The purpose of this study was to examine racial differences in the creation of a living will among older adults, guided by the Andersen model of healthcare utilization. Data from the 2018 National Health and Aging Trends Study were used to examine differences between Black and Hispanic older adults compared to Whites. Weighted bivariate analysis and a weighted logistic regression model were used to determine the presence of a living will. After accounting for predisposing, enabling and need factors, Black and Hispanic older adults were significantly less likely to have a living compared to White older adults. Results indicate the need to examine cultural, historical, and systemic factors that could affect engagement in advance care planning among Black and Hispanic older adults.

本研究的目的是在安徒生医疗保健利用模型的指导下，检查老年人在建立生前意愿方面的种族差异。来自 2018 年国家健康和老龄化趋势研究的数据被用来检查黑人和西班牙裔老年人与白人相比的差异。加权双变量分析和加权逻辑回归模型用于确定生前遗嘱的存在。在考虑了易感因素、促成因素和需求因素后，与白人老年人相比，黑人和西班牙裔老年人谋生的可能性显着降低。结果表明，需要检查可能影响黑人和西班牙裔老年人参与预先护理计划的文化、历史和系统因素。