Dataset Information

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.

ABSTRACT:

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<0.001), subjective economic status (OR=0.832; 95%?CI=0.716 to 0.966; p=0.016) and subjective happiness (OR=0.926; 95%?CI=0.880 to 0.973; p=0.003).

Conclusions

Poor subjective economic status of elderly people may result in the absence of EOL conversation experience with their families and friends, hindering the elderly from sharing and understanding the EOL preferences. To promote PCs about EOL, gerontology and public health professionals should give special consideration to the subjective economic status of elderly people.

SUBMITTER: Hidaka T

PROVIDER: S-EPMC6797420 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

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.

Hidaka Tomoo T Endo Shota S Kasuga Hideaki H Masuishi Yusuke Y Kakamu Takeyasu T Kumagai Tomohiro T Saito Keiko K Abe Kouichi K Fukushima Tetsuhito T

BMJ open 20191007 10

<h4>Objectives</h4>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.<h4>Design</h4>A cross-sectional study administering ...[more]

PMID: 31594894

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Dataset Information

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.

Objectives

Design

Setting

Participants

Outcome

Results

Conclusions

Publications

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.

Similar Datasets

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