{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:44:39Z","timestamp":1791618279508,"version":"4.3.4"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat\ufffdCare"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Past studies have shown mixed results on how gender and living with a spouse or partner impact advance care planning (ACP). Few if any have tested for the interaction between these two variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We examined how gender and couple status interact to impact the use of ACP practices including written instructions, designating a durable power of attorney for healthcare (DPOAHC), and discussing one\u2019s decisions with others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We used cross-sectional data taken from the Health and Retirement Study, a longitudinal study of adults over the age of 50 in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data are from 632 respondents who died between the 2016 core survey and the 2018 exit survey. Participants had completed the 2016 survey and had a proxy informant complete the 2018 exit survey after their death. Generalized linear mixed models were used to test for main effects and interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Women were more likely than men to designate a DPOAHC and to discuss their wishes with others. Women living without a partner were more likely than men living without a partner and coupled households to discuss their wishes with family or others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both gender and couple status are important variables associated with ACP practices. Healthcare providers may want to reach out to women living within a coupled household and men living without a partner to ensure that they know the benefits of ACP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524241287221","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T08:37:42Z","timestamp":1728376662000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Gender and couple status differences in advance care planning: a cross-sectional study"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3128-3627","authenticated-orcid":false,"given":"Kristin R.","family":"Baughman","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Northeast Ohio Medical University, 4209 State Route 44, PO Box 95, Rootstown, OH 44272, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Ludwick","sequence":"additional","affiliation":[{"name":"Northeast Ohio Medical University, Rootstown, OH, USA"},{"name":"Kent State University, School of Nursing, Kent, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8918-7524","authenticated-orcid":false,"given":"Ashley","family":"Audi","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Harlan","sequence":"additional","affiliation":[{"name":"Good Samaritan Hospital, Cincinnati, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,7]]},"reference":[{"key":"bibr1-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.331"},{"key":"bibr2-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03470030102032"},{"key":"bibr3-26323524241287221","unstructured":"House SA, School C, Ogilvie WA. Advance directives. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing, 2022."},{"key":"bibr4-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2017.07.012"},{"key":"bibr5-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2022.02.011"},{"key":"bibr6-26323524241287221","unstructured":"World Health Organization. WHO definition of palliative care, http:\/\/www.who.int\/cancer\/palliative\/definition\/en\/ (2024, accessed 29 August 2024)."},{"key":"bibr7-26323524241287221","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11202755"},{"key":"bibr8-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-021-02001-y"},{"key":"bibr9-26323524241287221","unstructured":"American Geriatrics Society. Advance care planning for older adults, AGS Statement on Advance Care Planning_FINAL (August 2017).pdf (americangeriatrics.org) (2017, accessed 29 August 2024)."},{"key":"bibr10-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12105"},{"key":"bibr11-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbs161"},{"key":"bibr12-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0451"},{"key":"bibr13-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/62.2.S135"},{"key":"bibr14-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2018.1461192"},{"key":"bibr15-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2018.1533521"},{"key":"bibr16-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1177\/0022146517735524"},{"key":"bibr17-26323524241287221","doi-asserted-by":"publisher","DOI":"10.2307\/3090242"},{"key":"bibr18-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1177\/2632352420957997"},{"key":"bibr19-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1177\/0164027516644503"},{"key":"bibr20-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2014.0154"},{"key":"bibr21-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200401000-00006"},{"key":"bibr22-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951510000064"},{"key":"bibr23-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-024-01043-x"},{"key":"bibr24-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2013-000473"},{"key":"bibr25-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1080\/01634372.2016.1229709"},{"key":"bibr26-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13309"},{"key":"bibr27-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/40.4.449"},{"key":"bibr28-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01425-8"},{"key":"bibr29-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1177\/0898264314534895"},{"key":"bibr30-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1111\/jomf.12617"},{"key":"bibr31-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2010.01.004"},{"key":"bibr32-26323524241287221","volume-title":"2016 HRS Exit and 2014 RAND HRS Fat File public use datasets. Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740)","author":"Health and Retirement Study","year":"2020"},{"key":"bibr33-26323524241287221","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"bibr34-26323524241287221","unstructured":"Malani P, Kullgren J, Solway E, et al. Older adults\u2019 experiences with advance care planning, https:\/\/deepblue.lib.umich.edu\/bitstream\/handle\/2027.42\/167012\/NPHA-Advanced-Care-report-FINAL-04052021.pdf?sequence=4&isAllowed=y (2021, accessed 29 August 2024)."},{"key":"bibr35-26323524241287221","unstructured":"Family Caregiver Alliance, National Center on Caregiving [FCA-NCC]. Caregiver statistics: demographics, https:\/\/www.caregiver.org\/resource\/caregiver-statistics-demographics\/ (2016, accessed 29 August 2024)."},{"key":"bibr36-26323524241287221","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11101478"},{"key":"bibr37-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X08008155"},{"key":"bibr38-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1177\/10499091231188689"},{"key":"bibr39-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1080\/08952841.2010.518884"},{"key":"bibr40-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1177\/0003122419848723"},{"key":"bibr41-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/j.gloepi.2023.100099"},{"key":"bibr42-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbt034"},{"key":"bibr43-26323524241287221","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)33135-0"}],"container-title":["Palliative Care and Social Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524241287221","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26323524241287221","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524241287221","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:02:55Z","timestamp":1777597375000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26323524241287221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":43,"alternative-id":["10.1177\/26323524241287221"],"URL":"https:\/\/doi.org\/10.1177\/26323524241287221","relation":{},"ISSN":["2632-3524","2632-3524"],"issn-type":[{"value":"2632-3524","type":"print"},{"value":"2632-3524","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"26323524241287221"}}