No ACD or advance care plan | ACP completed by someone else | P value | |||||
Crude OR (95% CI) | Adjusted OR (95%CI) | Crude OR (95% CI) | Adjusted OR (95% CI) | Crude | Adjusted | ||
Gender | Male | Ref | Ref | 0.061 | 0.237 | ||
Female | 0.71 (0.52 to 0.96) | 0.78 (0.55 to 1.11) | 0.96 (0.68 to 1.37) | 1.05 (0.7 to 1.57) | |||
Age (years) | Per year | 0.96 (0.95 to 0.98) | 0.97 (0.95 to 0.99) | 1.00 (0.97 to 1.02) | 0.99 (0.97 to 1.02) | 0.001 | 0.030 |
Multimorbidity | One | Ref | Ref | 0.054 | 0.157 | ||
Multiple | 0.45 (0.18 to 1.09) | 0.52 (0.18 to 1.48) | 0.32 (0.12 to 0.81) | 0.34 (0.12 to 1.02) | |||
Relationship status | Married/living with partner | Ref | Ref | 0.221 | 0.250 | ||
Other | 0.90 (0.65 to 1.23) | 1.08 (0.75 to 1.55) | 0.72 (0.50 to 1.04) | 0.78 (0.52 to 1.17) | |||
Country of birth | Australia | Ref | Ref | 0.014 | 0.033 | ||
Other | 1.63 (1.17 to 2.28) | 1.59 (1.11 to 2.26) | 1.19 (0.81 to 1.76) | 1.15 (0.76 to 1.74) | |||
Setting | RACF | Ref | Ref | <0.001 | <0.001 | ||
Other | 5.06 (2.55 to 10.0) | 3.17 (1.34 to 7.52) | 0.33 (0.11 to 0.97) | 0.20 (0.06 to 0.66) | |||
Estimated functional status | No or some disability | 1.13 (0.50 to 2.58) | 0.71 (0.28 to 1.81) | 0.63 (0.26 to 1.53) | 0.65 (0.24 to 1.74) | 0.018 | 0.059 |
Moderate disability | 0.91 (0.58 to 1.41) | 0.79 (0.49 to 1.29) | 0.45 (0.27 to 0.74) | 0.43 (0.25 to 0.73) | |||
Severe disability | 0.74 (0.51 to 1.07) | 0.72 (0.48 to 1.07) | 0.60 (0.41 to 0.90) | 0.59 (0.38 to 0.90) | |||
Very severe disability | Ref | Ref | |||||
Palliative care | Yes | Ref | Ref | 0.159 | 0.298 | ||
No | 1.34 (0.76 to 2.39) | 1.62 (0.85 to 3.07) | 0.72 (0.38 to 1.37) | 1.09 (0.55 to 2.15) | |||
Jurisdiction | Common law state for ACD preferences | Ref | Ref | 0.148 | 0.379 | ||
Legislative state for ACD preferences | 1.37 (0.70 to 2.70) | 1.64 (0.81 to 3.35) | 0.53 (0.24 to 1.16) | 0.98 (0.44 to 2.19) | |||
ACP programme | Yes | Ref | Ref | 0.095 | 0.206 | ||
No | 2.44 (1.02 to 5.82) | 2.25 (0.85 to 5.95) | 0.79 (0.26 to 2.42) | 1.82 (0.57 to 5.80) | |||
ACP training | Yes | Ref | Ref | <0.001 | <0.001 | ||
No | 0.47 (0.24 to 0.93) | 0.37 (0.17 to 0.79) | 0.12 (0.05 to 0.29) | 0.09 (0.03 to 0.22) | |||
Any ACP policy or guideline | Yes | Ref | Ref | 0.573 | 0.019 | ||
No | 1.30 (0.66 to 2.57) | 1.39 (0.69 to 2.78) | 1.42 (0.63 to 3.18) | 3.05 (1.39 to 6.69) | |||
Any funded ACP support | Yes | Ref | Ref | 0.434 | 0.526 | ||
No | 0.66 (0.35 to 1.24) | 0.69 (0.34 to 1.39) | 0.89 (0.42 to 1.92) | 0.77 (0.34 to 1.77) |
ACD, advance care directive; ACP, advance care planning; RACF, residential aged care facility.