ArticleJournal of the American Medical Directors Association2021
Advance Care Planning Engagement and End-of-life Preference Among Older Chinese Americans: Do Family Relationships and Immigrant Status Matter?
Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- The role of acculturation in the process of advance care planning among Chinese immigrants: A narrative systematic review.Palliative medicine · 2023Pooled it
- Chinese Diaspora Communities' Knowledge of and Engagement with Advance Care Planning: A Systematic Integrative Review.Journal of palliative care · 2023Pooled it
- Between host country and homeland: a grounded theory study on place of dying and death in migrant cancer patients.BMC palliative care · 2025Article
- Factors Influencing Knowledge, Attitudes and Behaviour Towards Engaging with Advance Care Planning: A Cross-Sectional Survey of Chinese Diaspora.Journal of palliative care · 2025Article
- Latent Profiles of Advance Care Planning Engagement and Death Attitudes in Dialysis Patients with End-Stage Renal Disease.Journal of multidisciplinary healthcare · 2025Article
- Advance care planning readiness among older adults in aged service centers: A cross-sectional study.International journal of nursing sciences · 2025Article
- Advance care planning readiness among community-dwelling older adults and the influencing factors: a scoping review.BMC palliative care · 2024Article
- Dialysis decision-making process by Chinese American patients at an urban, academic medical center: a retrospective chart review.BMC palliative care · 2024Article
- "At the End I Have a Say": Engaging the Chinese Community in Advance Care Planning.Journal of pain and symptom management · 2023Article
- The informal discussion of advance care planning among Chinese older adults: Do education and social media use matter?Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine how immigrant status and family relationships are associated with advance care planning (ACP) engagement and end-of-life (EOL) preference in burial planning among older Chinese Americans, the largest subgroup of Asian Americans.
designCross-sectional survey.
settingCommunities in Honolulu, Hawai'i.
participantsParticipants were 430 older Chinese Americans aged 55 years and older. MEASURES: Measures included ACP contemplation, ACP discussion, and EOL preference in burial planning, immigrant status, family cohesion, family conflict, demographic information, and health status.
resultsResults show that in comparison to foreign-born Chinese Americans, US-born Chinese Americans were more likely to have ACP contemplation [odds ratio (OR) 2.80, 95% confidence interval (CI) 1.39-5.63], ACP discussion (OR 3.02, 95% CI 1.50-6.08), and preferences for burial plans at the end of life (OR 4.56, 95% CI 2.04-10.18). Family conflict increased the possibility of having ACP contemplation (OR 1.21, 95% CI 1.07-1.38), ACP discussion (OR 1.22, 95% CI 1.07-1.39), and EOL preference in burial planning (OR 1.22, 95% CI 1.04-1.42), whereas family cohesion was not associated with these study outcomes. CONCLUSIONS AND IMPLICATIONS: This study suggests that ACP should be adapted to be more culturally appropriate, especially in a time of coronavirus and xenophobia, such as framing ACP as a tool to help families reduce stress while fulfilling filial obligations, in order to ensure equitable access to ACP.
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