Awareness and completion of advance directives in older Korean-American adults.
Awareness and completion of advance directives in older Korean-American adults.
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DOI：
10.1111/jgs.13309
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发表时间：
2015-03
影响因子：
6.3
通讯作者：
Meng H
中科院分区：
文献类型：
--
作者：
Dobbs D;Park NS;Jang Y;Meng H
人们越来越担心社区老年人预先指示（AD）完成率方面的种族和民族差异。虽然非西班牙裔白人和非裔美国人的AD完成率存在差异，但对其他少数民族群体的AD意识和完成情况知之甚少。以社区居住的韩裔美国老年人（n = 675）为对象，探讨了与他们的意识和完成广告相关的因素。在Andersen行为健康模型的指导下，将易感因素（年龄、性别、婚姻状况和教育程度）、需求（慢性病和功能障碍）和使能变量（健康保险和文化适应）纳入AD意识和AD完成的单独logistic回归模型。在这两种模式中，文化适应被认为是一个重要的预测因素;那些文化适应水平较高的人更有可能意识到广告，并完成广告。这项研究有助于了解文化适应在解释AD的认识和完成韩裔美国老年人之间的作用，并提供可能的AD教育干预措施，这老年人的少数民族人口的实践意义。
There has been growing concerns about racial and ethnic disparities in completion rates of advance directives (ADs) among community-dwelling older populations. While differences in AD completion rates in non-Hispanic Whites and African Americans have been reported, not much is known about the awareness and completion of ADs in other groups of ethnic minorities. Using a sample of community-dwelling Korean American older adults (n = 675) as a target, factors associated with their awareness and completion of ADs were explored. Guided by Andersen's behavioral health model, predisposing (age, sex, marital status, and education), need (chronic conditions and functional disability), and enabling variables (health insurance and acculturation) were included in the separate logistic regression models of AD awareness and AD completion. In both models, acculturation was found to be a significant predictor; those who had a higher level of acculturation were more likely to be aware of ADs and to have completed ADs. This study contributes to the knowledge about the role of acculturation in explaining AD awareness and completion among Korean American older adults and provides practice implications for possible AD educational interventions for this older adult minority population.
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影响因子：
3.1
作者：
Lim, Jung-won;Paek, Min-so
通讯作者：
Paek, Min-so
影响因子：
6.3
作者：
Johnson, Kimberly S.;Kuchibhatla, Maragatha;Tulsky, James A.
通讯作者：
Tulsky, James A.
影响因子：
45.3
作者：
Phipps, E;True, G;Braitman, LE
通讯作者：
Braitman, LE
影响因子：
6.3
作者：
Fromme, Erik K.;Zive, Dana;Tolle, Susan W.
通讯作者：
Tolle, Susan W.
DOI：
10.1080/10911359.2013.809287
发表时间：
2013-01-01
影响因子：
1.6
作者：
Hunsaker, Amanda E.;Mann, Aaron
通讯作者：
Mann, Aaron