Influence of ethnicity on advance directives and end-of-life decisions.

To the Editor. —The importance of improving end-of-life decision making 1 and understanding the differences in attitudes among ethnic groups toward end-of-life decisions have been increasing recognized. 2 The New Mexico Elder Health Study provides some insights concerning advance care planning and preferences toward life-sustaining measures. One purpose of this comprehensive study is to compare self-reported understanding and completion of advance directives and individual preferences for life-sustaining measures in the event of a terminal illness. We surveyed randomly selected elderly ≥65 years) Hispanic (n=414) and non-Hispanic (n=469) whites living in Bernalillo County (Albuquerque and vicinity), New Mexico. The study was conducted using in-home, in-person interviews by trained personnel. "Hispanic" was defined using 3 criteria: Spanish surname, self-identification, and parential ethnicity. Many participants reported that they did not know what a living will and durable power of attorney are. Hispanics were less likely than non-Hispanic whites to correctly define a living