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Journal of Applied Gerontology
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Advance Directives among Elderly Veterans

Tricia H. Witte

Department of Veterans Affairs, Maryland Health Care System

A. Srikumar Menon

Department of Veterans Affairs, Maryland Health Care System

Paul E. Ruskin

Department of Veterans Affairs, Maryland Health Care System

Cynthia Wiley

Department of Veterans Affairs, Maryland Health Care System

J. Richard Hebel

University of Maryland School of Medicine, Baltimore

The goal of this study was to identify various sociodemographic and clinical variables related to the completion of advance directives among 281 elderly male veterans recruited from the acute medical inpatient unit of a Veterans Affairs Medical Center. Results found the rates of advance directives to be higher among elderly male veterans compared to other populations (44% had either a durable power of attorney or a living will, 34.2% had a living will, and 35.2% had a durable power of attorney). In addition, individuals who completed an advance directive were significantly more likely to be Caucasian than non-Caucasian. Other than race, there were other important factors including religiosity, desire for life-saving treatment, social support, and depressive symptoms that were related to the completion of advance directives among elderly veterans. Such factors seem consistent with the research literature on nonveteran populations.

Key Words: advance directives • veterans

Journal of Applied Gerontology, Vol. 22, No. 2, 197-213 (2003)
DOI: 10.1177/0733464803022002002
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[Abstract] [PDF]