Older adults with cancer in the city of São Paulo: what factors determine the place of death?
Autor(a) principal: | |
---|---|
Data de Publicação: | 2018 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100260 |
Resumo: | ABSTRACT OBJECTIVE Investigate factors associated with death at home among older adults who died of cancer in a large city. METHODS This is a descriptive study, including all cancer deaths (ICD C00-C97) occurring between 2006 and 2012, among residents of the city of São Paulo, 60 years of age or older. The data source was the Mortality Information System, and the proportion of deaths was calculated according to place of occurrence, gender, age, race/skin color, education, marital status, cancer type, hospital bed availability, and year of death. The chi-squared test was used to examine the associations between the place of death and sociodemographic and clinical variables. Logistic regression was used to identify factors associated with home death. Crude and adjusted odds ratios and the corresponding 95% confidence intervals were estimated. RESULTS Most of the deaths occurred in hospitals (88.2%). There was a significant association between the place of death and the following variables: gender, race/skin color, education, age, marital status, cancer type, hospital bed availability, and year of death. In the multivariate analysis, all variables, except the availability of hospital beds, remained as independent predictors of death at home. CONCLUSIONS There was a predominance of hospital deaths, with an increase in frequency in the period. Female gender, higher education, married or widowed status, and black race were associated with a decreased risk of death at home, while increasing age, Asian race, and solid neoplasms were associated with higher risk of dying at home. |
id |
USP-23_9c70e415809af112e8ddb09b6b0ddc0b |
---|---|
oai_identifier_str |
oai:scielo:S0034-89102018000100260 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Older adults with cancer in the city of São Paulo: what factors determine the place of death?AgedNeoplasms, mortalityHospital Mortality Terminal CarePalliative CareHome NursingLength of StayABSTRACT OBJECTIVE Investigate factors associated with death at home among older adults who died of cancer in a large city. METHODS This is a descriptive study, including all cancer deaths (ICD C00-C97) occurring between 2006 and 2012, among residents of the city of São Paulo, 60 years of age or older. The data source was the Mortality Information System, and the proportion of deaths was calculated according to place of occurrence, gender, age, race/skin color, education, marital status, cancer type, hospital bed availability, and year of death. The chi-squared test was used to examine the associations between the place of death and sociodemographic and clinical variables. Logistic regression was used to identify factors associated with home death. Crude and adjusted odds ratios and the corresponding 95% confidence intervals were estimated. RESULTS Most of the deaths occurred in hospitals (88.2%). There was a significant association between the place of death and the following variables: gender, race/skin color, education, age, marital status, cancer type, hospital bed availability, and year of death. In the multivariate analysis, all variables, except the availability of hospital beds, remained as independent predictors of death at home. CONCLUSIONS There was a predominance of hospital deaths, with an increase in frequency in the period. Female gender, higher education, married or widowed status, and black race were associated with a decreased risk of death at home, while increasing age, Asian race, and solid neoplasms were associated with higher risk of dying at home.Faculdade de Saúde Pública da Universidade de São Paulo2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100260Revista de Saúde Pública v.52 2018reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2018052016410info:eu-repo/semantics/openAccessLeite,Adna Kelly FerreiraRibeiro,Karina Bragaeng2018-07-19T00:00:00Zoai:scielo:S0034-89102018000100260Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-19T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
title |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
spellingShingle |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? Leite,Adna Kelly Ferreira Aged Neoplasms, mortality Hospital Mortality Terminal Care Palliative Care Home Nursing Length of Stay |
title_short |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
title_full |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
title_fullStr |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
title_full_unstemmed |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
title_sort |
Older adults with cancer in the city of São Paulo: what factors determine the place of death? |
author |
Leite,Adna Kelly Ferreira |
author_facet |
Leite,Adna Kelly Ferreira Ribeiro,Karina Braga |
author_role |
author |
author2 |
Ribeiro,Karina Braga |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Leite,Adna Kelly Ferreira Ribeiro,Karina Braga |
dc.subject.por.fl_str_mv |
Aged Neoplasms, mortality Hospital Mortality Terminal Care Palliative Care Home Nursing Length of Stay |
topic |
Aged Neoplasms, mortality Hospital Mortality Terminal Care Palliative Care Home Nursing Length of Stay |
description |
ABSTRACT OBJECTIVE Investigate factors associated with death at home among older adults who died of cancer in a large city. METHODS This is a descriptive study, including all cancer deaths (ICD C00-C97) occurring between 2006 and 2012, among residents of the city of São Paulo, 60 years of age or older. The data source was the Mortality Information System, and the proportion of deaths was calculated according to place of occurrence, gender, age, race/skin color, education, marital status, cancer type, hospital bed availability, and year of death. The chi-squared test was used to examine the associations between the place of death and sociodemographic and clinical variables. Logistic regression was used to identify factors associated with home death. Crude and adjusted odds ratios and the corresponding 95% confidence intervals were estimated. RESULTS Most of the deaths occurred in hospitals (88.2%). There was a significant association between the place of death and the following variables: gender, race/skin color, education, age, marital status, cancer type, hospital bed availability, and year of death. In the multivariate analysis, all variables, except the availability of hospital beds, remained as independent predictors of death at home. CONCLUSIONS There was a predominance of hospital deaths, with an increase in frequency in the period. Female gender, higher education, married or widowed status, and black race were associated with a decreased risk of death at home, while increasing age, Asian race, and solid neoplasms were associated with higher risk of dying at home. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100260 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100260 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2018052016410 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.52 2018 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936504749588480 |