Socioeconomic inequalities in the place of death in urban small areas of three Mediterranean cities

Autor: Julio Cabrero-García, Adriana Oliva-Arocas, Pamela Pereyra-Zamora, Manuel Fernández-Alcántara, Andreu Nolasco, José M. Copete, María José Cabañero-Martínez
Přispěvatelé: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante. Departamento de Psicología de la Salud, Universidad de Alicante. Departamento de Enfermería, Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia, Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE), Calidad de Vida, Bienestar Psicológico y Salud
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Palliative care
Urban Population
0302 clinical medicine
Residence Characteristics
030212 general & internal medicine
Hospital Mortality
Multinomial logistic regression
Cause of death
Aged
80 and over
education.field_of_study
lcsh:Public aspects of medicine
Health Policy
Middle Aged
Death
030220 oncology & carcinogenesis
Marital status
Enfermería
Female
Small-area analysis
Adult
medicine.medical_specialty
Adolescent
Population
Residential facilities
03 medical and health sciences
Young Adult
Place of death
medicine
Humans
Mortality
Cities
Healthcare Disparities
education
Socioeconomic status
Aged
business.industry
Public health
Research
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Cross-Sectional Studies
Socioeconomic Factors
Spain
Personalidad
Evaluación y Tratamiento Psicológico
Residence
Inequalities
business
Demography
Zdroj: International Journal for Equity in Health
RUA. Repositorio Institucional de la Universidad de Alicante
Universidad de Alicante (UA)
International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-11 (2020)
ISSN: 1475-9276
Popis: Background Dying at home is the most frequent preference of patients with advanced chronic conditions, their caregivers, and the general population. However, most deaths continue to occur in hospitals. The objective of this study was to analyse the socioeconomic inequalities in the place of death in urban areas of Mediterranean cities during the period 2010–2015, and to assess if such inequalities are related to palliative or non-palliative conditions. Methods This is a cross-sectional study of the population aged 15 years or over. The response variable was the place of death (home, hospital, residential care). The explanatory variables were: sex, age, marital status, country of birth, basic cause of death coded according to the International Classification of Diseases, 10th revision, and the deprivation level for each census tract based on a deprivation index calculated using 5 socioeconomic indicators. Multinomial logistic regression models were adjusted in order to analyse the association between the place of death and the explanatory variables. Results We analysed a total of 60,748 deaths, 58.5% occurred in hospitals, 32.4% at home, and 9.1% in residential care. Death in hospital was 80% more frequent than at home while death in a nursing home was more than 70% lower than at home. All the variables considered were significantly associated with the place of death, except country of birth, which was not significantly associated with death in residential care. In hospital, the deprivation level of the census tract presented a significant association (p Conclusions The probability of dying in hospital, as compared to dying at home, increases as the socioeconomic deprivation of the urban area of residence rises, both for palliative and non-palliative causes. Further qualitative research is required to explore the needs and preferences of low-income families who have a terminally-ill family member and, in particular, their attitudes towards home-based and hospital-based death.
Databáze: OpenAIRE
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