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Advance Directive Completion and Its Associated Factors Among Older Chinese Americans.

Publication ,  Journal Article
Wang, K; Liu, Y; Sun, F; Kong, D; Jiang, L; Wu, B
Published in: Journal of the American Medical Directors Association
February 2021

To examine the factors of advance directive (AD) completion among older Chinese Americans.Cross-sectional survey.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).Logistic regression was used to examine factors associated with AD completion.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.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.

Duke Scholars

Published In

Journal of the American Medical Directors Association

DOI

EISSN

1538-9375

ISSN

1525-8610

Publication Date

February 2021

Volume

22

Issue

2

Start / End Page

344 / 348

Related Subject Headings

  • United States
  • Terminal Care
  • Humans
  • Geriatrics
  • Cross-Sectional Studies
  • Asian
  • Aged
  • Advance Directives
  • 4206 Public health
  • 4205 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wang, K., Liu, Y., Sun, F., Kong, D., Jiang, L., & Wu, B. (2021). Advance Directive Completion and Its Associated Factors Among Older Chinese Americans. Journal of the American Medical Directors Association, 22(2), 344–348. https://doi.org/10.1016/j.jamda.2020.06.049
Wang, Kaipeng, Yanqin Liu, Fei Sun, Dexia Kong, Lin Jiang, and Bei Wu. “Advance Directive Completion and Its Associated Factors Among Older Chinese Americans.Journal of the American Medical Directors Association 22, no. 2 (February 2021): 344–48. https://doi.org/10.1016/j.jamda.2020.06.049.
Wang K, Liu Y, Sun F, Kong D, Jiang L, Wu B. Advance Directive Completion and Its Associated Factors Among Older Chinese Americans. Journal of the American Medical Directors Association. 2021 Feb;22(2):344–8.
Wang, Kaipeng, et al. “Advance Directive Completion and Its Associated Factors Among Older Chinese Americans.Journal of the American Medical Directors Association, vol. 22, no. 2, Feb. 2021, pp. 344–48. Epmc, doi:10.1016/j.jamda.2020.06.049.
Wang K, Liu Y, Sun F, Kong D, Jiang L, Wu B. Advance Directive Completion and Its Associated Factors Among Older Chinese Americans. Journal of the American Medical Directors Association. 2021 Feb;22(2):344–348.
Journal cover image

Published In

Journal of the American Medical Directors Association

DOI

EISSN

1538-9375

ISSN

1525-8610

Publication Date

February 2021

Volume

22

Issue

2

Start / End Page

344 / 348

Related Subject Headings

  • United States
  • Terminal Care
  • Humans
  • Geriatrics
  • Cross-Sectional Studies
  • Asian
  • Aged
  • Advance Directives
  • 4206 Public health
  • 4205 Nursing