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Journal of Aging and Health
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*Advance Directives
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Thinking Ahead:

Factors Associated with Executing Advance Directives

Christopher B. Rosnick

University of South Florida

Sandra L. Reynolds

University of South Florida

Objectives: This article examines why older adults do or do not execute advance directives Methods: Secondary data analysis was conducted on data from the Charlotte County (Florida) Healthy Aging Study, on 451 adults who were relatively healthy and affluent. Exploratory logistic regressions were conducted on the probability that respondents had executed advance directives. Results: Findings indicated that increasing age and higher income were the most consistent indicators of having executed an advance directive. Also, individuals reporting taking more prescription medications were more likely to have all the advance directives, except the durable power of attorney for health care. Reporting more negative life events was predictive of having executed the durable power of attorney for health care. Discussion: These findings suggest that in addition to awareness of advance directives, demographic, health, and situational factors may affect the willingness of older adults to execute advance directives. Further research should examine other, more representative, samples to confirm these findings.

Key Words: decision-making incapacity • end-of-life care • advance directives

Journal of Aging and Health, Vol. 15, No. 2, 409-429 (2003)
DOI: 10.1177/0898264303015002005
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This article has been cited by other articles:


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K. Gerst and J. A. Burr
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Research on Aging, July 1, 2008; 30(4): 428 - 449.
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 J Aging HealthHome page
C. B. Rosnick, B. J. Small, C. L. McEvoy, A. R. Borenstein, and J. A. Mortimer
Negative Life Events and Cognitive Performance in a Population of Older Adults
J Aging Health, August 1, 2007; 19(4): 612 - 629.
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 The GerontologistHome page
L. C. McGuire, J. K. Rao, L. A. Anderson, and E. S. Ford
Completion of a Durable Power of Attorney for Health Care: What Does Cognition Have to Do With It?
Gerontologist, August 1, 2007; 47(4): 457 - 467.
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