The Influence of Culture on End-of-Life Decision Making

Abstract

In their research, scholars have documented racial and ethnic differences in end-of-life care preferences, which have translated into cultural barriers. However, few studies have explained the racial differences. In the present study, focus groups with semi-structured follow-up interviews were utilized to elicit explanations for variance in decision making in a sample of Black and White community-dwelling residents. Participants identified specific cultural beliefs, values, and communication patterns that can be used to promote cultural competency among practitioners who provide care at end of life.

KEYWORDS:

• advance care planning
• culture
• hospice
• racial differences

Acknowledgments

This research was conducted with the support of pilot grant funding from NIH Sponsored Fellowship at the Michigan Center for Urban African American Aging Research (MCUAAAR) and the Research Center for Minority Aging Research (RCMAR).

Notes

Note. *Includes widowed, divorced, separated, never married.