Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain
Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain
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对在种族多元化社会中死亡的恐惧：对英国 65 岁人群的横断面研究
DOI：
10.1136/pgmj.2009.084020
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发表时间：
2010
影响因子：
5.1
通讯作者：
Bowling A
中科院分区：
文献类型：
--
作者：
Bowling A
目的研究不同种族的人群样本和65岁及以上的同质人群样本对死亡的恐惧。方法针对两次英国国家统计局综合调查和两次英国不同种族人口的种族调查，对65岁以上的居家老人进行个人访谈。结果不同种族的受访者比英国人口受访者更有可能在所有使用的措施中表达对死亡的恐惧。两个样本中生活质量较好的受访者与生活质量较差的受访者相比，对死亡极度恐惧的几率显著降低(种族差异样本，OR 0.924 (95% CI 0.898至0.951)；英国人口样本，OR 0.981 (95% CI 0.966 ~ 0.996)；p < 0.001)。仅在后一个样本中，年龄较大具有保护作用（OR 0.957; 95% CI 0.930 ~ 0.985; p<0.001），而在少数民族样本中，长期患病（OR 2.024; 95% CI 1.158 ~ 3.535; p<0.05）和有更多亲属帮助（OR 1.134; 95% CI 1.010 ~ 1.274; p<0.05）增加了对死亡的恐惧。结论在规划支持性临终关怀时，让老年人表达对死亡的恐惧可能很重要。从业者不应该假设对死亡的恐惧在不同的社会群体中是相同的，或者广泛的家庭支持可以防止这种焦虑。少数民族的老年人比其他人更担心死亡，而且他们的家庭支持越广泛，就越有可能表达出恐惧。这些发现对初级和二级保健的专员和从业人员具有启示意义。
AimTo examine fears about dying in an ethnically diverse population sample, and a more homogeneous population sample, aged 65 and over.MethodsPersonal interviews with people aged 65+ living at home responding to two Office for National Statistics Omnibus Surveys in Britain, and two Ethnibus Surveys of ethnically diverse populations in Britain.ResultsEthnically diverse respondents were more likely than British population respondents to express fears about dying on all measures used. Respondents in both samples with better, compared with worse, quality of life had significantly reduced odds of having extreme fears of dying (ethnically diverse sample, OR 0.924 (95% CI 0.898 to 0.951); British population sample, OR 0.981 (95% CI 0.966 to 0.996); both p<0.001). In the latter sample only, older age was protective (OR 0.957; 95% CI 0.930 to 0.985; p<0.001), whereas in the Ethnibus sample, having a longstanding illness (OR 2.024; 95% CI 1.158 to 3.535; p<0.05) and having more relatives to help them (OR 1.134; 95% CI 1.010 to 1.274; p<0.05) increased fears about dying.ConclusionsEnabling older people to express fears about dying is likely to be important when planning supportive end-of-life care. Practitioners should not assume that fears about dying are the same in different social groups, or that extensive family support is protective against such anxiety. Older people from ethnic minorities had more anxieties about dying than others, and were more likely to express fears the more extensive their family support. These findings have implications for commissioners and practitioners of primary and secondary care.
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