Title

Exploring Uncertainty In Advance Care Planning In African Americans: Does Low Health Literacy Influence Decision Making Preference At End Of Life

Keywords

advance care planning; African Americans; decision making; disparity; end of life; health literacy; theoretical framework; uncertainty in illness theory

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. © The Author(s) 2011.

Publication Date

11-1-2011

Publication Title

American Journal of Hospice and Palliative Medicine

Volume

28

Issue

7

Number of Pages

495-500

Document Type

Review

Personal Identifier

scopus

DOI Link

https://doi.org/10.1177/1049909110398005

Socpus ID

82555184971 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/82555184971

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