University of Virginia, Charlottesville.
Omega (Westport). 2014;69(3):271-82. doi: 10.2190/OM.69.3.c.
Research suggests that older Blacks tend to prefer more aggressive treatment as they transition toward the end of life. African and Afro-Caribbean immigrants and their offspring are the fastest growing segments of the Black population in the United States. With the increasing population of Black older adults, the cost of end-of-life care is rising. This article presents a review of the literature on the end-of-life preferences of Afro-Caribbean older adults. Findings suggest that Afro-Caribbean older adults make end-of-life decisions with a significant emphasis on family structure, religion/spirituality, cultural identity, migration, and communication. Concerns regarding the meaning of end-of-life preparation and hospice are often viewed in ways that differ from that of healthcare providers. Future research is needed to investigate this process in the Afro-Caribbean older adult subset.
研究表明，随着生命末期的临近，老年黑人往往更倾向于接受更积极的治疗。非洲裔和非裔加勒比移民及其后代是美国黑人人口中增长最快的群体。随着老年黑人人口的增加，临终关怀的成本也在上升。本文综述了非裔加勒比老年人临终偏好的文献。研究结果表明，非裔加勒比老年人在做出临终决策时，非常重视家庭结构、宗教/精神信仰、文化认同、移民和沟通。他们对临终准备和临终关怀的意义的看法往往与医疗保健提供者不同。未来需要进一步研究非裔加勒比老年人群体的这一过程。
