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Pires PM, Carvalho J, Pires T, Pires C, Ribeiro O. Translation, Cross-Cultural Adaptation, and Validation of the Fear of Dependency Scale Into European Portuguese. West J Nurs Res 2024; 46:700-707. [PMID: 39161290 PMCID: PMC11380360 DOI: 10.1177/01939459241273400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/21/2024]
Abstract
BACKGROUND Dependency is defined as a person's inability to meet basic human needs. In the context of aging, biopsychosocial changes compromise functionality, predisposing older adults to rely on others to perform daily activities. Fear of dependency describes the fear people have of appearing and/or being weak and/or reliant on others. The Fear of Dependency Scale (FDS), developed by Adams-Price and Ralston in 2016, aims to assess the fear of dependency by measuring an individual's attitudes toward being helped. OBJECTIVE This study presents a European Portuguese version of the FDS and examines its psychometric properties (internal consistency reliability and content validity). METHODS The translation and both cultural and linguistic adaptation of the FDS were performed by a panel of experts. A cross-sectional study was then performed to evaluate the psychometric properties (in terms of its reliability and validity) of the translated version of the FDS among a sample of 100 community-dwelling older adults. RESULTS The European Portuguese version of the FDS exhibited good psychometric properties. The scale's internal consistency was 0.84. CONCLUSIONS The European Portuguese version of the FDS is a reliable, valid, and practical instrument for assessing the fear of dependency in older adults in the Portuguese population. It can be used in the context of health care provision and research.
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Affiliation(s)
- Patrícia Maria Pires
- Department of Health, University of Tras-os-Montes e Alto Douro, Vila Real, Portugal
- Clinical Academic Center of Trás-os-Montes e Alto Douro-Doctor Professor Nuno Grande-CACTMAD, Vila Real, Portugal
| | - Joana Carvalho
- Faculty of Sports, University of Porto, Porto, Portugal
- Research Center in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal
| | - Telma Pires
- Department of Health, University of Tras-os-Montes e Alto Douro, Vila Real, Portugal
- Clinical Academic Center of Trás-os-Montes e Alto Douro-Doctor Professor Nuno Grande-CACTMAD, Vila Real, Portugal
- Hospital Center Tras-os-Montes e Alto Douro, Portugal
| | - Carlos Pires
- Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Portugal
| | - Oscar Ribeiro
- Department of Education and Psychology, University of Aveiro, Portugal
- Center for Health Technology and Services Research at the Associate Laboratory RISE-Health Research Network (CINTESIS@RISE), Portugal
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Lau BHP, Pat LYC, Siu JCY, Shum ENY. Positive Aspects of Caregiving in Familial Care for Nonagenarians and Centenarians: Findings from Hong Kong Centenarian Study. J Appl Gerontol 2024:7334648241261462. [PMID: 38902873 DOI: 10.1177/07334648241261462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/22/2024] Open
Abstract
Caregiving for the fast-growing but vulnerable oldest-old population may involve distinct challenges but also gratification. We analyzed quantitative and qualitative data from family caregivers of community-dwelling older adults aged 95 or above in Hong Kong. Quantitative analysis of 143 caregivers revealed that higher age, dependence on basic activities of daily living, independence on instrumental activities of daily living, and intact hearing ability of the older adults, and absence of a domestic helper and better self-rated health of the caregivers were associated with more positive aspects of caregiving. Qualitative analysis of the 96 caregivers who mentioned at least a positive aspect from their caregiving identified three themes: acquiring caregiving skills, fulfilling family love and obligation, and preparing for graceful aging. Our findings elaborated the nature and mechanism of caregiving gains against the unique backdrop of exceptional longevity and the Chinese cultural expectations of filial piety.
