“Till Death Do Us Part”, Dying Matters, Beyond the Individual: Advance Care Planning Patterns Among Older Couples

Hyo Jung Lee, Bon Kim

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Objective: We examined the formal and informal advance care planning (ACP) patterns of older couples and determined how these patterns are associated with individual and spousal characteristics. Methods: Using data from the 2014 and 2016 Health and Retirement Study, we performed latent class analysis to identify ACP patterns and multinomial regression models to describe characteristics of older couples (N = 2195 couples). Results: We identified four ACP patterns: high engaging couple (47%); high engaging husband—low engaging wife (11%); high engaging wife—low engaging husband (11%); and low engaging couple (31%). High engaging couples were more likely to be older, educated, and financially better off, whereas high ACP engagement in discordant ACP patterns was associated with health and wives’ constraints. Discussion: A couple-based approach was recommended to promote the merits of ACP where spouses were older, had limited resources, or where one or both partners were suffering from poor health.

Original languageEnglish
Pages (from-to)858-869
Number of pages12
JournalJournal of Aging and Health
Volume34
Issue number6-8
DOIs
Publication statusPublished - 2022 Oct

Bibliographical note

Publisher Copyright:
© The Author(s) 2022.

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

Fingerprint

Dive into the research topics of '“Till Death Do Us Part”, Dying Matters, Beyond the Individual: Advance Care Planning Patterns Among Older Couples'. Together they form a unique fingerprint.

Cite this