Disparity in pre-emptive end-of-life conversation experience caused by subjective economic status among general Japanese elderly people: a cross-sectional study with stratified random sampling
Disparity in pre-emptive end-of-life conversation experience caused by subjective economic status among general Japanese elderly people: a cross-sectional study with stratified random sampling
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DOI：
10.1136/bmjopen-2019-031681
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发表时间：
2019-10-01
期刊：
影响因子：
2.9
通讯作者：
Fukushima, Tetsuhito
中科院分区：
文献类型：
--
作者：
Hidaka, Tomoo;Endo, Shota;Fukushima, Tetsuhito
目的老年人临终关怀偏好的先发制人式对话有利于老年人及其家人理解和分享临终关怀偏好。然而，促进/抑制PC的因素还有待澄清。因此，本研究以年龄、主观经济状况、主观健康状况与PC体验相关为假设，探讨PC体验的相关因素。设计通过问卷调查，按性别和地区分层随机抽样，进行横断面研究。设置2016年11月1日之前未接受护理的65岁以上居民，研究对象为日本福岛县郡山市的长期护理保险制度登记处，研究对象为1575名受试者（男717名，女858名），研究结果受试者是否有与家人或朋友进行PC治疗的经历（是/否）。多变量逻辑回归分析显示，PC经历与性别显著相关（OR=1.907; 95%CI =1.556至2.337; p
Objectives Pre-emptive conversations (PCs) about end-of-life (EOL) preferences are beneficial for both elderly people and their families to understand and share the preferences. However, the factors which promote/inhibit PCs have yet to be clarified. We therefore aimed to determine the factors related to having PCs with hypothesis that age, subjective economic status and subjective health status are associated with having PC experience.Design A cross-sectional study administering a questionnaire and using stratified random sampling by gender and region.Setting Residents aged 65 years or older who were not receiving nursing care as of 1 November 2016, were extracted from the Japanese long-term care insurance system registry in Koriyama City, Fukushima Prefecture, Japan.Participants 1575 participants (717 males and 858 females).Outcome Presence or absence of PC experience with family or friends (yes/no).Results The mean age of the participants was 74.0 years. A multivariable logistic-regression analysis revealed that having PC experience was significantly associated with gender (OR=1.907; 95% CI=1.556 to 2.337; p