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Affiliation(s)
- Bobo Hi-Po Lau
- Department of Counselling & Psychology, Hong Kong Shue Yan University, Hong Kong
| | - Lian Ying-Chun Pat
- Department of Counselling & Psychology, Hong Kong Shue Yan University, Hong Kong
| | - Joey Chung-Yue Siu
- Felizberta Lo Padilla Tong School of Social Sciences, Saint Francis University, Hong Kong
| | - Eric Ngai-Yin Shum
- Department of Counselling & Psychology, Hong Kong Shue Yan University, Hong Kong
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3
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Murata S, Meyer AC, Ebeling M, Modig K. Centenarians: who are they? A description of the total Swedish centenarian population in terms of living arrangements, health, and care utilization. Aging Clin Exp Res 2023; 35:2759-2767. [PMID: 37668844 PMCID: PMC10628024 DOI: 10.1007/s40520-023-02555-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 08/27/2023] [Indexed: 09/06/2023]
Abstract
BACKGROUND The global centenarian population has doubled each decade and is expected to continue growing. However, information regarding how they live, their health status, and care needs is limited. AIMS This study aims to describe the total Swedish centenarian population in terms of health status, living arrangements, and socio-demographic characteristics. METHODS This nationwide register-based study included all Swedish people reaching age 100 between 2013 and 2018. We analyzed their socio-demographic characteristics, living arrangements, number of prescribed drugs, and health status. Moreover, their care transitions from age 100 and two years forward were described. RESULTS Of 5,882 centenarians (80.7% women), only 15.0% lived at home without formal care and 24.5% cohabited on their 100th birthday. Men (22.7%) were more likely than women (13.2%) to live at home without care. Approximately half of the centenarians lived in care homes, with fewer men (41.0%) than women (54.0%). Around 66.6% had a child living within the 50 km range. Most (76.5%) had an income below the median for Swedish older adults. Almost none were free from drugs, and polypharmacy was common (65.3%). Over half had at least one morbidity. Two years later, only 4.3% lived at home without care, and 63.9% died. CONCLUSION Sweden's centenarian population is highly dependent on home care and care homes. Among the ones still living at home, the vast majority live alone and have low incomes. Strategies to manage health and social care demands of this growing population group in the coming decade are important.
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Affiliation(s)
- Shunsuke Murata
- Unit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 17177, Stockholm, Sweden.
- Department of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
| | - Anna C Meyer
- Unit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 17177, Stockholm, Sweden
| | - Marcus Ebeling
- Unit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 17177, Stockholm, Sweden
- Laboratory of Population Health, Max Planck Institute for Demographic Research, Rostock, Germany
| | - Karin Modig
- Unit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 17177, Stockholm, Sweden
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Cui L, Li J, Xie D, Wang M, He F, Chen J, Ding D. Role of the Social Support and Health Status in Living Arrangement Preference of the Elderly in China—A Cross-Sectional Study. Front Public Health 2022; 10:860974. [PMID: 35903382 PMCID: PMC9314664 DOI: 10.3389/fpubh.2022.860974] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 06/13/2022] [Indexed: 11/13/2022] Open
Abstract
Background Living arrangement of the elderly is one of the most important components that affect their quality of life in later years. The aging, with the phenomenon of low fertility rate and family structure transformation, has caused changes in the living arrangements of the elderly. This research aimed to find the elderly's living arrangement preferences and influencing factors. Methods The data were obtained from The Chinese Longitudinal Healthy Longevity Survey (CLHLS) in the 2018, and the sample was comprised of 9,638 individuals aged ≥ 60 years. Independent variables were divided into social support, health status and so-economic status. Chi-square test and binary logistic regression were used to analyze the relationship between the above variates and living arrangement preferences. Results Currently, in terms of living arrangement preferences, nearly half (45.6%) of the respondents choose not to live with their children. The binary model results showed that elderly who were married (OR = 0.166, 95% CI: 0.147–0.187), experienced more than 6 years of education (OR = 0.600, 95% CI: 0.517–0.695), ability of daily living (ADL) impaired (OR = 0.810, 95% CI: 0.720–0.912), suffering from multiple chronic diseases (OR = 0.803, 95% CI: 0.720–0.912), and obtained community services (OR = 0.884, 95% CI: 0.803–0.972) incline to not live with their children. The elderly who living in rural areas (OR = 1.244, 95% CI: 1.129–1.371), with an income of more than 500,000 yuan per year (OR = 1.557, 95% CI: 1.380–1.757), having children visiting regularly (OR = 1.405, 95% CI: 1.161–1.707) and receiving children's financial support (OR = 1.194, 95% CI: 1.080–1.319) are more likely to choose to live with their children. Conclusions This study found that the living arrangement preferences of the elderly were affected by social support and health status, and living with children is no longer the only option for the elderly these days. The elderly care services provided by communities or professional care institutions may become the mainstream of taking care of the elderly citizens in the aging society. Improving the types and forms of community nursing services to increase the accessibility of these services; setting up elderly care institutions reasonably and equipping adequate professional nursing staff should be considered as priority measures.
