Comparing advance care planning between older adults with and without HIV

• Published in: AIDS care Vol. 35; no. 10; pp. 1587 - 1589
• Main Authors: Nguyen, Annie L., Park, Bo Young, Thayer, Erin, Bailey, Jeff, Christensen, Christopher, Taylor, Jeff
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 03.10.2023; Taylor & Francis Ltd
• Subjects: Adults; Advance Care Planning; Advance Directives; Aged; aging; Care plans; Data Collection; Health care; healthcare proxy; HIV; HIV Infections; Human immunodeficiency virus; Humans; Male; Middle Aged; Minority groups; Older people; Purpose in life; Sexual orientation; Sexually transmitted diseases; STD; Transtheoretical Model; Advance directives; Transtheoretical Model; aging; healthcare proxy
• ISSN: 0954-0121; 1360-0451; 1360-0451
• DOI: 10.1080/09540121.2022.2126961

We compared completion of advance directives (AD), designation of a healthcare proxy, and stage in the advance care planning process (pre-contemplation/contemplation, preparation/action) between older adults with (N = 110) and without (N = 50) HIV. Participants' mean age was 61.3, most identified as male (82%) and sexual minorities (74%), were racially/ethnically diverse (44% white, 28% Latinx, 16% Black); 37% had an AD and 44% had a healthcare proxy. In adjusted logistic regressions, HIV− individuals had higher odds of being in preparation/action for having an AD (aOR: 2.6) and healthcare proxy (aOR: 3.6) compared to people living with HIV. Older age (aOR: 1.1) and having a sense of greater purpose in life (aOR: 2.1) were also positively associated with being in the preparation/action stage for having a healthcare proxy.