Evidence map›Paper›PMID 39927722›Full record

ArticleJournal of the American Geriatrics Society2025

Trust in Physicians and End-of-Life Discussions and Preferences for Place of Care Among US Chinese Older Adults.

Hyosin Kim, Yanping Jiang, Paul R Duberstein, Fengyan Tang, Elizabeth A Luth

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Hyosin KimCollege of Health, Oregon State University, Corvallis, Oregon, USA.ORCID 0000-0002-9890-7166
Yanping JiangDepartment of Family Medicine and Community Health, Rutgers University, New Brunswick, New Jersey, USA.ORCID 0000-0002-0931-9507
Paul R DubersteinDepartment of Health Behavior, Society and Policy, Rutgers University School of Public Health, Piscataway, New Jersey, USA.
Fengyan TangSchool of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Elizabeth A LuthDepartment of Family Medicine and Community Health, Rutgers University, New Brunswick, New Jersey, USA.ORCID 0000-0003-1496-1235

Funding

Advanced Development and Utilization of Assembled Aging Trajectory Files from Multiple DatasetsR33AG068931 · NIA · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI JARRÍN MONTANER, OLGA F., LIN, HAIQUN · 2021 to 2025
$3.8M
R01 Upstream Approaches to Improve Late Life Care for People Living with DementiaR01AG066139 · NIA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI JARRÍN MONTANER, OLGA F. · 2020 to 2023
$2.3M
Preventing Cognitive Decline and Dementia Among Older Chinese Immigrants: The Role of Activity, Engagement, Immigration Experience, and Neighborhood EnvironmentsR01AG067548 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TANG, FENGYAN · 2020 to 2023
$2.2M
NIA NIH HHS R01 AG066139NIA NIH HHS R01AG066139NIA NIH HHS R01 AG067548NIA NIH HHS R01AG067548NIA NIH HHS R33 AG068931NIA NIH HHS R33AG068931
6 · The paper itself

Abstract

backgroundPatient trust in physicians is essential for effective end-of-life discussions. Little is known about how Chinese older adults' trust in physicians relates to their end-of-life care discussions and care setting preferences.

objectiveTo examine the association between medical trust among Chinese older adults and their views on end-of-life discussions and care setting preferences.

designSecondary analysis of longitudinal cohort data from the Population Study of Chinese Elderly (PINE) using linear mixed-effects logistic and multinomial logistic regressions, adjusting for covariates. Predicted probabilities of outcome measures were reported.

participantsA total of 2192 Chinese older adult immigrants in greater Chicago participated in the PINE study from 2017 to 2020. MAIN MEASURES: Outcome variables encompass four dimensions of end-of-life care planning: (1) beliefs about the importance of discussions with family; (2) discussions of end-of-life options with family; (3) preference for counseling with a healthcare provider as a resource; and (4) preferred place of care. The main independent variable was trust in physicians. Covariates included age, sex, education, income, years in the United States, living children, self-rated health, and medical conditions. KEY

resultsRespondents with strong trust were less likely to consider end-of-life discussions with family important (AOR = 0.70, 95% CI: 0.55-0.88). Those with strong trust were more likely than those with weak trust to value counseling with a healthcare provider for end-of-life discussions with family (AOR = 5.86, 95% CI: 4.65-7.38). Moderate trust was associated with a preference for end-of-life care in a hospital (AOR = 1.63, 95% CI: 1.30-2.05) over home care, relative to weak trust.

conclusionsOlder Chinese immigrants with strong trust tended to place less emphasis on end-of-life discussions with family and favored one-on-one counseling with a healthcare provider for end-of-life discussion. Patient education and family engagement in end-of-life discussions led by trusted healthcare providers may be promising approaches to ensure goal-concordant care for this population.

Indexed as

Advance Care PlanningAsianPatient PreferencePhysician-Patient RelationsTerminal CareTrustAgedAged, 80 and overChicagoChinaEmigrants and ImmigrantsFemaleHumansLongitudinal StudiesMaleChinese immigrantsdiscussionend‐of‐life careplace of carepreferences

Identifiers

PMID39927722
PMCPMC12101955

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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.