Religiosity and Death Attitudes and Engagement of Advance Care Planning Among Chronically Ill Older Adults
The aim of this study was to examine the association of religiosity and death attitudes with self-reported advance care planning (ACP) in chronically ill older adults. Survey data were collected in person for a sample of 157 chronically ill older adults drawn from primary care clinics in North Carolina. Logistic regression was used to examine associations of religiosity and death attitudes in the likelihood of engagement in three ACP outcomes: (a) ACP discussions with the doctor, (b) ACP discussions with family, and (c) the completion of a living will. Greater reported religiosity ( b = 1.67, p < .01) was significantly associated with reported ACP discussions with the doctor ( R2 = .29, model significance p < .01). Less fear of death was significantly associated ( b = −0.41, p < .01) with self-reported completion of a living will ( R2 = .21, model significance p < .01). Religiosity and fears of death should be considered in future ACP studies.