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A systematic review of older adults’ request for or attitude toward euthanasia or assisted-suicide

Artikel i vetenskaplig tidskrift
Författare Dolores Angela Castelli Dransart
Sylvie Lapierre
Annette Erlangsen
Silvia Sara Canetto
Marnin Heisel
Brian Draper
Reinhard Lindner
Stephane Richard-Devantoy
Gary Cheung
Paolo Scocco
Ricardo Gusmao
Diego De Leo
Ken Inoue
Vincent De Techterman
Amy Fiske
Jin Pyo Hong
Marjolaine Landry
Andrée-Anne Lepage
Isabelle Marcoux
Peter Jongho Na
Eva Neufeld
Deborah Ummel
Jan-Henrik Winslov
Christine Wong
Jing Wu
Marilyn Wyart
Publicerad i Aging & Mental Health
ISSN 1360-7863
Publiceringsår 2019
Publicerad vid Institutionen för sociologi och arbetsvetenskap
Språk en
Länkar https://doi.org/10.1080/13607863.20...
Ämnesord Attitudes; decisions; euthanasia; older adults; physician-assisted suicide
Ämneskategorier Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Äldre och åldrande

Sammanfattning

Objectives: Prevalence rates of death by euthanasia (EUT) and physician-assisted suicide (PAS) have increased among older adults, and public debates on these practices are still taking place. In this context, it seemed important to conduct a systematic review of the predictors (demographic, physical health, psychological, social, quality of life, religious, or existential) associated with attitudes toward, wishes and requests for, as well as death by EUT/PAS among individuals aged 60 years and over.Method: The search for quantitative studies in PsycINFO and MEDLINE databases was conducted three times from February 2016 until April 2018. Articles of probable relevance (n = 327) were assessed for eligibility. Studies that only presented descriptive data (n = 306) were excluded.Results: This review identified 21 studies with predictive analyses, but in only 4 did older adults face actual end-of-life decisions. Most studies (17) investigated attitudes toward EUT/PAS (9 through hypothetical scenarios). Younger age, lower religiosity, higher education, and higher socio-economic status were the most consistent predictors of endorsement of EUT/PAS. Findings were heterogeneous with regard to physical health, psychological, and social factors. Findings were difficult to compare across studies because of the variety of sample characteristics and outcomes measures.Conclusion: Future studies should adopt common and explicit definitions of EUT/PAS, as well as research designs (e.g. mixed longitudinal) that allow for better consideration of personal, social, and cultural factors, and their interplay, on EUT/PAS decisions.

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