, Gelya ; Murphy, Sheila T ; Michel, Vicki ; Palmer, Joycelynne M ; Azen, Stanley P

Social science & medicine (1982), 1999-06, Vol.48 (12), p.1779-1789 [Periódico revisado por pares]

Oxford: Elsevier Ltd

Texto completo disponível

Citações Citado por

Enviar para

Título:
Ethnicity and attitudes towards life sustaining technology
Autor: Blackhall, Leslie J ; Frank, Gelya ; Murphy, Sheila T ; Michel, Vicki ; Palmer, Joycelynne M ; Azen, Stanley P
Assuntos: African Americans - psychology ; African Continental Ancestry Group ; Aged ; Aged, 80 and over ; Asian Americans ; Asian Americans - psychology ; Attitude to Death - ethnology ; Attitude to Health - ethnology ; Attitudes ; Bioethics ; Biological and medical sciences ; Chi-Square Distribution ; Cross-Cultural Comparison ; Culture ; Decision Making ; Elderly people ; End-of-life decision making ; Ethics ; Ethnic differences ; Ethnicity ; European Continental Ancestry Group - psychology ; Family - ethnology ; Female ; Health Care Surveys ; Humans ; Interview ; Interviews ; Korea - ethnology ; Life Support Care - psychology ; Life Support Care - trends ; Life support systems ; Life sustaining treatment ; Logistic Models ; Los Angeles, California ; Male ; Medical Decision Making ; Medical ethics ; Medical sciences ; Medical Technology ; Mexican Americans ; Mexican Americans - psychology ; Middle Aged ; Minority & ethnic groups ; Patients Rights ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Racial Differences ; Survey ; Survey Interview Ethnicity Ethics End-of-life decision making ; Surveys ; Teaching. Deontology. Ethics. Legislation ; Technology ; Terminal Care - psychology ; Terminal Care - trends ; Terminal Illness ; Termination of Treatment ; United States ; USA ; Whites
É parte de: Social science & medicine (1982), 1999-06, Vol.48 (12), p.1779-1789
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ObjectType-Article-1
ObjectType-Feature-2
Descrição: 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: European-American, African-American, 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=0.06), but were the most likely to want to be kept alive on life-support (RR=2.1, p=0.002). Ethnographic interviews documented a deep distrust towards the health care system and a fear that health care was based on one's ability to pay. We concluded that (a) ethnicity is strongly related to attitudes toward and personal wishes for the use of life support in the event of coma or terminal illness, and (b) this relationship was complex and in some cases, contradictory.
Editor: Oxford: Elsevier Ltd
Idioma: Inglês

Links

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Ethnicity and attitudes towards life sustaining technology

Blackhall, Leslie J ; Frank, Gelya ; Murphy, Sheila T ; Michel, Vicki ; Palmer, Joycelynne M ; Azen, Stanley P

Oxford: Elsevier Ltd

Buscando em bases de dados remotas. Favor aguardar.