Completion of Advance Directives Among Korean American and Non-Hispanic White Older Adults
This study examines completion of advance directives, highlighting ethnic differences between Korean and non-Hispanic White older adults in relation to health beliefs and knowledge. In this study, 217 community-dwelling older adults (112 Korean Americans and 105 non-Hispanic Whites) were interviewed...
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Veröffentlicht in: | Research on aging 2010-09, Vol.32 (5), p.618-644 |
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description | This study examines completion of advance directives, highlighting ethnic differences between Korean and non-Hispanic White older adults in relation to health beliefs and knowledge. In this study, 217 community-dwelling older adults (112 Korean Americans and 105 non-Hispanic Whites) were interviewed using structured questionnaires. As compared to only 5.4% (n = 6) of Korean American older adults, more than half of non-Hispanic White older adults (59.2%, n = 61) had completed advance directives. Health beliefs, but not knowledge, significantly mediated the relationship between ethnicity and completion of advance directives; Korean Americans had lower levels of health beliefs toward advance care planning than non-Hispanic Whites, and this in turn led to relatively lower rates of completing advance directives. Thus, it is advised that health care practice needs to encompass older adults’ health beliefs, which may be uniquely represented among different ethnic groups. |
doi_str_mv | 10.1177/0164027510377310 |
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In this study, 217 community-dwelling older adults (112 Korean Americans and 105 non-Hispanic Whites) were interviewed using structured questionnaires. As compared to only 5.4% (n = 6) of Korean American older adults, more than half of non-Hispanic White older adults (59.2%, n = 61) had completed advance directives. Health beliefs, but not knowledge, significantly mediated the relationship between ethnicity and completion of advance directives; Korean Americans had lower levels of health beliefs toward advance care planning than non-Hispanic Whites, and this in turn led to relatively lower rates of completing advance directives. Thus, it is advised that health care practice needs to encompass older adults’ health beliefs, which may be uniquely represented among different ethnic groups.</description><identifier>ISSN: 0164-0275</identifier><identifier>EISSN: 1552-7573</identifier><identifier>DOI: 10.1177/0164027510377310</identifier><identifier>CODEN: REAGDY</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Advance directives ; Age differences ; Aged ; Asian Americans ; Care plans ; Elderly ; Ethnic differences ; Ethnic groups ; Ethnicity ; Health ; Health Behavior ; Health beliefs ; Health Care Services ; Health services ; Hispanic Americans ; Hispanic people ; Knowledge ; Korean Americans ; Medical Decision Making ; Older people ; Questionnaires ; Racial Differences ; Racial differentiation ; Right to die ; Target markets ; U.S.A ; White people ; Whites</subject><ispartof>Research on aging, 2010-09, Vol.32 (5), p.618-644</ispartof><rights>The Author(s) 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-510d97bcd3335a3c6dd242e9b1548fac12700df33d2a10e6b7f58c2d7e5473fe3</citedby><cites>FETCH-LOGICAL-c405t-510d97bcd3335a3c6dd242e9b1548fac12700df33d2a10e6b7f58c2d7e5473fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0164027510377310$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0164027510377310$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,33753,33754,43600,43601</link.rule.ids></links><search><creatorcontrib>Ko, Eunjeong</creatorcontrib><creatorcontrib>Lee, Jaehoon</creatorcontrib><title>Completion of Advance Directives Among Korean American and Non-Hispanic White Older Adults</title><title>Research on aging</title><description>This study examines completion of advance directives, highlighting ethnic differences between Korean and non-Hispanic White older adults in relation to health beliefs and knowledge. In this study, 217 community-dwelling older adults (112 Korean Americans and 105 non-Hispanic Whites) were interviewed using structured questionnaires. As compared to only 5.4% (n = 6) of Korean American older adults, more than half of non-Hispanic White older adults (59.2%, n = 61) had completed advance directives. Health beliefs, but not knowledge, significantly mediated the relationship between ethnicity and completion of advance directives; Korean Americans had lower levels of health beliefs toward advance care planning than non-Hispanic Whites, and this in turn led to relatively lower rates of completing advance directives. Thus, it is advised that health care practice needs to encompass older adults’ health beliefs, which may be uniquely represented among different ethnic groups.