TY - JOUR
T1 - Completion of Advance Directives Among Low-Income Older Adults
T2 - Does Race/Ethnicity Matter?
AU - Ko, Eunjeong
AU - Lee, Jaehoon
PY - 2014/5
Y1 - 2014/5
N2 - This study examined the prevalence of completion of advance directives (ADs) and the effects of race/ethnicity on AD completion using a cross-sectional design. Low-income older adults (n = 256) who were residents of supportive housing facilities or members of a senior center were interviewed in person. About 20% of the participants had completed ADs. Knowledge and attitudes toward ADs, income, and previous experience in an intensive care unit significantly predicted the completion of ADs after controlling for other factors. Those with higher levels of knowledge, positive attitudes, or those with higher incomes were more likely to complete ADs than their counterparts. Findings suggest that as a proxy for multiple socioeconomic, social and cultural factors, race, and ethnicity need to be considered in planning end-of-life care.
AB - This study examined the prevalence of completion of advance directives (ADs) and the effects of race/ethnicity on AD completion using a cross-sectional design. Low-income older adults (n = 256) who were residents of supportive housing facilities or members of a senior center were interviewed in person. About 20% of the participants had completed ADs. Knowledge and attitudes toward ADs, income, and previous experience in an intensive care unit significantly predicted the completion of ADs after controlling for other factors. Those with higher levels of knowledge, positive attitudes, or those with higher incomes were more likely to complete ADs than their counterparts. Findings suggest that as a proxy for multiple socioeconomic, social and cultural factors, race, and ethnicity need to be considered in planning end-of-life care.
KW - advance directives
KW - cultural competence
KW - end-of-life care
KW - low income
KW - older adults
KW - race/ethnicity
UR - http://www.scopus.com/inward/record.url?scp=84897520910&partnerID=8YFLogxK
U2 - 10.1177/1049909113486170
DO - 10.1177/1049909113486170
M3 - Article
C2 - 23625932
AN - SCOPUS:84897520910
SN - 1049-9091
VL - 31
SP - 247
EP - 253
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 3
ER -