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  1. The use of living wills at the end of life : A national study.

    Article - En anglais


    Knowing more about who uses living wills may help explain their limited acceptance.


    We analyzed the 1986 National Mortality Followback Survey, a random sample of all US deaths linked to a survey about decedents'use of living wills, their social and health status, and their use of medical services.

    Decedents with and without living wills were compared for differences in social and health characteristics and use of medical services.


    There were 16 678 decedents ; 9.8% had a living will.

    Rates of use were higher for decedents who were white (10.7%), were female (11.0%), had private insurance (13.8%), had incomes of $22 000 or more (14.5%), or had college educations (18.7%). The use of living wills was lower among blacks (2.7%), Medicaid recipients (6.3%), those with incomes of less than $5000 (7.5%), or those with less than 8 years of education (4.0%). Health was also related to use of living wills.

    Functionally independent persons were unlikely to have a living will (5.5%) ; use increased with dependency.

    Cognitive impairment made it less likely that a decedent had a living will (6.7%). Persons who died of cancer (16.4%) or pulmonary disease (11.4%) were more likely to have one.

    All demographic and health characteristics remained significant in multivariate analyses.

    Controlling for health status, decedents with living wills used more physician visits (five to nine vs two to four, P<. 001) and hospital days (37 vs 30, P<. 001). (...)

    Mots-clés Pascal : Mort, Etude statistique, Homme, Dernières volontés

    Mots-clés Pascal anglais : Death, Statistical study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0440619

    Code Inist : 002B30A11. Création : 10/04/1997.