{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T15:27:10Z","timestamp":1787153230523,"version":"build-2736575974"},"reference-count":47,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Voices of the World Mozambique"},{"name":"Quiettime Ministries"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Little is known about how Mozambicans feel about end-of-life preferences, especially their preferences for truth-telling in serious illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To understand the end-of-life preferences and priorities of Mozambicans in Maputo City Province and their preferences for truth-telling in serious illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A face-to-face community-based street survey was performed with Mozambican nationals, aged \u226518, and fluent in Portuguese.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using convenience sampling, structured interviews investigated preferences in a hypothetical scenario of serious illness such as cancer. Descriptive analysis examined variations. General data were collected about illness understanding\/steps in treatment, experiences\/preferences with death, preferences in decision making, and end-of-life priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Participants:<\/jats:title>\n                    <jats:p>\n                      The sample (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 397) was stratified by province, age, and gender. Participants were from five districts of Maputo City Province.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The primary analysis was truth-telling. Binary logistic regression analyses were performed to explore the influence of age, gender, education, religion, and ethnicity on preferences for truth-telling. There was a statistically significant association with higher education and all variables examined: assessing the association between education\/religion and the preference for truth-telling over all other responses (OR = 3.6,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.002), as well as, education\/religion and the preference of truth-telling to the individual, versus family (OR = 3.627,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.020), and the association between education\/ethnicity and the preference of telling-telling to the individual, not family (OR = 3.832,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.015). Catholics were more likely to desire truth-telling to the individual versus family (OR = 2.975,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.042).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Those with higher education and Christian religion were more likely to desire doctors to tell the truth about diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261451674","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T06:35:25Z","timestamp":1779863725000},"page":"1262-1270","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Cross-Sectional Street Survey Examining a Preference for Truth-Telling in Serious Illness and End-of-Life in Maputo City Province"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0497-3823","authenticated-orcid":false,"given":"Layne DeAnn","family":"Heller","sequence":"first","affiliation":[{"name":"University of Maryland Baltimore, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Lynn","family":"McPherson","sequence":"additional","affiliation":[{"name":"University of Maryland Baltimore, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Wright","sequence":"additional","affiliation":[{"name":"University of Maryland Baltimore, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Namisango","sequence":"additional","affiliation":[{"name":"King\u2019s College London, London, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"McCord","sequence":"additional","affiliation":[{"name":"Edgewood University, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Alexander","sequence":"additional","affiliation":[{"name":"University of Maryland Baltimore, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Cagle","sequence":"additional","affiliation":[{"name":"University of Maryland Baltimore, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"1.Instituto Nacional De Estat\u00edstica. 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