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Zeng Y, Que S, Lin C, Fang Y. The Expected Demand for Elderly Care Services and Anticipated Living Arrangements Among the Oldest Old in China Based on the Andersen Model. Front Public Health 2021; 9:715586. [PMID: 34676193 PMCID: PMC8523921 DOI: 10.3389/fpubh.2021.715586] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 08/20/2021] [Indexed: 11/17/2022] Open
Abstract
Objective: The first aim of this study was to explore expected demands of the oldest old and their determinants for different types of elderly care services. The second aim was to investigate preferred choices of living arrangements among the oldest old and the influencing factors. Methods: Data of 4,738 participants aged ≥80 years were extracted from the Chinese Longitudinal Health Longevity Survey carried out in 2014. Using the Andersen model as the analysis framework, a multiple logistic regression analysis was performed to analyze the relationship between the expected elderly care services and living arrangements and other influencing factors. The odds ratios were calculated to indicate the relationship between the influencing factors and the dependent variables. Results: From the descriptive analysis results, we found that the oldest old showed high anticipated needs for home visits (83.5%) and health education (76.4%). Further, there existed a huge imbalance between the supply and demand of care services for the aged. Living with children is still the most important way of providing for the oldest old. The regression results showed that the expected demands for elderly care services and anticipated living arrangements among the oldest old in China are influenced by age, residence, housing property rights, economic status, loneliness, and activities of daily living (ADLs). The oldest old who are older without housing property rights, childless, and have restricted ADLs were more frequently observed to live in long-term care institutions. Conclusions: There is an inequality of the supply and expected demand for elderly care services, and living with children is still a preferred choice of the Chinese oldest old. Our findings indicate that when planning how to promote elderly care services among the oldest old, it is important to consider their expectations, especially for the subgroup that is relatively disadvantaged. Related policies should be developed to offer incentives to family caregivers when they live with the oldest old.
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Affiliation(s)
- Yanbing Zeng
- School of Public Health, Capital Medical University, Beijing, China.,Key Laboratory of Health Technology Assessment, School of Public Health, Xiamen University, Xiamen, China
| | - Shuang Que
- Key Laboratory of Health Technology Assessment, School of Public Health, Xiamen University, Xiamen, China
| | - Chenxi Lin
- Key Laboratory of Health Technology Assessment, School of Public Health, Xiamen University, Xiamen, China
| | - Ya Fang
- Key Laboratory of Health Technology Assessment, School of Public Health, Xiamen University, Xiamen, China.,State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
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Dupraz J, Andersen-Ranberg K, Fors S, Herr M, Herrmann FR, Wakui T, Jeune B, Robine JM, Saito Y, Santos-Eggimann B. Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international5-COOP study. BMJ Open 2020; 10:e034296. [PMID: 32209627 PMCID: PMC7202712 DOI: 10.1136/bmjopen-2019-034296] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
OBJECTIVES To measure the use of healthcare services and assistive devices by centenarians in five countries. DESIGN Cross-sectional study using a survey questionnaire. SETTING Community-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark. PARTICIPANTS 1253 participants aged 100 or in their 100th year of life, of whom 1004 (80.1%) were female and 596 (47.6%) lived in institutions. MAIN OUTCOME MEASURES Recent use of medical visits, nursing care at home, home-delivered meals, acute care hospital stays overnight, professional assessments such as sight tests, mobility aids and other assistive devices. A set of national healthcare system indicators was collected to help interpret differences between countries. RESULTS There was considerable variability in the healthcare services and assistive devices used by centenarians depending on their country and whether they were community-dwelling or institutionalised. In contrast to the relatively homogeneous rates of hospitalisation in the past year (around 20%), community-dwelling centenarians reported widely ranging rates of medical visits in the past 3 months (at least one visit, from 32.2% in Japan to 86.6% in France). The proportion of community-dwellers using a mobility device to get around indoors (either a walking aid or a wheelchair) ranged from 48.3% in Japan to 79.2% in Sweden. Participants living in institutions and reporting the use of a mobility device ranged from 78.6% in Japan to 98.2% in Denmark. CONCLUSIONS Our findings suggest major differences in care received by centenarians across countries. Some may result from the characteristics of national healthcare systems, especially types of healthcare insurance coverage and the amounts of specific resources available. However, unexplored factors also seem to be at stake and may be partly related to personal health and cultural differences.
