Title | Trends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status |
Publication Type | Journal Article |
Year of Publication | 2016 |
Authors | Khosla, N, Curl, AL, Washington, KT |
Journal | American Journal of Hospice and Palliative Medicine |
Volume | 33 |
Issue | 7 |
Start Page | 651 |
Pagination | 651-657 |
Keywords | Demographics, End of life decisions, Methodology, Retirement Planning and Satisfaction |
Abstract | We investigated the trends in advance care planning (ACP) between 2002 and 2010 and whether socioeconomic status explained such trends. We conducted a pooled regression analysis of Health and Retirement Study data from 6052 proxies of deceased individuals. We studied 3 ACP behaviors, discussing end-of-life (EOL) care preferences, providing written EOL care instructions, and appointing a durable power of attorney for health care (DPAHC). ACP increased by 12 to 23 every 2 years from 2002 to 2010. Higher household income increased the odds of having a DPAHC. Education was not associated with ACP. Socioeconomic status alone appears to play a very limited role in predicting ACP. Engagement in ACP likely depends on a constellation of many social and contextual factors. |
URL | http://ajh.sagepub.com/content/early/2015/04/20/1049909115581818.abstract |
DOI | 10.1177/1049909115581818 |
Endnote Keywords | advance care planning/advance directives/socioeconomic status/health and retirement study/older adults/end-of-life care |
Endnote ID | 999999 |
Citation Key | 6442 |