Factors associated with pain at the end-of-life among older adults in Mexico
| Autor: | J.D. Zazueta, Rebeca Wong, Rafael Samper-Ternent, César González-González |
|---|---|
| Přispěvatelé: | Netherlands Interdisciplinary Demographic Institute (NIDI) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Mexican Health and Aging Study Male Palliative care Psychological intervention end-of-life Article Odds 03 medical and health sciences 0302 clinical medicine Prevalence Medicine Humans pain 030212 general & internal medicine Longitudinal Studies Mexico Multinomial logistic regression Aged MHAS Descriptive statistics business.industry 030503 health policy & services aging Public Health Environmental and Occupational Health General Medicine Middle Aged Death Chronic Disease Quality of Life Female Self Report Rural area 0305 other medical science business Psychosocial |
| Zdroj: | Public Health Public Health, 191, 68-77. Elsevier B.V. |
| ISSN: | 0033-3506 |
| DOI: | 10.1016/j.puhe.2020.11.025 |
| Popis: | OBJECTIVES: The goal of care at the end-of-life has changed in recent years to encompass not only the relief of suffering but also improve the quality of death. Palliative care offers a coordinated and multidisciplinary approach to improving the quality of life and quality of care of individuals and their families facing illness at the end-of-life. This manuscript examines the end-of-life of older adults in Mexico and the factors associated with pain in this period of their life. STUDY DESIGN: We used data from the Mexican Health and Aging Study (MHAS), a longitudinal panel study of adults 50 years and older in Mexico that is nationally representative of urban and rural areas and includes a next-of-kin questionnaire that captures the conditions of those who died on their last year of life. We used all four waves of data to construct a group of deceased individuals between 2001 and 2015, including information in the wave immediately before death and a complete next-of-kin questionnaire. We studied factors associated with pain at the end-of-life in this group. METHODS: The dependent variable was pain reported over time among deceased individuals. We constructed pain categories based on whether the pain was reported in 1 or 2 waves (occasional and persistent), and on the pain, intensity reported (mild, moderate, or severe). We included independent variables previously reported to be related to pain, including sociodemographic, functional, and health characteristics. We used descriptive statistics and a multinomial regression model to examine the factors associated with pain in this group. RESULTS: Pain was reported by 71.5% of older adults who died between 2001-2015. The prevalence of pain differed significantly by sociodemographic characteristics. Women had 1.69 higher odds of reporting severe pain than men. Compared to those with zero years of education, the odds of reporting severe pain were 0.72 for those with 1-6 years of education (p |
| Databáze: | OpenAIRE |
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