Health and Well-Being in the Year before Death: The Association with Quality of Life and Care at the End-of-Life

Hyo Jung Lee, Brent J. Small, William E. Haley

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Objective: We examined whether older adults’ health and well-being during their final year of life predicts end-of-life (EOL) quality of life (QOL) and quality of care (QOC). Methods: Using data from deceased participants (n = 1125) in the 2011–2015 National Health and Aging Trends Study, we performed latent class analysis to identify profiles of health and well-being, and we examined the association between these classes and EOL QOL and QOC. Results: Four classes were identified: healthy/happy (20%), frail/happy (37%), cognitively impaired/moderately distressed (27%), and highly impaired/highly distressed (16%). Persons in the highly impaired/highly distressed class showed a poorer QOL at the EOL, whereas those in the healthy/happy class reported a lower level of QOC at the EOL. Discussion: The benefits of maintaining health and well-being often carry forward to EOL. Older adults with high impairment and distress merit greater attention such as assuring care and advance care plans.

Original languageEnglish
Pages (from-to)1475-1485
Number of pages11
JournalJournal of Aging and Health
Issue number10
Publication statusPublished - 2020 Jul 3

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Nanyang Technological University (Start-Up Grant/No. M4082337).

Publisher Copyright:
© The Author(s) 2020.

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies


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