Table 3.
Multinomial Logistic Regression, Odds of Wanting Independent or Delegated Decision-Making and Continued or Stopped Life-Prolonging Treatment
| Continue / Delegate |
Continue / Independent |
Stop / Delegate |
|
|---|---|---|---|
| vs. Stop / Independent | |||
| Odds Ratio (95% C.I.) |
Odds Ratio (95% C.I.) |
Odds Ratio (95% C.I.) |
|
| Personal Beliefs Relevant to Treatment and Death | |||
| Preference for independence in everyday life (1 lowest through 6 highest) |
0.92 (0.74–1.14) |
0.94 (0.81–1.08) |
0.79*** (0.69–0.90) |
| Prefers to make own treatment decisions (vs. doctor decides) (1 doctor through 5 self) |
0.86* (0.76–0.97) |
1.07 (0.98–1.17) |
0.86*** (0.79–0.94) |
| Death avoidance (1 least avoidant through 6 most avoidant) |
1.19** (1.06–1.34) |
1.02 (0.94–1.11) |
1.09 (1.00–1.18) |
| Quality of life is more important than length of life (1 strongly disagree through 5 strongly agree) |
0.52*** (0.44–0.61) |
0.59*** (0.53–0.67) |
0.74*** (0.65–0.85) |
| Affiliative Beliefs Relevant to End-of-Life Care | |||
| Religious/spiritual beliefs influence medical decisions (1 not at all through 5 extremely much) |
1.09 (0.96–1.23) |
1.11** (1.03–1.21) |
1.09* (1.01–1.18) |
| Would rather not live than be a burden (1 strongly disagree through 5 strongly agree) |
0.61*** (0.52–0.71) |
0.66*** (0.60–0.73) |
0.90 (0.81–1.01) |
| Interpersonal mattering (1 not relied upon through 5 strongly needed) |
1.21 (0.93–1.58) |
1.07 (0.90–1.27) |
1.17 (0.98–1.40) |
|
End-of-Life Planning Behaviors (vs. completed no planning) |
|||
| Executed living will only | 0.72 (0.43–1.20) |
0.55** (0.37–0.82) |
0.74 (0.51–1.06) |
| Appointed DPAHC only | 0.94 (0.54–1.66) |
1.00 (0.65–1.53) |
0.83 (0.53–1.29) |
| Executed living will and appointed DPAHC | 0.42*** (0.31–0.58) |
0.73** (0.60–0.89) |
0.55*** (0.45–0.68) |
| Sociodemographic Characteristics | |||
| Some college (13–15 years of education) (vs. completed high school) |
0.84 (0.54–1.31) |
1.04 (0.79–1.36) |
0.91 (0.68–1.20) |
| College (16 or more years of education) (vs. completed high school) |
1.82*** (1.32–2.50) |
1.35** (1.08–1.70) |
1.21 (0.95–1.53) |
| Fair / poor self-reported health (vs. good / very good / excellent health) |
1.22 (0.77–1.92) |
0.75 (0.52–1.08) |
1.21 (0.89–1.65) |
| Female | 1.22 (0.91–1.63) |
1.18 (0.97–1.44) |
1.07 (0.87–1.31) |
| N | 247 | 602 | 529 |
| Wald χ2; df | 549.7; 42 | ||
p ≤ .05,
p ≤ .01,
p ≤ .001