Table II. Multivariate Analyses of Race as a Predictor of Possession of an Advance Directive.

Odds Ratios and 95% Confidence Intervals are for Whites; African Americans are the Reference

Unadjusted	*Model 1	†Model 2	‡Model 3	§Model 4	¶Model 5	#Model 6
3.76	3.01	2.94	2.62	2.43	2.32	2.05
[2.10, 6.71]	[1.54, 5.90]	[1.47, 5.90]	[1.30, 5.29]	[1.21, 4.87]	[1.14, 4.69]	[0.97, 4.37]

^*Base Model: Demographic Variables (Age, sex, race, marital status, education, income) + Self-reported Health

^†Base Model + Healthcare System Distrust Scale

^‡Base Model + Spirituality Scale

^§Base Model + Preferences for End-of-Life Care Scale

^¶Base Model + Beliefs About Dying and Advance Care Planning Scale

^#Base Model + Preferences for End-of-Life Care Scale + Beliefs About Dying and Advance Care Planning Scale + Healthcare System Distrust Scale + Spirituality Scale

Model 6 Fit Statistics: Likelihood Ratio Test -- X² = 50.68, P<.0001; C-index = 0.79