Factors Associated with Whether Older Adults Discuss Their Eol Care Preferences with Family Members

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Research suggests end-of-life (EOL) care discussions improve EOL care. This study examined factors associated with having discussed EOL care wishes with family, focusing on race and ethnicity. A diverse sample of participants (N=364) completed surveys including questions about demographics, discussing one’s EOL care preferences, family involvement in general health care, and communication with doctors. Results showed more than 30% had not discussed their EOL care wishes with family. There were no differences by race, but there were significant differences by ethnicity. Hispanic participants were less likely (O.R.= 0.40, p=.03), however moderation analysis showed Hispanics with greater family involvement in general health care were much more likely to have discussed EOL preferences with family (O.R.= 5.69; p=.02). Lesser confidence in communicating with doctors was associated with lower likelihood of discussion with family (O.R.= 0.65, p=.03). Results suggest providers consider ethnicity and family involvement in efforts to encourage EOL care discussions.

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Innovation in Aging, v. 2, issue suppl_1, p. 843