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Race Differences in Advance Directive Completion.

Catheryn S Koss¹, Tamara A Baker¹

¹1 University of Kansas, Lawrence, USA.

Journal of Aging and Health

|March 6, 2016

Summary

This summary is machine-generated.

Advance directive completion rates are rising, yet racial disparities persist. However, recent data indicates the gap between White and African American older adults is narrowing, suggesting progress in equitable end-of-life care planning.

Keywords:

African Americans advance care planning advance directives end of life health disparities

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Area of Science:

Gerontology
Public Health
Health Disparities

Background:

Advance directive completion rates have risen over the last decade.
Significant racial disparities in advance directive completion persist among older adults.
Understanding the impact of overall increases on racial disparities is crucial for equitable healthcare.

Purpose of the Study:

To examine how increased advance directive completion rates have affected racial disparities between White and African American older adults.
To analyze trends in advance directive completion by race from 2001 to 2012.

Main Methods:

Utilized data from the Health and Retirement Study (HRS).
Employed logistic regression models to compare advance directive odds.
Analyzed a sample of 5,832 older African Americans and Whites who died between 2001 and 2012.

Main Results:

In 2001-2009, African Americans had significantly lower odds of advance directive completion (16% of White odds).
From 2010-2012, the increase in odds for African Americans was significantly greater than for Whites (OR = 1.95).
This suggests a narrowing of the racial gap in recent years.

Conclusions:

While racial disparities in advance directive completion persist, the gap between White and African American older adults has begun to narrow.
The findings indicate a positive trend towards more equitable end-of-life care planning.
Further research is needed to understand the drivers of this narrowing gap and sustain progress.