Regional variations of racial disparities in advance care planning of older adults

Dados Bibliográficos

ID12759776
AutoresKyeongmo Kim (0000-0002-8457-8859, Virginia Commonwealth University), Michin Hong (0000-0002-2781-7374, Indiana University – Purdue University Indianapolis), Giyeon Kim (0000-0002-4439-2777, Chung-Ang University, autor correspondente)
Ano2022
Volume33
Fascículo3
Páginas143-152
Data de publicação2022-12-11
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Ethnic & Cultural Diversity in Social Work (JOURNAL)
Identificadores do periódicoISSN: 1531-3204 • E-ISSN: 1531-3212
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15313204.2022.2154881
OpenAlexW4312122631
IdiomaEN
Referências citadas27

Given the lack of research on geographic variations in advance care planning (ACP) engagement, this study examined whether there were 1) regional variations in engagement in ACP and 2) racial and ethnic differences in ACP by regions of the United States. The sample included 2,015 Medicare beneficiaries in the U.S. from the 2012 National Health and Aging Trends Study that asked respondents about ACP engagement (i.e., discussed end-of-life treatments, had a durable power of attorney for health care, or completed a living will). Results from logistic regression analysis showed that older adults living in the West (OR = 1.66, p = .003) and the Midwest (OR = 1.39, p = .032) were more likely to engage in ACP than those living in the South. Furthermore, logistic regression analyses that examined racial and ethnic differences by region revealed that Blacks were less likely to be engaged in ACP than Whites in the Northeast, Midwest, and South. Hispanics were less likely to participate in ACP than Whites in the West and the Northeast. The findings provide an insight into disparities in ACP in different regions in the U.S., suggesting target areas for interventions to improve engagement in ACP among non-dominant racial and ethnic populations

Advance care planning · Ethnic group · Ethnically diverse · Logistic regression · Palliative care · Psychological intervention · Sociology · Demography · Geriatric Care and Nursing Homes · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Gerontology