Abstract：
Racial disparities in hospice use are a longstanding concern in the U.S. Asian Americans are among the least likely to receive hospice care and to be included in studies on this topic. This study examined the knowledge, attitudes, and preferences related to hospice care among older Chinese immigrants and associated factors. A sample of 262 Chinese immigrants age 60+ was recruited from six older adult centers in NYC. In-person interviews were conducted in Mandarin and Cantonese. Non-English-speaking older Chinese immigrants had very limited knowledge about hospice care. Only 26% of respondents had heard of hospice, and a few could correctly define any components. After receiving a comprehensive definition of hospice care, study participants expressed a positive attitude and a strong willingness to use hospice if near the end of life. Notably, some respondents still held misconceptions about hospice and were less positive in their attitude and preference for hospice care. These findings underscore the necessity for clear and accessible information about hospice among this population throughout the trajectory from good health to end of life. Further research is needed to identify the range of factors that influence the attitudes and preferences of older Chinese immigrants toward hospice care.
摘要：
在美国，临终关怀使用的种族差异是一个长期关注的问题，亚裔美国人是最不可能接受临终关怀护理并被纳入这一主题研究的人之一。这项研究检查了知识，态度，以及中国老年移民对临终关怀的偏好和相关因素。从纽约市的六个老年成人中心招募了262名60岁以上的中国移民。面对面采访以普通话和广东话进行。不讲英语的老年中国移民对临终关怀的知识非常有限。只有26%的受访者听说过临终关怀，和一些可以正确定义任何组件。在接受了临终关怀的全面定义后，研究参与者表达了积极的态度和强烈的意愿，如果接近生命的尽头使用临终关怀。值得注意的是,一些受访者仍然对临终关怀抱有误解，对临终关怀的态度和偏好不那么积极。这些发现强调了从健康到生命终结的整个过程中，该人群中有关临终关怀的清晰和可获取的信息的必要性。需要进一步的研究来确定影响老年中国移民对临终关怀的态度和偏好的因素范围。
