移民身份和其他与死亡地点相关的解释因素 - - 一个基于人口的登记册研究
Maya F Hallett1,2, Tina Pedersen1,2, Jahan Shabnam1,2
1Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital, Nyborg, Denmark.
Scandinavian journal of public health
|September 15, 2025
概括
非西方移民在家中死亡的可能性低于本地人,社会人口因素部分解释了生命终点护理的差异. 需要进一步的探索,以确保所有公民平等地获得首选的死亡地点.
科学领域:
- 息治疗和生命终结研究
- 健康和疾病的社会学
- 公共卫生和医疗保健管理
背景情况:
- 死亡地点是息护理的关键质量指标,但影响它的因素,特别是对于移民人口来说,研究不足.
- 了解死亡地点的差异对于公平的医疗保健系统规划和服务提供至关重要.
研究的目的:
- 分析死亡地点 (家,医院,其他) 与移民身份,死亡原因以及丹麦社会人口统计因素之间的关联.
- 确定导致本地人和移民人口死亡地点差异的因素,以制定公平的终身护理策略.
主要方法:
- 丹麦 (2012-2020年) 一项基于国家登记册的研究包括了453219名自然死亡的成年死者.
- 健康和社会人口统计记录的数据链接允许分析与本地身份,西方/非西方移民身份以及各种社会人口统计变量相关的死亡地点.
主要成果:
- 与本地人相比,非西方移民在家中死亡的可能性明显较低 (RR 0.59,95% CI 0.56-0.62).
- 在调整了社会人口统计学变量后,这种关联仍然存在,尽管减弱了 (RR 0.81,95% CI 0.77-0.85),表明这些因素的部分解释.
- 西方移民的死亡模式与当地居民的死亡模式相似. 性别,年龄,收入,教育,婚姻状况,同居,地区和死亡原因等因素也与死亡地点有关.
结论:
- 社会人口因素部分解释了非西方移民和本地人死亡地点的差异,突出了针对性终身护理干预的领域.
- 这种差异的很大一部分仍然无法解释,需要对文化,社会或系统因素进行进一步的研究,以确保所有公民可以达到他们喜欢的死亡地点.
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