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Inequality in place-of-death among children: a Danish nationwide study

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Harvard

Wolff, SL, Christiansen, CF, Johnsen, SP, Schroeder, H, Darlington, A-S, Jespersen, BA, Olsen, M & Neergaard, MA 2022, 'Inequality in place-of-death among children: a Danish nationwide study', European Journal of Pediatrics, bind 181, nr. 2, s. 609-617. https://doi.org/10.1007/s00431-021-04250-5

APA

Wolff, S. L., Christiansen, C. F., Johnsen, S. P., Schroeder, H., Darlington, A-S., Jespersen, B. A., Olsen, M., & Neergaard, M. A. (2022). Inequality in place-of-death among children: a Danish nationwide study. European Journal of Pediatrics, 181(2), 609-617. https://doi.org/10.1007/s00431-021-04250-5

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MLA

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Author

Wolff, Sanne Lausen ; Christiansen, Christian Fynbo ; Johnsen, Søren Paaske ; Schroeder, Henrik ; Darlington, Anne-Sophie ; Jespersen, Bodil Abild ; Olsen, Marianne ; Neergaard, Mette Asbjoern. / Inequality in place-of-death among children : a Danish nationwide study. I: European Journal of Pediatrics. 2022 ; Bind 181, Nr. 2. s. 609-617.

Bibtex

@article{ea9f0a13aacd47ca9c28f18808179faf,
title = "Inequality in place-of-death among children: a Danish nationwide study",
abstract = "To identify predictors for home death among children using socio-demographic factors and cause of death. It is a nationwide registry study. A cohort of children (1-17 years) who died between 1 January 2006 and 31 December 2016. It was set in Denmark, Europe. Predictors for home death were assessed: age, gender, diagnosis, region of residence, urbanicity, household income and immigrant status. Of 938 deceased children included, causes of death were solid tumours (17.3%), haematological cancers (8.5%) and non-cancerous conditions (74.2%). A total of 25% died at home. Compared to the lowest quartile, the groups with higher household income did not have a higher probability of dying at home (adjusted odds ratio (adj-OR) 0.8 (95% CI 0.5-1.2/1.3)). Dying of haematological cancers (adj-OR 0.3 (95% CI 0.2-0.7)) and non-cancerous conditions (adj-OR 0.5 (95% CI 0.3-0.7)) was associated with lower odds for home death compared to dying of solid tumours. However, being an immigrant was negatively associated with home death (adj-OR 0.6 (95% CI 0.4-0.9)). Moreover, a tendency was also found that being older, male, living outside the capital and in more urban areas were notable in relation to home death, however, not statistically significant.Conclusions: The fact that household income was not associated with dying at home may be explained by the Danish tax-financed healthcare system. However, having haematological cancers, non-cancerous conditions or being an immigrant were associated with lower odds for home death. Cultural differences along with heterogeneous trajectories may partly explain these differences, which should be considered prospectively. What is Known: • Prior studies have shown disparities in place-of-death of terminally ill children with diagnosis, ethnicity and socio-economic position as key factors. • Danish healthcare is tax-financed and in principle access to healthcare is equal; however, disparities have been found in the intensity of treatment of terminally ill children. What is New: • In a tax-financed, equal-access healthcare system, children died just as frequently at home in families with low as high household income. • Disparities in home death were related to diagnosis and immigrant status.",
keywords = "Child, Denmark/epidemiology, Health Services Accessibility, Humans, Male, Neoplasms/epidemiology, Terminal Care, Terminally Ill",
author = "Wolff, {Sanne Lausen} and Christiansen, {Christian Fynbo} and Johnsen, {S{\o}ren Paaske} and Henrik Schroeder and Anne-Sophie Darlington and Jespersen, {Bodil Abild} and Marianne Olsen and Neergaard, {Mette Asbjoern}",
note = "{\textcopyright} 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.",
year = "2022",
month = feb,
doi = "10.1007/s00431-021-04250-5",
language = "English",
volume = "181",
pages = "609--617",
journal = "European Journal of Pediatrics",
issn = "0340-6199",
publisher = "Springer",
number = "2",

