End-of-Life Experiences Among “Kinless” Older Adults: A Nationwide Register-Based Study

dc.contributor.authorMair, Christine A.
dc.contributor.authorThygesen, Lau C.
dc.contributor.authorAldridge, Melissa
dc.contributor.authorTay, Djin L.
dc.contributor.authorOrnstein, Katherine A.
dc.date.accessioned2024-01-12T13:18:08Z
dc.date.available2024-01-12T13:18:08Z
dc.date.issued2023-08-07
dc.description.abstractBackground: The population of older adults who are unpartnered and childless (i.e., “kinless”) is increasing across the globe, and may be at risk for lower quality end-of-life (EoL) experiences due to lack of family support, assistance, and advocacy. Yet, little research exists on the EoL experiences of “kinless” older adults. Objectives: To document associations between family structure (i.e., presence or absence of partner or child) and intensity of EoL experiences (i.e., visits to medicalized settings before death). Design: The study design is a cross-sectional population-based register study of the population of Denmark. Subjects: Participants include all adults age 60 years and older who died of natural causes in Denmark from 2009 to 2016 (n = 137,599 decedents). Results: “Kinless” older adults (reference = has partner, has child) were the least likely group to visit the hospital (two or more times; odds ratio [OR] = 0.74, confidence interval [CI] = 0.70–0.77), emergency department (one or more times; OR = 0.90, CI = 0.86–0.93), and intensive care unit (one or more times; OR = 0.71, CI = 0.67–0.75) before death. Conclusions: “Kinless” older adults in Denmark were less likely to experience medically intensive care at the EoL. Further research is needed to understand factors associated with this pattern to ensure that all individuals receive high quality EoL care regardless of their family structure and family tie availability.
dc.description.sponsorshipThis work was supported by National Institute on Aging K01AG047923 to Katherine A. Ornstein and the National Palliative Care Research Center to Katherine A. Ornstein.
dc.description.urihttps://www.liebertpub.com/doi/10.1089/jpm.2022.0490
dc.format.extent23 pages
dc.genrejournal articles
dc.genrepostprints
dc.identifier.citationMair, Christine A., Lau C. Thygesen, Melissa Aldridge, Djin L. Tay, and Katherine A. Ornstein. “End-of-Life Experiences Among ‘Kinless’ Older Adults: A Nationwide Register-Based Study.” Journal of Palliative Medicine 26, no. 8 (August 2023): 1056–63. https://doi.org/10.1089/jpm.2022.0490.
dc.identifier.urihttps://doi.org/10.1089/jpm.2022.0490
dc.identifier.urihttp://hdl.handle.net/11603/31294
dc.language.isoen_US
dc.publisherMary Ann Liebert
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Sociology and Anthropology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.relation.ispartofUMBC Gerontology Program
dc.rightsThis is the accepted version of the following article: Mair, Christine A., Lau C. Thygesen, Melissa Aldridge, Djin L. Tay, and Katherine A. Ornstein. “End-of-Life Experiences Among ‘Kinless’ Older Adults: A Nationwide Register-Based Study.” Journal of Palliative Medicine 26, no. 8 (August 2023): 1056–63. https://doi.org/10.1089/jpm.2022.0490., which has now been formally published in final form at Journal of Palliative Medicine at https://doi.org/10.1089/jpm.2022.0490. This original submission version of the article may be used for non-commercial purposes in accordance with the Mary Ann Liebert, Inc., publishers’ self-archiving terms and conditions.
dc.titleEnd-of-Life Experiences Among “Kinless” Older Adults: A Nationwide Register-Based Study
dc.typeText
dcterms.creatorhttps://orcid.org/0000-0001-8813-6532

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