Department of Sociology, School of Social Sciences, 54761Nanyang Technological University, Singapore.
Department of Human Ecology & Welfare, 34926Jeju National University, Jeju, South Korea.
J Aging Health. 2022 Oct;34(6-8):858-869. doi: 10.1177/08982643211068555. Epub 2022 Feb 7.
We examined the formal and informal advance care planning (ACP) patterns of older couples and determined how these patterns are associated with individual and spousal characteristics.
Using data from the 2014 and 2016 Health and Retirement Study, we performed latent class analysis to identify ACP patterns and multinomial regression models to describe characteristics of older couples ( = 2195 couples).
We identified four ACP patterns: high engaging couple (47%); high engaging husband-low engaging wife (11%); high engaging wife-low engaging husband (11%); and low engaging couple (31%). High engaging couples were more likely to be older, educated, and financially better off, whereas high ACP engagement in discordant ACP patterns was associated with health and wives' constraints.
A couple-based approach was recommended to promote the merits of ACP where spouses were older, had limited resources, or where one or both partners were suffering from poor health.
我们考察了老年夫妇的正式和非正式预先医疗照护计划（ACP）模式，并确定这些模式如何与个人和配偶特征相关联。
利用 2014 年和 2016 年健康与退休研究的数据，我们进行了潜在类别分析以确定 ACP 模式，并使用多项回归模型来描述老年夫妇的特征（=2195 对夫妇）。
我们确定了四种 ACP 模式：高参与型夫妇（47%）；高参与型丈夫-低参与型妻子（11%）；高参与型妻子-低参与型丈夫（11%）；低参与型夫妇（31%）。高参与型夫妇更可能年龄较大、受过教育且经济状况较好，而不一致的 ACP 模式中高 ACP 参与度与健康和妻子的约束有关。
建议采取基于夫妇的方法来促进 ACP 的优势，特别是在配偶年龄较大、资源有限或其中一方或双方健康状况不佳的情况下。
