TY - JOUR
T1 - Trends in Engagement in Advance Care Planning Behaviors and the Role of Socioeconomic Status
AU - Khosla, Nidhi
AU - Curl, Angela L.
AU - Washington, Karla T.
N1 - Publisher Copyright:
© The Author(s) 2015.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - 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.
AB - 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.
KW - advance care planning
KW - advance directives
KW - end-of-life care
KW - health and retirement study
KW - older adults
KW - socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=84977156224&partnerID=8YFLogxK
U2 - 10.1177/1049909115581818
DO - 10.1177/1049909115581818
M3 - Article
C2 - 25900854
AN - SCOPUS:84977156224
VL - 33
SP - 651
EP - 657
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
SN - 1049-9091
IS - 7
ER -