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. Author manuscript; available in PMC: 2022 Aug 1.
Published in final edited form as: J Am Geriatr Soc. 2021 Apr 21;69(8):2143–2151. doi: 10.1111/jgs.17171

Table 2:

End-of-life characteristics of older decedents by kin status

Community-dwelling Full sample

Kinless
N=140
Has Kin
N=2,749
P-value Kinless
N=233
Has Kin
N=3,489
P-value
Place of Death:
 Hospital 36.5 36.8 0.96 32.8 34.1 0.74
 Nursing Home 18.1 10.3 0.01 31.9 20.30 <0.001
 Home3 45.4 53.0 0.18 35.3 45.59 0.02
Intensive care unit admission 30.7 37.6 0.25 28.6 34.82 0.14
Life support 20.8 24.2 0.44 17.4 22.19 0.17
Hospice enrollment2 29.2 38.7 0.15 34.5 40.55 0.23
Engagement in advance care planning:
 Discussion of care preferences1 45.8 59.6 0.02 50.0 58.34 0.04
 Advance directive 65.3 65.3 0.99 68.8 67.68 0.75
 Health care proxy 59.2 57.7 0.75 62.4 60.51 0.60
Symptoms in the last year of life:
 Very little appetite 59.9 63.4 0.53 62.8 64.72 0.66
 Frequent vomiting 10.2 11.0 0.84 8.5 10.30 0.55
 Periodic confusion 34.1 41.7 0.11 45.5 48.37 0.44
 Depression 41.3 49.8 0.09 42.7 51.20 0.01
Duration of final illness: >1 year 18.3 22.9 0.42 21.6 23.11 0.68
Any paid helpers 13.4 9.2 0.15 10.5 8.12 0.29
Total number of helpers: 1
 0 59.0 49.2 0.06 43.0 41.00 0.29
 1 13.6 23.1 17.3 22.6
 ≥2 27.4 27.8 39.7 36.4
Total hours/week of help, mean (SD) 34.7 (58.5) 56.2 (74.9) 0.02 18.7 (44.5) 42.1 (67.6) <0.001

Data source: Health and Retirement Study, 2002-2015. Estimates adjusted for survey design, sampling approach, and non-response. Data are given as percentage unless otherwise indicated. Estimates adjusted for survey weights. Kin is defined as having a spouse/partner or child of any type. SD= standard deviation. Paid helpers excludes institutional employees. Total hours of help per week includes paid and unpaid help. All variables derived from exit interview unless otherwise indicated.

1

Helper data are ascertained from last HRS interview prior todeath.

2

Hospice variable derived from a combination of Medicare claims (if present) or exit interview if no claims data were present.

3

Includes assisted living, retirement community, and residential hospice.