Rosnick Christopher B, Reynolds Sandra L
University of South Florida, USA.
J Aging Health. 2003 May;15(2):409-29. doi: 10.1177/0898264303015002005.
This article examines why older adults do or do not execute advance directives. METHODS. Secondary data analysis was conducted on data from the Charlotte County (Florida) Healthy Aging Study, on 451 adults who were relatively healthy and affluent. Exploratory logistic regressions were conducted on the probability that respondents had executed advance directives. RESULTS. Findings indicated that increasing age and higher income were the most consistent indicators of having executed an advance directive. Also, individuals reporting taking more prescription medications were more likely to have all the advance directives, except the durable power of attorney for health care. Reporting more negative life events was predictive of having executed the durable power of attorney for health care. DISCUSSION. These findings suggest that in addition to awareness of advance directives, demographic, health, and situational factors may affect the willingness of older adults to execute advance directives. Further research should examine other, more representative, samples to confirm these findings.
本文探讨了老年人制定或未制定预先医疗指示的原因。方法：对夏洛特县（佛罗里达州）健康老龄化研究中的数据进行二次数据分析，该研究涉及451名相对健康且富裕的成年人。对受访者制定预先医疗指示的概率进行了探索性逻辑回归分析。结果：研究结果表明，年龄增长和收入提高是制定预先医疗指示最一致的指标。此外，报告服用更多处方药的个体更有可能拥有所有预先医疗指示，但医疗保健持久授权书除外。报告更多负面生活事件预示着已执行医疗保健持久授权书。讨论：这些发现表明，除了对预先医疗指示的认知外，人口统计学、健康状况和情境因素可能会影响老年人制定预先医疗指示的意愿。进一步的研究应检查其他更具代表性的样本以证实这些发现。
