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Cultural Differences Predict Palliative Care Development Across the United States

The Role of Cultural Tightness and Looseness

Dados Bibliográficos

ID13627747
AutoresBrenna Mossman (0000-0002-3343-111X, Tulane University), Damian R Murray (0000-0001-7267-9102, Tulane University), James Gerhart (0000-0002-6661-6401, Central Michigan University), Sonia Malhotra (Section of General Internal Medicine, Geriatrics & Palliative Medicine, Deming Department of Medicine, Tulane School of Medicine, New Orleans, LA, USA), Taylor M Alcorn (Tulane University), Taylor Alcorn (Tulane University), Michael Hoerger (0000-0002-4398-2820, Tulane University, autor correspondente)
Ano2024
Páginas302228241272635-302228241272635
Data de publicação2024-08-06
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoOMEGA - Journal of Death and Dying (JOURNAL)
Identificadores do periódicoISSN: 0030-2228 • E-ISSN: 1541-3764
EditoraSAGE Publishing (PUBLISHER • US)
DOI10.1177/00302228241272635
PMID40566923
OpenAlexW4401362544
IdiomaEN
Referências citadas28

Across the United States, some regions demonstrate greater readiness to adopt palliative care than others. This geographic variation in access and utilization may be due to cultural variation in "tightness" and "looseness," which can be understood as the relative strength and enforcement of social norms and behavioral constraint within a culture. The present study examined the influence of cultural tightness-looseness on access to palliative care (i.e., statewide percentage of hospitals with palliative care programs) across the 50 U.S. states while controlling for demographic covariates. Results of regression analyses demonstrated that states with looser cultures (i.e., less adherence to norms) had better palliative care access (β = .501, p = .012). Additionally, access was better in states with greater proportions of female (β = .455, p = .004) and white, non-Hispanic or Latino/a (β = .359, p = .002) residents. Strategies to improve utilization should consider the influence of culture and the relative strength of existing social norms within the region

Palliative care · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Religion, Spirituality, and Psychology

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