{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T12:07:53Z","timestamp":1780661273615,"version":"3.54.1"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T00:00:00Z","timestamp":1612483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009410","name":"Southern California Clinical and Translational Science Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The importance of advance care planning (ACP) discussions have been heightened during the COVID-19 pandemic. We assessed advance directive completion, healthcare proxy (HCP), and attitudes toward ACP among older adults ages 50+ living with HIV during the COVID-19 pandemic.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Internet-based surveys were administered to 100 participants residing in the Coachella Valley, California from April to June 2020. We examined self-reported completion of an advance directive, HCP, and attitudes toward ACP before and after COVID-19. Adjusted regressions were performed on attitudes toward ACP.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Participants' mean age was 64.2 years, most were non-Hispanic white (88.0%), men (96.0%), and identified as sexual minorities (96.0%). Many reported having an advance directive (59.6%) or HCP (67.3%). Most (57.6%) believed ACP to be more important now compared to the pre-pandemic era. Having an advance directive was associated with increase in age, higher education, living with other people, never having an AIDS diagnosis, and current undetectable viral load (<jats:italic>p<\/jats:italic> &amp;lt; 0.05). Having a HCP was associated with higher education, being married\/partnered, and living with other people (<jats:italic>p<\/jats:italic> &amp;lt; 0.05). In a logistic regression model adjusted for education and living situation, the belief that ACP was more important during COVID was associated with not having an advance directive (OR: 5.07, 95% CI: 1.78\u201314.40) and fear of COVID-19 infection (OR: 4.17, 95% CI: 1.61\u201310.76.)<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The COVID-19 pandemic presents a window of opportunity to engage people aging with HIV in ACP discussions, particularly those who do not already have an advance directive.<\/jats:p>","DOI":"10.3389\/fpubh.2021.636786","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T17:51:30Z","timestamp":1612547490000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Perceptions of the Importance of Advance Care Planning During the COVID-19 Pandemic Among Older Adults Living With HIV"],"prefix":"10.3389","volume":"9","author":[{"given":"Annie L.","family":"Nguyen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Davtyan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Christensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,2,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"256","DOI":"10.7326\/0003-4819-153-4-201008170-00008","article-title":"Redefining the \u201cplanning\u201d in advance care planning: preparing for end-of-life decision making","volume":"153","author":"Sudore","year":"2010","journal-title":"Ann Intern Med"},{"key":"B2","unstructured":"Advance Care Planning: Healthcare Directives"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1177\/0269216314526272","article-title":"The effects of advance care planning on end-of-life care: a systematic review","volume":"28","author":"Brinkman-Stoppelenburg","year":"2014","journal-title":"Palliat Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1016\/j.jamda.2014.01.008","article-title":"Efficacy of advance care planning: a systematic review and meta-analysis","volume":"15","author":"Houben","year":"2014","journal-title":"J Am Med Dir Assoc"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1056\/NEJMsa0907901","article-title":"Advance directives and outcomes of surrogate decision making before death","volume":"362","author":"Silveira","year":"2010","journal-title":"N Engl J Med"},{"key":"B6","doi-asserted-by":"publisher","first-page":"c1345","DOI":"10.1136\/bmj.c1345","article-title":"The impact of advance care planning on end of life care in elderly patients: randomised controlled trial","volume":"340","author":"Detering","year":"2010","journal-title":"BMJ"},{"key":"B7","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1111\/jgs.16801","article-title":"Deconstructing the complexities of advance care planning outcomes: what do we know and where do we go? 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