Frontiers in public health · 2026
Determinants of advance-directive completion for end-of-life preparedness among older Korean adults.
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Lee Hyun-Sook, Kim Sang-Mi
Аннотация
AIM: This study analyzed determinants of advance-directive (AD) completion for end-of-life preparedness among older Korean adults.
METHODS: The study used data from 9,796 individuals in the 2023 National Survey of Older Koreans. Complex-sample weighted analyses and multivariate logistic regression were conducted to identify factors associated with AD completion among older Koreans. Sociodemographic, health-status, and death-preparation characteristics were analyzed.
RESULTS: Multivariate analysis revealed that the strongest predictors of AD completion were organ- or tissue-donation willingness, educational attainment, and writing a will. Other significant factors included funeral consultation and death-preparation education.
CONCLUSION: These findings suggest that death-preparation behaviors and end-of-life planning activities are significantly associated with AD completion among older Korean adults. Public-health strategies should support targeted education and communication interventions to improve older adults' engagement in advanced care planning.
METHODS: The study used data from 9,796 individuals in the 2023 National Survey of Older Koreans. Complex-sample weighted analyses and multivariate logistic regression were conducted to identify factors associated with AD completion among older Koreans. Sociodemographic, health-status, and death-preparation characteristics were analyzed.
RESULTS: Multivariate analysis revealed that the strongest predictors of AD completion were organ- or tissue-donation willingness, educational attainment, and writing a will. Other significant factors included funeral consultation and death-preparation education.
CONCLUSION: These findings suggest that death-preparation behaviors and end-of-life planning activities are significantly associated with AD completion among older Korean adults. Public-health strategies should support targeted education and communication interventions to improve older adults' engagement in advanced care planning.