ArticleAge and ageing2022
Family social support and stability of preferences regarding place of death among older people: a 3-year longitudinal study from the Japan Gerontological Evaluation Study.
Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Evolution and challenges of physician-led home visits in Japan.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Motivations for choosing "home" as one's preferred place of death: A scoping review.Palliative & supportive care · 2025Article
- Availability and stability of palliative care for family members of terminally ill patients in an integrated model of health and social care.BMC palliative care · 2024Observational
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3 authors.
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Abstract
backgroundit remains unclear how family relationships could affect stability of end-of-life care preferences.
objectiveto describe change patterns of preferred place of death (POD) among older people and to examine associations between family social support and stability of preferences regarding POD.
methodsthis longitudinal study of 1,200 noninstitutionalized independent Japanese older people aged over 65 years used panel data between 2016 and 2019 from the Japan Gerontological Evaluation Study (JAGES). Preference stability was defined as the congruence of preferred POD based on questionnaires between baseline and follow-up. We performed multiple logistic regression analysis and gender-stratified analysis to examine associations between social support (spouse, children living together and children living apart) and preference stability.
resultsonly 40.9% of participants had stable preferences. For a spouse, both receiving and providing social support was associated with less stable preferences (OR: 0.63, 95% CI: 0.43-0.93; OR: 0.55, 95% CI: 0.38-0.80, respectively), and providing social support to children living apart was associated with more stable preferences (OR: 1.35, 95% CI: 1.03-1.76). In gender-stratified analysis, significant associations between preference stability and providing social support to a spouse among women (OR: 0.53, 95% CI: 0.34-0.82) and providing social support to children living apart among men (OR: 1.72, 95% CI: 1.16-2.55) were observed.
conclusionsfamily social support was associated with the stability of preferences, and the associations differed by support resources and gender. Incorporating family members in the process of end-of-life care discussion may be necessary for establishing stable preferences.
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