}

RIS

TY - JOUR

T1 - Inequality in place-of-death among children

T2 - a Danish nationwide study

AU - Wolff, Sanne Lausen

AU - Christiansen, Christian Fynbo

AU - Johnsen, Søren Paaske

AU - Schroeder, Henrik

AU - Darlington, Anne-Sophie

AU - Jespersen, Bodil Abild

AU - Olsen, Marianne

AU - Neergaard, Mette Asbjoern

N1 - © 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

PY - 2022/2

Y1 - 2022/2

N2 - To identify predictors for home death among children using socio-demographic factors and cause of death. It is a nationwide registry study. A cohort of children (1-17 years) who died between 1 January 2006 and 31 December 2016. It was set in Denmark, Europe. Predictors for home death were assessed: age, gender, diagnosis, region of residence, urbanicity, household income and immigrant status. Of 938 deceased children included, causes of death were solid tumours (17.3%), haematological cancers (8.5%) and non-cancerous conditions (74.2%). A total of 25% died at home. Compared to the lowest quartile, the groups with higher household income did not have a higher probability of dying at home (adjusted odds ratio (adj-OR) 0.8 (95% CI 0.5-1.2/1.3)). Dying of haematological cancers (adj-OR 0.3 (95% CI 0.2-0.7)) and non-cancerous conditions (adj-OR 0.5 (95% CI 0.3-0.7)) was associated with lower odds for home death compared to dying of solid tumours. However, being an immigrant was negatively associated with home death (adj-OR 0.6 (95% CI 0.4-0.9)). Moreover, a tendency was also found that being older, male, living outside the capital and in more urban areas were notable in relation to home death, however, not statistically significant.Conclusions: The fact that household income was not associated with dying at home may be explained by the Danish tax-financed healthcare system. However, having haematological cancers, non-cancerous conditions or being an immigrant were associated with lower odds for home death. Cultural differences along with heterogeneous trajectories may partly explain these differences, which should be considered prospectively. What is Known: • Prior studies have shown disparities in place-of-death of terminally ill children with diagnosis, ethnicity and socio-economic position as key factors. • Danish healthcare is tax-financed and in principle access to healthcare is equal; however, disparities have been found in the intensity of treatment of terminally ill children. What is New: • In a tax-financed, equal-access healthcare system, children died just as frequently at home in families with low as high household income. • Disparities in home death were related to diagnosis and immigrant status.

AB - To identify predictors for home death among children using socio-demographic factors and cause of death. It is a nationwide registry study. A cohort of children (1-17 years) who died between 1 January 2006 and 31 December 2016. It was set in Denmark, Europe. Predictors for home death were assessed: age, gender, diagnosis, region of residence, urbanicity, household income and immigrant status. Of 938 deceased children included, causes of death were solid tumours (17.3%), haematological cancers (8.5%) and non-cancerous conditions (74.2%). A total of 25% died at home. Compared to the lowest quartile, the groups with higher household income did not have a higher probability of dying at home (adjusted odds ratio (adj-OR) 0.8 (95% CI 0.5-1.2/1.3)). Dying of haematological cancers (adj-OR 0.3 (95% CI 0.2-0.7)) and non-cancerous conditions (adj-OR 0.5 (95% CI 0.3-0.7)) was associated with lower odds for home death compared to dying of solid tumours. However, being an immigrant was negatively associated with home death (adj-OR 0.6 (95% CI 0.4-0.9)). Moreover, a tendency was also found that being older, male, living outside the capital and in more urban areas were notable in relation to home death, however, not statistically significant.Conclusions: The fact that household income was not associated with dying at home may be explained by the Danish tax-financed healthcare system. However, having haematological cancers, non-cancerous conditions or being an immigrant were associated with lower odds for home death. Cultural differences along with heterogeneous trajectories may partly explain these differences, which should be considered prospectively. What is Known: • Prior studies have shown disparities in place-of-death of terminally ill children with diagnosis, ethnicity and socio-economic position as key factors. • Danish healthcare is tax-financed and in principle access to healthcare is equal; however, disparities have been found in the intensity of treatment of terminally ill children. What is New: • In a tax-financed, equal-access healthcare system, children died just as frequently at home in families with low as high household income. • Disparities in home death were related to diagnosis and immigrant status.

KW - Child

KW - Denmark/epidemiology

KW - Health Services Accessibility

KW - Humans

KW - Male

KW - Neoplasms/epidemiology

KW - Terminal Care

KW - Terminally Ill

UR - http://www.scopus.com/inward/record.url?scp=85114149921&partnerID=8YFLogxK

U2 - 10.1007/s00431-021-04250-5

DO - 10.1007/s00431-021-04250-5

M3 - Journal article

C2 - 34480639

VL - 181

SP - 609

EP - 617

JO - European Journal of Pediatrics

JF - European Journal of Pediatrics

SN - 0340-6199

IS - 2

ER -

ID: 79440431