Evidence map›Paper›PMID 40991333›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2025

Kinlessness and end-of-life care quality: does race and ethnicity matter?

Yaolin Pei, Zexi Zhou, Shaoqing Ge, Xiang Qi, Kaipeng Wang, Weiyu Mao, Bei Wu

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In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 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

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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

7 authors.

Yaolin PeiSchool of Nursing, The University of Texas at Austin, Austin, Texas, United States.ORCID 0000-0001-6236-3948
Zexi ZhouDepartment of Human Development and Family Studies, The University of Texas at Austin, Austin, Texas, United States.ORCID 0000-0002-7817-724X
Shaoqing GeSchool of Nursing, The University of Texas at Austin, Austin, Texas, United States.ORCID 0000-0003-2436-5760
Xiang QiRory Meyers College of Nursing, New York University, New York, New York, United States.ORCID 0000-0003-3958-8609
Kaipeng WangGraduate School of Social Work, University of Denver, Denver, Colorado, United States.ORCID 0000-0002-2206-4318
Weiyu MaoSchool of Social Work, University of Nevada, Reno, Nevada, United States.ORCID 0000-0003-3629-0882
Bei WuProvost and Distinguished Global Professor of Public Health, New York University Shanghai, Shanghai, Shanghai, China.ORCID 0000-0002-6891-244X

Funding

Resource Center for Alzheimer's and Dementia Research in Asian and Pacific AmericansP30AG083257 · NIA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI William Tzu-lung Hu · 2023 to 2026
$3.5M
Pilot testing a culturally adapted decision aid intervention of supporting Chinese American dementia caregivers in feeding-related decisionsR00AG076871 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI Yaolin Pei · 2025 to 2026
$493k
A culturally adapted decision aid intervention to support Chinese American dementia caregivers in feeding-related decisionsK99AG076871 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI PEI, YAOLIN · 2023 to 2024
$208k
NIA NIH HHS K99 AG076871NIA NIH HHS K99AG076871NIA NIH HHS P30 AG083257NIA NIH HHS P30AG083257NIA NIH HHS R00 AG076871NIA NIH HHS R00AG076871
6 · The paper itself

Abstract

objectivesClose family members provide the majority of end-of-life (EoL) caregiving. However, the number of kinless older adults (defined as lacking children and a partner) is increasing. Moreover, non-White older adults are more likely to rely on close families to provide care at the EoL than their White counterparts. Therefore, we examined the association between kinlessness and the quality of EoL care among older adults and the intersectional effect of kinlessness and race/ethnicity on EoL quality.

methodsData were derived from the combined Rounds 2-11 of the National Health and Aging Trends Study. The working sample included 3,045 older adults who were over 65 and living in the community or residential care facilities at the last interview. We used ordered logistic regression to examine both the independent effect of kinlessness and its intersection with race/ethnicity on the quality of EoL care among older adults.

resultsA total of 7.7% of decedents were kinless at the EoL. Kinless older adults were less likely to receive higher-rated EoL care than those with kin, with non-White older adults being disproportionately affected compared to their White counterparts. DISCUSSION: These results highlight a significant disadvantage for non-White kinless older adults, who had worse EoL care quality. From a policy standpoint, there is a need to invest more in supporting alternatives to the family-centered model in EoL care delivery for those without close kin.

Indexed as

CaregiversEthnic and Racial MinoritiesFamilyQuality of Health CareTerminal CareAgedAged, 80 and overFemaleHumansMaleUnited StatesWhiteIntersectionalityKinlessLast-month-of-lifeNon-White

Identifiers

PMID40991333
PMCPMC12551606

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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.