Evidence map›Paper›PMID 38824494›Full record

ArticleBMC geriatrics2024

Chinese older adults' prior-to-death disability profiles and their correlates.

Chuqian Chen, Lingling Yu

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Chuqian ChenDepartment of Medical Humanities, School of Humanities, Southeast University, Nanjing, China. ccq0213@outlook.com.
Lingling YuDepartment of Philosophy and Science, School of Humanities, Southeast University, Nanjing, China.

Funding

National Natural Science Foundation of China 32200898
6 · The paper itself

Abstract

backgroundDisability prior to death complicates end-of-life care. The present study aimed to explore the prior-to-death disability profiles of Chinese older adults, the profiles' links to end-of-life care arrangements and place of death, and predictors of the profiles.

methodsIn total, data were extracted from the records of 10,529 deceased individuals from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Latent profile analyses, bivariate analysis, and multivariate logistic regression were applied to identify prior-to-death disability profiles, explore the profiles' links to end-of-life care arrangements and place of death, and examine predictors in the profiles, respectively.

resultsThree prior-to-death disability profiles, namely, Disabled-Incontinent (37.6%), Disabled-Continent (34.6%), and Independent (27.8%), were identified. Those with the Independent profile were more likely to live alone or with a spouse and receive no care or care only from the spouse before death. Disabled-Continent older adults had a higher chance of dying at home. Being female, not "married and living with a spouse", suffering from hypertension, diabetes, stroke or cerebrovascular disease (CVD), bronchitis/emphysema/pneumonia, cancer, or dementia, and dying in a later year were associated with more severe prior-to-death disability patterns. Not having public old-age insurance predicted lower chances of having a Disabled-Incontinent profile, and advanced age increased the chance of having a Disabled-Continent profile.

conclusionsThree prior-to-death disability patterns were identified for Chinese adults aged 65 years and older. These profiles were significantly linked with the end-of-life caregiving arrangements and place of death among older adults. Both demographic information and health status predicted prior-to-death disability profiles.

Indexed as

Persons with DisabilitiesAgedAged, 80 and overChinaDeathEast Asian PeopleFemaleHumansLongitudinal StudiesMaleTerminal CareChineseDisabilityLatent profile analysisPrior to death

Identifiers

PMID38824494
PMCPMC11143689

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