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Affiliation(s)
- Julien Dupraz
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Karen Andersen-Ranberg
- Epidemiology and Biostatistics, Institute of Public Health, and Danish Aging Research Centre, University of Southern Denmark, Odense, Denmark
- Department of Geriatrics, Odense University Hospital, Odense, Denmark
| | - Stefan Fors
- Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden
| | - Marie Herr
- U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, INSERM, Villejuif, France
- UMR-S 1168, Université de Versailles St-Quentin-en-Yvelines, Montigny le Bretonneux, France
- Département Hospitalier d'Epidémiologie et Santé Publique, Hôpitaux Universitaires Paris Ile-de-France Ouest, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Francois R Herrmann
- Division of Geriatrics, Department of Rehabilitation and Geriatrics, Geneva University Hospitals and University of Geneva, Geneva, Switzerland
| | - Tomoko Wakui
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Bernard Jeune
- Epidemiology and Biostatistics, Institute of Public Health, and Danish Aging Research Centre, University of Southern Denmark, Odense, Denmark
| | - Jean-Marie Robine
- MMDN, Université de Montpellier, EPHE, INSERM, U1198, PSL Research University, Montpellier, France
| | - Yasuhiko Saito
- College of Economics and Population Research Institute, Nihon University, Tokyo, Japan
| | - Brigitte Santos-Eggimann
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
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Further survival at age 100: Findings from the Oporto Centenarian study. Exp Gerontol 2020; 133:110854. [PMID: 32004634 DOI: 10.1016/j.exger.2020.110854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Revised: 12/18/2019] [Accepted: 01/22/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND This paper aims to identify the health-related predictors of survival in centenarians. METHODS A population-based study conducted in North Portugal (PT100) followed 140 individuals from the age of 100+ years. A detailed questionnaire at baseline was completed including information on sociodemographic characteristics, physical health, functional, cognitive, and nutritional status and life-style. Survival of study participants was checked every six months over the period of December 2013 until June 2019. RESULTS In the univariate Cox proportional hazards model, longer survival was associated with the absence of acute disease, better functional status, absence of physical fatigue and better cognition. Multivariate analysis revealed that acute disease, functional status and physical fatigue remained significant. CONCLUSIONS Acute disease, functional status and physical fatigue are predictors of survival in the PT100 centenarians.
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Reaching 100 in the Countryside: Health Profile and Living Circumstances of Portuguese Centenarians from the Beira Interior Region. Curr Gerontol Geriatr Res 2018; 2018:8450468. [PMID: 30008746 PMCID: PMC6020501 DOI: 10.1155/2018/8450468] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Revised: 04/06/2018] [Accepted: 05/03/2018] [Indexed: 01/08/2023] Open
Abstract
The interest in studying a specific population of centenarians who lives in the country's interior region (PT100-BI) emerged during the first Portuguese systematic study about centenarians (PT100 Oporto Centenarian Study). This region of Portugal is predominantly rural and is one of the regions with the largest number of aged people. The aim of this study is to provide information on the centenarians who live in the Beira Interior region, specifically in terms of their health status and the health services they use. A total of 101 centenarians (mean age: 101.1 years; SD = 1.5 years), 14 males and 87 females, were considered. Most centenarians lived in the community, and 47.6% lived in nursing homes. Nearly half (47.5%) presented cognitive functioning without deficits. A noteworthy percentage presented conditioned mobility and sensory problems. The most common self-reported diseases include urinary incontinence (31.7%), high blood pressure (23.8%), and heart conditions (19.8%). Despite these health and functional characteristics, formal support services and technical assistance were found to be scarcely used. Further research is needed to understand how the role of contextual variables and the countryside environment contribute to the centenarians' adaptation to advanced longevity.
