Abstract
Objectives
To examine the factors of advance directive (AD) completion among older Chinese Americans.
Design
Cross-sectional survey.
Setting and Participants
Data came from 435 Chinese Americans aged 55 years and older living in 2 metropolitan
areas through self-administered questionnaires and research assistant–administered
interviews in 2018. Participants' average age was 75 years (standard deviation = 9.4).
Methods
Logistic regression was used to examine factors associated with AD completion.
Results
Approximately 14% of participants completed an AD. Older age [odds ratio (OR) 1.07,
95% confidence interval (CI) 1.02-1.12], higher level of acculturation (OR 2.15, 95%
CI 1.39-3.33), higher expectation for intergenerational support (OR 1.52, 95% CI 1.02-2.27),
and having US citizenship (OR 3.02, 95% CI 1.26-7.23) were positively associated with
AD completion. Physical and mental health needs were not significantly associated
with AD completion.
Conclusions and Implications
This study is among the first focusing on AD completion among Chinese Americans, one
of the fastest-growing older minority populations in the United States. Findings highlight
the influence of socioeconomic and cultural factors on AD completion and illustrate
the importance of developing culturally sensitive interventions to promote end-of-life
care decision making among older Chinese Americans.
Keywords
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Article info
Publication history
Published online: August 04, 2020
Footnotes
The authors declare no conflicts of interests.
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
