Table 3.
Prevalence and Likelihood of End-of-Life Directives, by Patient Demographic Characteristics and Self-Rated Health
| DNR Order | Advance Directive | Specified Decision Maker | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Bivariate | Multivariate b | Bivariate | Multivariate b | Bivariate | Multivariate b | ||||
| % | P(χ2) | OR (95% CI) | % | P (χ2) | OR (95%CI) | % | p (χ2) | OR (95% CI) | |
| Patient Characteristics (n a) | |||||||||
| Sex | |||||||||
| Men (2128) | 7.6 | 0.001 | 1.0 (Referent) | 1.5 | 0.73 | 1.0 (Referent) | 50.9 | 0.03 | 1.0 (Referent) |
| Women (3254) | 12.3 | 1.2 (0.7, 2.1) | 1.4 | 1.3 (0.7, 2.4) | 53.8 | 1.1 (1.0, 1.3) | |||
| Age | |||||||||
| 30 or younger (569) | 0.9 | 1.0 (Referent) | 0.4 | 1.0 (Referent) | 49.7 | 1.0 (Referent) | |||
| 31-40 (499) | 0.8 | 1.7 (0.2, 20) | 0.4 | 0.8 (0.1, 5.8) | 51.7 | 1.0 (0.8, 1.3) | |||
| 41-50 (662) | 2.6 | 5.1 (0.6, 44) | 0.8 | 1.5 (0.3, 8.1) | 49.7 | 0.9 (0.7, 1.1) | |||
| 51-60 (772) | 3.1 | <0.001 | 5.5 (0.7, 44) | 1.4 | <0.001 | 2.5 (0.5, 12) | 57.9 | <0.001 | 1.2 (1.0, 1.6) |
| 61-70 (675) | 6.9 | 13 (1.7, 100) c | 2.2 | 3.1 (0.6, 15) | 58.5 | 1.2 (0.9, 1.6) | |||
| 71-80 (678) | 12.3 | 23 (3.0, 170) c | 2.4 | 6.6 (1.4, 30) c | 59.9 | 1.4 (1.1, 1.8) c | |||
| 81 or older (596) | 27.0 | 51 (6.9, 383) c | 3.4 | 7.5 (1.6, 35) c | 58.2 | 1.3 (1.0, 1.8) c | |||
| Race/Ethnicity | |||||||||
| Black/African-Amer. (4081) | 9.9 | 1.0 (Referent) | 0.8 | 1.0 (Referent) | 51.4 | 1.0 (Referent) | |||
| White/Caucasian (973) | 12.8 | <0.001 | 1.7 (1.0, 2.9) c | 4.0 | <0.001 | 2.1 (1.1, 4.0) c | 56.3 | 0.006 | 1.0 (0.9, 1.3) |
| Hispanic/Latino (139) | 6.7 | 1.5 (0.5, 4.4) | 2.2 | 3.4 (1.0, 12) | 61.2 | 1.3 (0.9, 2.0) | |||
| Other (168) | 11.5 | 0.7 (0.2, 3.4) | 2.4 | 2.1 (0.5, 9.8) | 55.4 | 1.4 (0.9, 2.3) | |||
| Married | |||||||||
| No (3865) | 11.4 | 0.038 | 1.0 (Referent) | 0.8 | <0.001 | 1.0 (Referent) | 51.0 | <0.001 | 1.0 (Referent) |
| Yes (1479) | 8.4 | 0.6 (0.4, 1.1) | 3.1 | 2.8 (1.5, 5.0) c | 57.2 | 1.3 (1.1, 1.5) c | |||
| Education Level | |||||||||
| No high school degree (1188) | 9.3 | 1.0 (Referent) | 0.5 | 1.0 (Referent) | 50.8 | 1.0 (Referent) | |||
| High school degree (1639) | 10.5 | 0.044 | 1.2 (0.7, 2.2) | 1.4 | <0.001 | 3.8 (1.1, 13) c | 52.8 | 0.045 | 1.0 (0.9, 1.2) |
| Some college (1391) | 6.7 | 1.2 (0.6, 2.4) | 1.2 | 4.7 (1.3, 17) c | 51.8 | 1.1 (0.9, 1.3) | |||
| College degree (969) | 11.9 | 1.7 (0.9, 3.2) | 3.4 | 8.3 (2.4, 29) c | 56.6 | 1.2 (1.0, 1.5) | |||
| Self-Reported Health (0-100) | |||||||||
| 81-100 (635) | 6.4 | 1.0 (Referent) | 0.8 | 1.0 (Referent) | 51.8 | 1.0 (Referent) | |||
| 61-80 (1498) | 6.3 | 0.6 (0.3, 1.3) | 1.0 | 1.8 (0.5, 6.3) | 51.4 | 0.9 (0.7, 1.1) | |||
| 41-60 (1654) | 9.3 | <0.001 | 1.0 (0.5, 1.7) | 1.3 | 0.017 | 2.2 (0.6, 7.8) | 53.5 | 0.51 | 1.0 (0.8, 1.2) |
| 21-40 (754) | 15.4 | 1.3 (0.6, 2.8) | 1.6 | 2.1 (0.5, 8.0) | 55.0 | 1.0 (0.8, 1.3) | |||
| 0-20 (574) | 17.5 | 1.7 (0.8, 3.7) | 2.8 | 5.3 (1.5, 19) c | 52.4 | 1.0 (0.7, 1.3) | |||
a
n counts vary slightly by analysis because of partial non-response.
b
Odds ratios (95% confidence intervals) from multivariate logistic regression, after adjustment for sex, age, race/ethnicity, marital status, education level, self-rated health score, and religious characteristics.
c
P<0.05.