Multidimensional factors influencing the completion of advance directives among community-dwelling older Koreans
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View abstract on PubMed
Summary
This summary is machine-generated.Advance directive (AD) completion among older Koreans is influenced by personal, social, health, and value system factors. Policies should support this complex decision-making process for older adults.
Area Of Science
- Gerontology
- Public Health
- Sociology
Background
- Advance directives (ADs) are crucial for end-of-life care planning.
- Understanding factors influencing AD completion in diverse populations is essential.
- Existing frameworks may not fully capture Asian cultural contexts.
Purpose Of The Study
- To investigate multidimensional factors associated with advance directive completion.
- Focus on community-dwelling older Koreans.
- Utilize Asian-contextualized conceptual frameworks.
Main Methods
- Analysis of data from the 2023 National Survey of Older Koreans (N=9,951).
- Participants were community-dwelling older Koreans aged 65+.
- Complex sample cross-tabulation and binary logistic regression were employed.
Main Results
- 11.1% of older Koreans had completed an AD.
- Key factors included personal situation (age, education, religion, housing preference), socio-cultural aspects (children, social activities, relationships), health status (chronic diseases), and value systems (hospice awareness, death education, organ donation).
Conclusions
- AD completion is a complex decision influenced by values and life circumstances, not just documentation.
- Supportive interventions are needed.
- Policies should be tailored to older adults, recognizing higher AD completion rates in this demographic.
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