Correlates associated with the desire for PEG tube placement at the end of life among community-dwelling older Mexican Americans: A pilot study

M. Rosina Finley, R. Lillianne Macias, Johanna Becho, Robert C. Wood, Arthur E. Hernandez, David V. Espino

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background and aims: Use of percutaneous endoscopic gastrostomy (PEG) tubes in older adults remains controversial. This cross-sectional study examines community-dwelling Mexican American older adults' attitudes toward PEG tube placement in the hypothetical event of a terminal illness. Methods: Interviews were conducted with 100 community-dwelling Mexican American (MA's) adults, age 60 and over, in San Antonio, Texas. Subjects were screened for cognitive competence using Folstein's mini-mental examination. This was followed by an evaluation of socioeconomic status, depressive symptoms, religiosity, health status and attitudes toward end-of-life care, including PEG tube feeding. Results: Higher income MA's, professionals, those without a living will, those who saw religious belief as not important and those who attended church less than once a month were more likely to agree with PEG placement (all P < 0.05). Logistic regression analysis revealed that higher income (OR = 3.16, CI = 1.13-8.83), lack of a living will (OR = 3.34, CI = 1.03-20.87) and low importance of religious beliefs (OR = 7.14, CI = 1.25-41.67) were all independently associated with the desire for insertion of a PEG tube at the end of life. Conclusions: This is the first community-based study to describe older Mexican American's attitudes toward PEG tube placement at the end of life. Older community-dwelling Mexican Americans with higher incomes, lack of a living will or low religious involvement might be more likely to choose PEG tube placement even in the context of a terminal condition.

Original languageEnglish (US)
Pages (from-to)69-74
Number of pages6
JournalAging Clinical and Experimental Research
Volume25
Issue number1
DOIs
StatePublished - Apr 1 2013

Keywords

  • End of life
  • Mexican American
  • Percutaneous endoscopic gastrostomy tube

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

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