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

Nidhi Khosla, Angela L. Curl, Karla T. Washington

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

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.

Original languageEnglish
Pages (from-to)651-657
Number of pages7
JournalAmerican Journal of Hospice and Palliative Medicine
Volume33
Issue number7
DOIs
StatePublished - Aug 1 2016

Keywords

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

Fingerprint

Dive into the research topics of 'Trends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status'. Together they form a unique fingerprint.

Cite this