Do older adults with Alzheimer's disease engage in estate planning and advance care planning preparation?

TitleDo older adults with Alzheimer's disease engage in estate planning and advance care planning preparation?
Publication TypeJournal Article
Year of Publication2019
AuthorsChoi, S, Kim, M, McDonough, IM
JournalAging & Mental Health
Volume23
Issue7
Pagination872-879
ISSN Number1360-7863
KeywordsAdvance directives, Alzheimer's disease, Estate tax
Abstract

Objectives: This study investigated the estate planning and advance care planning (ACP) of older adults diagnosed with Alzheimer's disease (AD) for the presence of (1) a valid will, (2) a durable power of attorney for health care, and (3) a living will. Method: We analyzed 10,273 adults aged 65 and older from the 2012 Health and Retirement Study (HRS) using multilevel logistic regression. Results: We found that a diagnosis of AD was significantly associated with the ACP variables. Older adults with AD were more likely to assign a durable power of attorney for health care and have a written living will than older adults without an AD diagnosis. However, we found no significant association between a diagnosis of AD and having a valid will. These findings were robust when adjusting for demographic and socioeconomic variables. Other factors decreased engagement in estate planning and ACP, including lower socioeconomic status, being male, and being a minority. Conclusion: Our findings suggest that a diagnosis of AD is associated with more engagement in ACP for individuals and their families, but important barriers exist for people with fewer resources.

URLhttps://www.tandfonline.com/doi/full/10.1080/13607863.2018.1461192https://www.tandfonline.com/doi/pdf/10.1080/13607863.2018.1461192
DOI10.1080/13607863.2018.1461192
Short TitleAging & Mental Health
Citation Key9726