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Gellert P, Eggert S, Zwillich C, Hörter S, Kuhlmey A, Dräger D. Long-term Care Status in Centenarians and Younger Cohorts of Oldest Old in the Last 6 Years of Life: Trajectories and Potential Mechanisms. J Am Med Dir Assoc 2018; 19:535-540.e1. [PMID: 29656837 DOI: 10.1016/j.jamda.2018.02.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Revised: 02/17/2018] [Accepted: 02/25/2018] [Indexed: 01/07/2023]
Abstract
OBJECTIVES A large proportion of the oldest old and centenarians live in long-term care facilities. Although there may be distinct care patterns in centenarians compared with other cohorts of oldest old, the exact development concerning prevalence, length of stay, and factors that are associated with long-term care status in the last years before death is unknown. DESIGN Longitudinal analyses of health insurance data across 6 years before death. SETTING AND PARTICIPANTS In all, 1398 institutionalized and noninstitutionalized oldest old [deceased at 80-89 (octogenarians), 90-99 (nonagenarians), or over 100 years of age (centenarians)] from Germany were included. Long-term care status and transition from home care into long-term care over 6 years (34,740 person-quarters). MEASUREMENTS Dementia, musculoskeletal diseases, multimorbidity, hospital admission, gender, and age at death were derived from administrative data and analyzed using binary generalized estimating equations. RESULTS Although the initial level of long-term care (6 years before death) was higher among centenarians (65.1% vs 53.6% in nonagenarians; 36.2% in octogenarians), the rate of increase was stronger in the younger cohorts. Distinguishing between long-term care escapers, delayers, and survivors, the proportion of those who escaped, delayed, or survived the entire 6 years of observation in long-term care was 33.4%/40.4%/26.2% in centenarians, 45.0%/45.1%/9.9% in nonagenarians, and 62.7%/33.7%/3.6% in octogenarians. Age, hospital admissions, and dementia were positively associated with being in long-term care, whereas musculoskeletal disorders were negatively associated with long-term care. The association with dementia was significantly weaker in centenarians. CONCLUSIONS For centenarians, although they are more often in long-term care, the transition rate to long-term care progressed more slowly than the rates of the younger comparison cohorts of oldest old. The high proportion of long stays of centenarians in long-term care facilities require different concepts of long-term care.
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Affiliation(s)
- Paul Gellert
- Institute of Medical Sociology, Charité-Universitätsmedizin, Berlin, Germany.
| | | | - Christine Zwillich
- Institute for Health Care Research of the Knappschaft, Knappschaft, Bochum, Germany
| | - Stefan Hörter
- Institute for Health Care Research of the Knappschaft, Knappschaft, Bochum, Germany
| | - Adelheid Kuhlmey
- Institute of Medical Sociology, Charité-Universitätsmedizin, Berlin, Germany
| | - Dagmar Dräger
- Institute of Medical Sociology, Charité-Universitätsmedizin, Berlin, Germany
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10
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Gomes B, Pinheiro MJ, Lopes S, de Brito M, Sarmento VP, Lopes Ferreira P, Barros H. Risk factors for hospital death in conditions needing palliative care: Nationwide population-based death certificate study. Palliat Med 2018; 32:891-901. [PMID: 29235927 PMCID: PMC5888774 DOI: 10.1177/0269216317743961] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Most people would prefer to die at home as opposed to hospital; therefore, understanding mortality patterns by place of death is essential for health resources allocation. AIM We examined trends and risk factors for hospital death in conditions needing palliative care in a country without integrated palliative care. DESIGN This is a death certificate study. We examined factors associated with hospital death using logistic regression. SETTING/PARTICIPANTS All adults (1,045,381) who died between 2003 and 2012 in Portugal were included. We identified conditions needing palliative care from main causes of death: cancer, heart/cerebrovascular, renal, liver, respiratory and neurodegenerative diseases, dementia/Alzheimer's/senility and HIV/AIDS. RESULTS Conditions needing palliative care were responsible for 70.7% deaths ( N = 738,566, median age 80); heart and cerebrovascular diseases (43.9%) and cancer (32.2%) accounted for most. There was a trend towards hospital death (standardised percentage: 56.3% in 2003, 66.7% in 2012; adjusted odds ratio: 1.04, 95% confidence interval: 1.04-1.04). Hospital death risk was higher for those aged 18-39 years (3.46, 3.25-3.69 vs aged 90+), decreasing linearly with age; lower in dementia/Alzheimer's/senility versus cancer (0.13, 0.13-0.13); and higher for the married and in HIV/AIDS (3.31, 3.00-3.66). Effects of gender, working status, weekday and month of death, hospital beds availability, urbanisation level and deprivation were small. CONCLUSION The upward hospital death trend and fact that being married are risk factors for hospital death suggest that a reliance on hospitals may coexist with a tradition of extended family support. The sustainability of this model needs to be assessed within the global transition pattern in where people die.
