Evidence map›Paper›PMID 37431769›Full record

ArticleJournal of the American Geriatrics Society2023

Disparities in advance care planning among older US immigrants.

Dallas Mindo-Panusis, Rebecca L Sudore, Irena Cenzer, Alexander K Smith, Ashwin A Kotwal

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Dallas Mindo-PanusisDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0001-7169-7712
Rebecca L SudoreDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Irena CenzerDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Alexander K SmithDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Ashwin A KotwalDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-6137-8512
San Francisco VA Medical Center · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
Loneliness and Social Isolation Among Older Adults with and without Alzheimer's Disease and Related Dementia in the Last Years of LifeK23AG065438 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOTWAL, ASHWIN AJIT · 2020 to 2024
$809k
NIA NIH HHS K23 AG065438NIA NIH HHS K23AG065438NIA NIH HHS K24 AG054415NIA NIH HHS K24AG054415NIA NIH HHS P30 AG044281NIA NIH HHS P30AG044281
6 · The paper itself

Abstract

backgroundDespite known racial disparities in advance care planning (ACP), little is known about ACP disparities experienced by US immigrants.

methodsWe used data from the 2016 wave of the Health and Retirement Study. We defined ACP engagement as self-reported end-of-life (EOL) discussions, designation of a power of attorney (DPOA), documented living will, or "any" of the three behaviors. Immigration status was determined by respondent-reported birth outside the United States. Time in the United States was calculated by subtracting the year of arrival in the United States from the survey year of 2016. We used multivariable logistic regression to estimate the association between ACP engagement and immigration status and the relationship of acculturation to ACP engagement, adjusting for sociodemographics, religiosity, and life expectancy.

resultsOf the total cohort (N = 9928), 10% were immigrants; 45% of immigrants identified as Hispanic. After adjustment, immigrants had significantly lower adjusted probability of any ACP engagement (immigrants: 74% vs. US-born: 83%, p < 0.001), EOL discussions (67% vs. 77%, p < 0.001), DPOA designation (50% vs. 59%, p = 0.001) and living will documentation (50% vs. 56%, p = 0.03). Among immigrants, each year in the United States was associated with a 4% increase in the odds of any ACP engagement (aOR 1.04, 95% CI 1.03-1.06), ranging from 36% engaged 10 years after immigration to 78% after 70 years.

conclusionACP engagement was lower for US immigrants compared to US-born older adults, particularly for those that recently immigrated. Future studies should explore strategies to reduce disparities in ACP and the unique ACP needs among different immigrant populations.

Indexed as

Advance Care PlanningEmigrants and ImmigrantsAcculturationAgedAged, 80 and overFemaleHealthcare DisparitiesHumansMaleMiddle AgedTerminal CareUnited Statesadvance care planninghealth disparitiesimmigrant health

Identifiers

PMID37431769
PMCPMC10592399
OpenAlexW4383872870

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.