title: Racial and ethnic differences in advance care planning: identifying subgroup patterns and obstacles.
abstract: OBJECTIVE
  The author investigated (a) whether Whites, Blacks, Latinos, and Asians differ in their rates of advance care planning (ACP; that is, living will, health care proxies, discussions), (b) sources of within-racial group heterogeneity, and (c) racial differences in the explanations offered for not doing ACP.
  
  
  METHODS
  The author estimated logistic regression models with data from a national sample of married and cohabiting adults ages 18 to 64 in the Knowledge Networks study (N = 2,111).
  
  
  RESULTS
  Latinos are less likely than Whites to discuss preferences and to have a living will, although the latter gap is fully accounted for by education. Asians are less likely than Whites to have discussions, but more likely to have living wills. Black-White differences emerge only among low SES (socioeconomic status) subgroups. Each group noted distinctive obstacles to planning.
  
  
  CONCLUSIONS
  Public policies should target increasing rates of ACP for all adults prior to onset of major health concerns.
authors: Rutgers University, New Brunswick, NJ 08901, USA. carrds@rci.rutgers.edu
authors: Deborah
authors: D
authors: Carr
mesh_terms: D000293:Adolescent; D000328:Adult; D032722:Advance Care Planning / Q000706:statistics & numerical data*; D001741:Black or African American / Q000706:statistics & numerical data*; D001213:Asian / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors; D014481:United States; D044465:White People / Q000706:statistics & numerical data*; D055815:Young Adult