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Affiliation(s)
- Barbara Gomes
- 1 Faculty of Medicine, University of Coimbra, Coimbra, Portugal.,2 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK
| | - Maria João Pinheiro
- 3 National School of Public Health, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Sílvia Lopes
- 3 National School of Public Health, Universidade Nova de Lisboa, Lisbon, Portugal.,4 Public Health Research Centre, National School of Public Health, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Maja de Brito
- 2 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK
| | - Vera P Sarmento
- 2 Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.,5 Hospital Espírito Santo de Évora, Évora, Portugal
| | - Pedro Lopes Ferreira
- 6 Centre for Studies and Health Research of the University of Coimbra, Coimbra, Portugal.,7 Faculty of Economics, University of Coimbra, Coimbra, Portugal
| | - Henrique Barros
- 8 EPIUnit, Institute of Public Health of the University of Porto, Oporto, Portugal
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11
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Pin S, Spini D. Meeting the Needs of the Growing Very Old Population: Policy Implications for a Global Challenge. J Aging Soc Policy 2017; 28:218-31. [PMID: 27110727 DOI: 10.1080/08959420.2016.1181972] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Very old adults are one of the fastest-growing age groups worldwide. Yet they rarely constitute a targeted group for public policies. Drawing on the results of the centenarian studies presented in this special issue, we highlight major challenges that arise from the increase of this population. We outline several promising approaches for policy makers and professionals to develop evidence-based policies and programs that are tailored to the needs of very old adults and their families. We focus our discussion on three key topics essential to life care: the importance of integrated care to meet the complex care needs of the very old; the balance between formal and informal care; and the development of suitable places for living. Besides more specific measures, we propose that policies promoting the social integration of very old adults in their communities would be particularly helpful, as these may benefit not only the very old and their families but also individuals of all ages. We conclude that the development of suitable policies addressing the needs of the very old will benefit from future investigation of cross-cultural similarities and differences in centenarians' characteristics, available services, as well as life conditions they encounter in communities and institutional contexts.
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Affiliation(s)
- Stephanie Pin
- a Institute of Social Sciences, University of Lausanne , Lausanne , Switzerland
| | - Dario Spini
- a Institute of Social Sciences, University of Lausanne , Lausanne , Switzerland
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Brandão D, Ribeiro O, Oliveira M, Paúl C. Caring for a centenarian parent: an exploratory study on role strains and psychological distress. Scand J Caring Sci 2017; 31:984-994. [DOI: 10.1111/scs.12423] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Accepted: 11/24/2016] [Indexed: 01/07/2023]
Affiliation(s)
- Daniela Brandão
- UNIFAI/ICBAS; University of Oporto; Oporto Portugal
- Faculty of Medicine; University of Oporto (FMUP-UP); Oporto Portugal
- Center for Health Technology and Services Research (CINTESIS); Oporto Portugal
| | - Oscar Ribeiro
- UNIFAI/ICBAS; University of Oporto; Oporto Portugal
- Center for Health Technology and Services Research (CINTESIS); Oporto Portugal
- Oporto Higher Institute of Social Service (ISSSP); Oporto Portugal
- University of Aveiro; Aveiro Portugal
| | - Mónica Oliveira
- Oporto Higher Institute of Social Service (ISSSP); Oporto Portugal
| | - Constança Paúl
- UNIFAI/ICBAS; University of Oporto; Oporto Portugal
- Center for Health Technology and Services Research (CINTESIS); Oporto Portugal
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