title: Lesbian, gay, bisexual and transgender people's attitudes to end-of-life decision-making and advance care planning.
abstract: OBJECTIVE
  To examine lesbian, gay, bisexual and transgender (LGBT) people's attitudes to advance care planning (ACP) options and alternative decision-making at the end of life.
  
  
  METHODS
  Three hundred and five LGBT people completed an online or paper-based questionnaire, comprising fixed-choice questions and open-ended questions.
  
  
  RESULTS
  Most respondents, particularly those identifying as female or transgender, preferred a partner to be their alternative decision-maker at the end of life should the need arise. Fifty-two per cent of respondents had spoken to this person about their wishes. Regarding legal options enabling end-of-life decision-making, 29% had an enduring power of attorney, 18% an enduring guardian and 12% an advance care directive.
  
  
  CONCLUSIONS
  Despite the significance of ACP for promoting the rights of LGBT people at the end of life, the take-up of these options was nearly as low as for the general population. The potential for targeted strategies to increase the take-up of ACP is identified.
authors.affiliation: School of Arts and Social Sciences, Southern Cross University, Bilinga, Queensland, Australia.
authors.forename: Mark
authors.initials: M
authors.lastname: Hughes
authors.affiliation: School of Health and Human Sciences, Southern Cross University, Bilinga, Queensland, Australia.
authors.forename: Colleen
authors.initials: C
authors.lastname: Cartwright
mesh_terms: D000328:Adult; D032722:Advance Care Planning / Q000458:organization & administration; D000367:Age Factors; D000368:Aged; D000375:Aging / Q000208:ethnology / Q000523:psychology*; D001727:Bisexuality / Q000523:psychology*; D002755:Choice Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D018452:Homosexuality, Female / Q000523:psychology*; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000458:organization & administration / Q000523:psychology*; D063106:Transgender Persons / Q000523:psychology*; D014189:Transsexualism / Q000523:psychology*
keywords: advance care planning; bisexual; end-of-life care; gay; lesbian; transgender person