Race Differences in Advance Directive Completion.

TitleRace Differences in Advance Directive Completion.
Publication TypeJournal Article
Year of Publication2017
AuthorsKoss, CS, Baker, TA
JournalJ Aging Health
Date Published2017 Mar
ISSN Number1552-6887
KeywordsAdvance directives, Aged, Aged, 80 and over, Black or African American, Female, Humans, Interviews as Topic, Logistic Models, Male, Qualitative Research, White People

OBJECTIVE: Rates of advance directive completion have increased over the past decade, but significant race differences remain. This study examined how overall increases in advance directive completion have affected disparities between White and African American older adults.

METHOD: Data were taken from the Health and Retirement Study (HRS). Using logistic regression models, the odds of having an advance directive among a sample of older African Americans and Whites who died between 2001 and 2012 were compared ( N = 5,832).

RESULTS: Odds for African Americans were 16% of the odds for Whites, p < .001, 95% confidence interval (CI) = [0.11, 0.23]. There were no significant interactions between race and year of death before 2010. During 2010-2012, the increase in the odds for African Americans was greater than for Whites, odds ratio (OR) = 1.95, p = .02, 95% CI = [1.14, 3.35].

DISCUSSION: Although race disparities remain, the gap between Whites and African Americans has begun to narrow.

User Guide Notes


Endnote Keywords

African Americans/end of life/advance directives/advance care planning/health disparities

Endnote ID


Alternate JournalJ Aging Health
Citation Key6517
PubMed ID26944809