Title

Exploring Uncertainty in Advance Care Planning in African Americans: Does Low Health Literacy Influence Decision Makring Preference at End of Life

Authors

Authors

L. Melhado;A. Bushy

Comments

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Abbreviated Journal Title

Am. J. Hosp. Palliat. Med.

Keywords

health literacy; advance care planning; uncertainty in illness theory; theoretical framework; African Americans; end of life; decision making; disparity; BLACK-AND-WHITE; ETHNIC-DIFFERENCES; MEDICAL-CARE; OLDER-ADULTS; HOSPICE; USE; COMMUNICATION; RACE; DISPARITIES; BARRIERS; CANCER; Health Care Sciences & Services

Abstract

African Americans over 65 represent 3.5 of the 35.6 million Americans. Morbidity and mortality rates are highest among this group; associated with lack of resources and awareness of health problems. But health needs are the same at end of life, yet care is less than optimal. African Americans are less likely to have advance directives nonetheless desire communication, information, respect, and a trusting doctor-patient relationship. Low health literacy may contribute to this disparity. This scholarly review examines the health literacy in advance care planning and refines concepts of uncertainty in illness theory deriving a model for advance care planning in African Americans.

Journal Title

American Journal of Hospice & Palliative Medicine

Volume

28

Issue/Number

7

Publication Date

1-1-2011

Document Type

Review

Language

English

First Page

495

Last Page

500

WOS Identifier

WOS:000297487000007

ISSN

1049-9091

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