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Published on: October 6, 2016
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Comparing advance care planning between older adults with and without HIV
Annie L Nguyen1, Bo Young Park2, Erin Thayer1
1Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
AIDS Care
|October 13, 2022
Summary
Older adults without HIV were more likely to have completed advance directives and designated a healthcare proxy compared to those with HIV. Purpose in life and older age were linked to better advance care planning in proxy designation.
Area of Science:
- Gerontology
- Public Health
- Infectious Diseases
Background:
- Advance care planning (ACP) is crucial for older adults, ensuring their healthcare preferences are known.
- People living with HIV (PLWH) may face unique challenges in ACP due to health complexities.
- Disparities in ACP completion exist across different populations.
Purpose of the Study:
- To compare ACP completion rates and stages between older adults with and without HIV.
- To identify factors associated with advance directive (AD) and healthcare proxy (HP) designation in this population.
Main Methods:
- Cross-sectional study comparing older adults with (N=110) and without (N=50) HIV.
- Data collected on AD completion, HP designation, and ACP stage (pre-contemplation/contemplation vs. preparation/action).
- Adjusted logistic regressions used to analyze associations.
Main Results:
- Individuals without HIV had significantly higher odds of being in the preparation/action stage for both AD (aOR: 2.6) and HP (aOR: 3.6) compared to PLWH.
- Older age (aOR: 1.1) and a greater sense of purpose in life (aOR: 2.1) were associated with being in the preparation/action stage for HP designation.
Conclusions:
- Older adults without HIV demonstrate higher engagement in advance care planning compared to PLWH.
- Targeted interventions may be needed to improve ACP for PLWH.
- Psychosocial factors like purpose in life may influence healthcare proxy designation.
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