Ko Eunjeong, Lee Jaehoon
1School of Social Work, San Diego State University, San Diego, CA, USA.
Am J Hosp Palliat Care. 2014 May;31(3):247-53. doi: 10.1177/1049909113486170. Epub 2013 Apr 25.
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.
本研究采用横断面设计，调查了预先医疗指示（ADs）的完成率以及种族/民族对ADs完成情况的影响。对居住在支持性住房设施中的低收入老年人（n = 256）或老年中心成员进行了面对面访谈。约20%的参与者完成了ADs。在控制其他因素后，对ADs的知识和态度、收入以及在重症监护病房的既往经历显著预测了ADs的完成情况。知识水平较高、态度积极或收入较高的人比其他人更有可能完成ADs。研究结果表明，作为多种社会经济、社会和文化因素的代表，在规划临终护理时需要考虑种族和民族因素。
