The Influence of Sociodemographic and Psychosocial Factors on Advance Care Planning
The Influence of Sociodemographic and Psychosocial Factors on Advance Care Planning
复制标题
DOI：
10.1080/01634372.2016.1229709
复制
发表时间：
2016-01-01
影响因子：
3.2
通讯作者：
Inoue, Megumi
中科院分区：
文献类型：
--
作者：
Inoue, Megumi
本研究分析了来自健康与退休研究的数据，调查了促进或阻碍提前护理计划完成的社会人口统计学和心理社会因素。分析子样本包括2006年至2010年间死亡的小组参与者，他们在世时回答了社会心理和生活方式问卷。采用多项逻辑回归来回答研究问题（N = 1,056）。研究发现，年龄较大的女性、认为自己是白人的人、收入和教育水平较高的人更有可能有动力完成提前护理计划。研究发现，拥有更强的控制感可以削弱非裔美国人身份与完成预先指示之间的不利关系。患有癌症、患病时间较长、有过养老院机构化经历的人也预示着提前护理计划的完成。其影响包括为少数种族/族裔采用适合其文化的方法，并使用清晰易懂的预先指示。此外，未来的研究需要包括更多的少数民族人口，并检查种族/民族群体之间存在的差异在多大程度上与提前护理计划有关。
This study investigated sociodemographic and psychosocial factors that enhance or impede the completion of advance care planning, analyzing data from the Health and Retirement Study. The analytic subsample included the panel participants who died between 2006 and 2010 and who had answered the psychosocial and lifestyle questionnaire when they were alive. Multinomial logistic regression was executed to answer the research question (N = 1,056). The study found that persons who were older, who were women, who identified themselves as White, and who had higher levels of income and education were more likely to be motivated to complete advance care planning. Having greater sense of control was found to weaken the adverse relationship between being African American and the completion of advance directives. Having cancer, suffering from the illnesses for longer periods of time, and having experience of nursing home institutionalization also predicted the completion of advance care planning. Implications include incorporating a culturally tailored approach for racial/ethnic minorities and using advance directives that are clear and easily understood. In addition, future research needs to include a larger minority population and examine the extent to which variations between racial/ethnic groups exist in relation to advance care planning.