{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:17:56Z","timestamp":1781659076752,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T00:00:00Z","timestamp":1655856000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG058789, RF1AG068988, P30AG05930, P30AG024832"],"award-info":[{"award-number":["K01AG058789, RF1AG068988, P30AG05930, P30AG024832"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Texas Resource Center on Minority Aging Research","award":["R01AG017638, 1P30 AG059301-01"],"award-info":[{"award-number":["R01AG017638, 1P30 AG059301-01"]}]},{"name":"National Institute on Drug Abuse\/National Institutes of Health","award":["R01-DA039192"],"award-info":[{"award-number":["R01-DA039192"]}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD010355"],"award-info":[{"award-number":["R01MD010355"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hospice use is lower among ethnic\/racial minorities in the United States, though little is known about trends, associated factors and duration of hospice use by Mexican-Americans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The purpose of this study is to examine Mexican-American characteristics associated with hospice stay, both \u2264 and &gt; 7\u00a0days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This retrospective cohort study used data from the Hispanic Established Population for the Epidemiological Study of the Elderly (H-EPESE) and the Centers for Medicare and Medicaid Services. Multivariate logistic regression models were used to estimate the ORs and 95% CIs for hospice stay among Mexican-Americans, both \u2264 and &gt; 7\u00a0days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and participants<\/jats:title>\n                    <jats:p>The first cohort (N = 970) includes H-EPESE participants who died between 2004 and 2016 who had Medicare parts A and B. The second cohort (N = 403) includes participants who completed the H-EPESE survey within the last 2\u00a0years of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although hospice use increased among Mexican-Americans between 2004 and 2016 (OR 1.88, 95% CI 1.19-2.97), 38% of participants died within the first week of hospice care. Mexican-Americans in New Mexico and Arizona were 2-4 times more likely to use hospice than those in Texas and Colorado. Dementia was associated with hospice use (OR 1.47, 95% CI 1.11-1.94). Characteristics, like church attendance and living alone, were not associated with hospice use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The substantial proportion of Mexican-Americans with 7\u00a0days or less of hospice use underscores the need for early palliative\/hospice intervention to mitigate variation in use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091221110125","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T11:47:31Z","timestamp":1655898451000},"page":"480-491","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Characteristics Associated With Mexican-American Hospice Use: Retrospective Cohort Study Using the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE)"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3455-0978","authenticated-orcid":false,"given":"Victoria","family":"Shepard","sequence":"first","affiliation":[{"name":"Department of Population Health, University of Texas Dell Medical School, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soham","family":"Al Snih","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA"},{"name":"Department of Nutrition, Metabolism & Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA"},{"name":"Department of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Burke","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA"},{"name":"Department of Family Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Downer","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Metabolism & Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Fang","family":"Kuo","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA"},{"name":"Office of Biostatistics, University of Texas Medical Branch, Galveston, TX, USA"},{"name":"Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Malagaris","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukaila","family":"Raji","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"bibr1-10499091221110125","volume-title":"NHPCO Facts and Figures 2022","author":"Organization NHaPC","year":"2021"},{"key":"bibr2-10499091221110125","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-020-06288-x"},{"key":"bibr3-10499091221110125","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-05142-z"},{"key":"bibr4-10499091221110125","volume-title":"NPHCO Facts and Figures: 2018 Edition","author":"Organization 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