</description><subject>Advance directives</subject><subject>Age differences</subject><subject>Aged</subject><subject>Asian Americans</subject><subject>Care plans</subject><subject>Elderly</subject><subject>Ethnic differences</subject><subject>Ethnic groups</subject><subject>Ethnicity</subject><subject>Health</subject><subject>Health Behavior</subject><subject>Health beliefs</subject><subject>Health Care Services</subject><subject>Health services</subject><subject>Hispanic Americans</subject><subject>Hispanic people</subject><subject>Knowledge</subject><subject>Korean Americans</subject><subject>Medical Decision Making</subject><subject>Older people</subject><subject>Questionnaires</subject><subject>Racial Differences</subject><subject>Racial differentiation</subject><subject>Right to die</subject><subject>Target markets</subject><subject>U.S.A</subject><subject>White people</subject><subject>Whites</subject><issn>0164-0275</issn><issn>1552-7573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNqNkc1LAzEQxYMoWKt3jwsePK3mY7PZHEv9qFjsRRG8LGkyW1O2SU12C_73ptSDFERPM8P7vccMg9A5wVeECHGNSVlgKjjBTAhG8AEaEM5pLrhgh2iwlfOtfoxOYlxijCnncoDexn61bqGz3mW-yUZmo5yG7MYG0J3dQMxGK-8W2aMPoFwaIFidGuVM9uRdPrFxrZzV2eu77SCbtQZCSunbLp6io0a1Ec6-6xC93N0-jyf5dHb_MB5Nc11g3uVpYyPFXBvGGFdMl8bQgoKcE15UjdKECoxNw5ihimAo56LhlaZGAC8Ea4AN0eUudx38Rw-xq1c2amhb5cD3sRZVKStaEvk3yStCWSHp_0gqZZHIiz1y6fvg0sE1kbSiLB1DEoV3lA4-xgBNvQ52pcJnTXC9_V-9_79kyXeWqBbwI_Q3_gv6H5ez</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Ko, Eunjeong</creator><creator>Lee, Jaehoon</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7U3</scope></search><sort><creationdate>20100901</creationdate><title>Completion of Advance Directives Among Korean American and Non-Hispanic White Older Adults</title><author>Ko, Eunjeong ; Lee, Jaehoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-510d97bcd3335a3c6dd242e9b1548fac12700df33d2a10e6b7f58c2d7e5473fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Advance directives</topic><topic>Age differences</topic><topic>Aged</topic><topic>Asian Americans</topic><topic>Care plans</topic><topic>Elderly</topic><topic>Ethnic differences</topic><topic>Ethnic groups</topic><topic>Ethnicity</topic><topic>Health</topic><topic>Health Behavior</topic><topic>Health beliefs</topic><topic>Health Care Services</topic><topic>Health services</topic><topic>Hispanic Americans</topic><topic>Hispanic people</topic><topic>Knowledge</topic><topic>Korean Americans</topic><topic>Medical Decision Making</topic><topic>Older people</topic><topic>Questionnaires</topic><topic>Racial Differences</topic><topic>Racial differentiation</topic><topic>Right to die</topic><topic>Target markets</topic><topic>U.S.A</topic><topic>White people</topic><topic>Whites</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ko, Eunjeong</creatorcontrib><creatorcontrib>Lee, Jaehoon</creatorcontrib><collection>CrossRef</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Social Services Abstracts</collection><jtitle>Research on aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ko, Eunjeong</au><au>Lee, Jaehoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Completion of Advance Directives Among Korean American and Non-Hispanic White Older Adults</atitle><jtitle>Research on aging</jtitle><date>2010-09-01</date><risdate>2010</risdate><volume>32</volume><issue>5</issue><spage>618</spage><epage>644</epage><pages>618-644</pages><issn>0164-0275</issn><eissn>1552-7573</eissn><coden>REAGDY</coden><abstract>This study examines completion of advance directives, highlighting ethnic differences between Korean and non-Hispanic White older adults in relation to health beliefs and knowledge. In this study, 217 community-dwelling older adults (112 Korean Americans and 105 non-Hispanic Whites) were interviewed using structured questionnaires. As compared to only 5.4% (n = 6) of Korean American older adults, more than half of non-Hispanic White older adults (59.2%, n = 61) had completed advance directives. Health beliefs, but not knowledge, significantly mediated the relationship between ethnicity and completion of advance directives; Korean Americans had lower levels of health beliefs toward advance care planning than non-Hispanic Whites, and this in turn led to relatively lower rates of completing advance directives. Thus, it is advised that health care practice needs to encompass older adults’ health beliefs, which may be uniquely represented among different ethnic groups.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/0164027510377310</doi><tpages>27</tpages></addata></record> |
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source | Sociological Abstracts; SAGE Journals Online |
subjects | Advance directives Age differences Aged Asian Americans Care plans Elderly Ethnic differences Ethnic groups Ethnicity Health Health Behavior Health beliefs Health Care Services Health services Hispanic Americans Hispanic people Knowledge Korean Americans Medical Decision Making Older people Questionnaires Racial Differences Racial differentiation Right to die Target markets U.S.A White people Whites |
title | Completion of Advance Directives Among Korean American and Non-Hispanic White Older Adults |
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