Evidence map›Paper›PMID 40375938›Full record

ArticleJournal of ageing and longevity2024

Disparities in Advance Care Planning Across Rurality, Sociodemographic Characteristics, and Cognition Levels: Evidence from the Health and Retirement Study.

Zahra Rahemi, Juanita-Dawne R Bacsu, Sophia Z Shalhout, Morteza Sabet, Delaram Sirizi, Matthew Lee Smith, Swann Arp Adams

Abstract read
In one paragraph

Article in Journal of ageing and longevity, 2024. 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

5 · Who and what money

Authors and funding

7 authors.

Zahra RahemiSchool of Nursing, College of Behavioral, Social and Health Sciences, Clemson University, Clemson, SC 29634-0743, USA.ORCID 0000-0003-1126-2287
Juanita-Dawne R BacsuSchool of Nursing, Thompson Rivers University, Kamloops, BC V2C 0C8, Canada.
Sophia Z ShalhoutDepartment of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0002-2783-5265
Morteza SabetComputing and Applied Sciences, School of Mechanical and Automotive Engineering, College of Engineering, Clemson University, Clemson, SC 29634-0743, USA.ORCID 0000-0003-0471-0360
Delaram SiriziDepartment of Health Sciences, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC 29634, USA.ORCID 0009-0005-1147-4396
Matthew Lee SmithDepartment of Health Behavior, School of Public Health, Center for Community Health and Aging, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0002-8232-9285
Swann Arp AdamsDepartment of Epidemiology & Biostatistics, College of Nursing, University of South Carolina, Columbia, SC 29208, USA.ORCID 0000-0001-5779-6802

Funding

Carolina Center on Alzheimer's Disease and Minority Research (CCADMR)P30AG059294 · NIA · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI INGRAM, LUCY ANNANG · 2018 to 2022
$3.2M
Exploring Advance Care Planning Among Older Adults Across Racial, Ethnic, and Cognitive Differences Using Data ScienceK01AG081485 · NIA · CLEMSON UNIVERSITY · PI Zahra Rahemi · 2024 to 2026
$394k
NIA NIH HHS K01 AG081485NIA NIH HHS P30 AG059294
6 · The paper itself

Abstract

Background: We aimed to examine ACP in older adults in the U.S. across different sociodemographic characteristics and cognition levels (N = 17,698). Methods: We utilized two legal documents from the Health and Retirement Study survey: a living will and durable power of attorney for healthcare (DPOAH). We established the baseline trends from 2014 to assess if trends in 2024 have improved upon future data availability. Logistic regression models were fitted with outcome variables (living will, DPOAH, and both) stratified by cognition levels (dementia/impaired cognition versus normal cognition). Results: Age, ethnicity, race, education, and rurality were significant predictors of ACP (having a living will, DPOAH, and both the living will and DPOAH) across cognition levels. Participants who were younger, Hispanic, black, less educated, or resided in rural areas were less likely to complete ACP. Conclusion: Examining ACP and its linkages to specific social determinants is crucial for understanding disparities and developing effective educational and interventional strategies to enhance ACP uptake among diverse population groups. Future studies are needed to assess whether disparities have improved over the last decade, particularly as 2024 data become available. Addressing ACP disparities is essential for healthcare professionals to advance research and promote effective practices in geriatric care and aging services.

Indexed as

advance care planningagingcognitiondisparitiesethnicityracesocial determinants of health

Identifiers

PMID40375938
PMCPMC12077597

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.