Trends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status

TitleTrends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status
Publication TypeJournal Article
Year of Publication2016
AuthorsKhosla, N, Curl, AL, Washington, KT
JournalAmerican Journal of Hospice and Palliative Medicine
Volume33
Issue7
Start Page651
Pagination651-657
KeywordsDemographics, 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.
URLhttp://ajh.sagepub.com/content/early/2015/04/20/1049909115581818.abstract
DOI10.1177/1049909115581818
Endnote Keywords

advance care planning/advance directives/socioeconomic status/health and retirement study/older adults/end-of-life care
Endnote ID

999999
Citation Key6442