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Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter?

Publication ,  Journal Article
Pei, Y; Zhang, W; Wu, B
Published in: Journal of the American Medical Directors Association
February 2021

To examine how immigrant status and family relationships are associated with advance care planning (ACP) engagement and end-of-life (EOL) preference in burial planning among older Chinese Americans, the largest subgroup of Asian Americans.Cross-sectional survey.Communities in Honolulu, Hawai'i.Participants were 430 older Chinese Americans aged 55 years and older.Measures included ACP contemplation, ACP discussion, and EOL preference in burial planning, immigrant status, family cohesion, family conflict, demographic information, and health status.Results show that in comparison to foreign-born Chinese Americans, US-born Chinese Americans were more likely to have ACP contemplation [odds ratio (OR) 2.80, 95% confidence interval (CI) 1.39-5.63], ACP discussion (OR 3.02, 95% CI 1.50-6.08), and preferences for burial plans at the end of life (OR 4.56, 95% CI 2.04-10.18). Family conflict increased the possibility of having ACP contemplation (OR 1.21, 95% CI 1.07-1.38), ACP discussion (OR 1.22, 95% CI 1.07-1.39), and EOL preference in burial planning (OR 1.22, 95% CI 1.04-1.42), whereas family cohesion was not associated with these study outcomes.This study suggests that ACP should be adapted to be more culturally appropriate, especially in a time of coronavirus and xenophobia, such as framing ACP as a tool to help families reduce stress while fulfilling filial obligations, in order to ensure equitable access to ACP.

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Published In

Journal of the American Medical Directors Association

DOI

EISSN

1538-9375

ISSN

1525-8610

Publication Date

February 2021

Volume

22

Issue

2

Start / End Page

340 / 343

Related Subject Headings

  • Middle Aged
  • Male
  • Humans
  • Hawaii
  • Geriatrics
  • Female
  • Family Relations
  • Emigrants and Immigrants
  • Decision Making
  • Cross-Sectional Studies
 

Citation

APA
Chicago
ICMJE
MLA
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Pei, Y., Zhang, W., & Wu, B. (2021). Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter? Journal of the American Medical Directors Association, 22(2), 340–343. https://doi.org/10.1016/j.jamda.2020.06.040
Pei, Yaolin, Wei Zhang, and Bei Wu. “Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter?Journal of the American Medical Directors Association 22, no. 2 (February 2021): 340–43. https://doi.org/10.1016/j.jamda.2020.06.040.
Pei Y, Zhang W, Wu B. Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter? Journal of the American Medical Directors Association. 2021 Feb;22(2):340–3.
Pei, Yaolin, et al. “Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter?Journal of the American Medical Directors Association, vol. 22, no. 2, Feb. 2021, pp. 340–43. Epmc, doi:10.1016/j.jamda.2020.06.040.
Pei Y, Zhang W, Wu B. Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter? Journal of the American Medical Directors Association. 2021 Feb;22(2):340–343.
Journal cover image

Published In

Journal of the American Medical Directors Association

DOI

EISSN

1538-9375

ISSN

1525-8610

Publication Date

February 2021

Volume

22

Issue

2

Start / End Page

340 / 343

Related Subject Headings

  • Middle Aged
  • Male
  • Humans
  • Hawaii
  • Geriatrics
  • Female
  • Family Relations
  • Emigrants and Immigrants
  • Decision Making
  • Cross-Sectional Studies