Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan
Background: To investigate factors influencing the preferred place of death among community-living elderly people in Japan in relation to personal attributes, health status, self-rated health, and social capital indicators. Methods: A self-report questionnaire survey was conducted between July 2009...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2015-03-01
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| Series: | International Journal of Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959815000113 |
| _version_ | 1811278971030994944 |
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| author | Izumi Ohmachi Kazuhiko Arima Yasuyo Abe Takayuki Nishimura Hisashi Goto Kiyoshi Aoyagi |
| author_facet | Izumi Ohmachi Kazuhiko Arima Yasuyo Abe Takayuki Nishimura Hisashi Goto Kiyoshi Aoyagi |
| author_sort | Izumi Ohmachi |
| collection | DOAJ |
| description | Background: To investigate factors influencing the preferred place of death among community-living elderly people in Japan in relation to personal attributes, health status, self-rated health, and social capital indicators.
Methods: A self-report questionnaire survey was conducted between July 2009 and September 2009 on a total of 238 elderly people aged ≥65 years living in Nagasaki Prefecture, Japan. Patients were either members of a social club for the elderly, individuals undergoing special health check-ups, or participants of health workshops held by cities. A total of 178 patients who provided complete responses (79 men, 99 women) were analyzed.
Results: Half or more of the patients (men: 68.4%, women: 52.5%) indicated home as their preferred place of death. Multiple logistic regression analysis showed that good self-rated health [odds ratio (OR): 2.6, 95% confidence interval (95% CI): 1.2–5.7, p = 0.013], participation in volunteer activities (OR: 2.0, 95% CI: 1.0–3.8, p = 0.038) and the spouse as the preferred caregiver (OR: 2.5, 95% CI: 1.3–4.8, p = 0.007) were associated with home as the preferred place of death.
Conclusion: It is necessary to consider individual preferences and public health strategies in order to enable elderly people to receive suitable and comfortable end-of-life care in their preferred location. |
| first_indexed | 2024-04-13T00:46:35Z |
| format | Article |
| id | doaj.art-5b56e4e4c6f44fb9869903bd04d6e00c |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-04-13T00:46:35Z |
| publishDate | 2015-03-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-5b56e4e4c6f44fb9869903bd04d6e00c2022-12-22T03:10:00ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982015-03-0191242810.1016/j.ijge.2014.03.008Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in JapanIzumi Ohmachi0Kazuhiko Arima1Yasuyo Abe2Takayuki Nishimura3Hisashi Goto4Kiyoshi Aoyagi5Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanGoto Public Health Center, Goto, JapanDepartment of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JapanBackground: To investigate factors influencing the preferred place of death among community-living elderly people in Japan in relation to personal attributes, health status, self-rated health, and social capital indicators. Methods: A self-report questionnaire survey was conducted between July 2009 and September 2009 on a total of 238 elderly people aged ≥65 years living in Nagasaki Prefecture, Japan. Patients were either members of a social club for the elderly, individuals undergoing special health check-ups, or participants of health workshops held by cities. A total of 178 patients who provided complete responses (79 men, 99 women) were analyzed. Results: Half or more of the patients (men: 68.4%, women: 52.5%) indicated home as their preferred place of death. Multiple logistic regression analysis showed that good self-rated health [odds ratio (OR): 2.6, 95% confidence interval (95% CI): 1.2–5.7, p = 0.013], participation in volunteer activities (OR: 2.0, 95% CI: 1.0–3.8, p = 0.038) and the spouse as the preferred caregiver (OR: 2.5, 95% CI: 1.3–4.8, p = 0.007) were associated with home as the preferred place of death. Conclusion: It is necessary to consider individual preferences and public health strategies in order to enable elderly people to receive suitable and comfortable end-of-life care in their preferred location.http://www.sciencedirect.com/science/article/pii/S1873959815000113end-of-life careplace of deathsocial capital |
| spellingShingle | Izumi Ohmachi Kazuhiko Arima Yasuyo Abe Takayuki Nishimura Hisashi Goto Kiyoshi Aoyagi Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan International Journal of Gerontology end-of-life care place of death social capital |
| title | Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan |
| title_full | Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan |
| title_fullStr | Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan |
| title_full_unstemmed | Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan |
| title_short | Factors Influencing the Preferred Place of Death in Community-dwelling Elderly People in Japan |
| title_sort | factors influencing the preferred place of death in community dwelling elderly people in japan |
| topic | end-of-life care place of death social capital |
| url | http://www.sciencedirect.com/science/article/pii/S1873959815000113 |
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