Abstract
We examined people’s preferences for place of death and identified factors associated with a home death preference. We asked a representative sample (N = 400) of older people (≥ 60 years) residents in the city of Belo Horizonte, about their preferences for place of death in a situation of serious illness with less than a year to live. Data were analyzed using binomial regression to identify associated factors. 52.2% indicate home as the preferred place of death. Five variables were associated with preference for death at home: those living with 1 child (odds ratio (OR)0.41; 95% confidence interval (CI):0.18-0.92; ref: without children); being in education for up to 4 years (OR0.42; 95% CI:0.20-0.89; ref: higher education); finding it difficult to live with the present income (OR3.18; 95% CI:1.53-6.62; ref: living comfortably); self-assessed fair overall health (OR2.07; 95% CI:1.06-4.03; ref: very good health) and selecting “choosing who makes decisions about your care” as the care priority that would matter to them the most (OR2.43; 95%CI:1.34-4.40; ref: dying in the place you want). Most respondents chose home as preferred place of death. However, most residents of Belo Horizonte die in hospitals, suggesting that preferences are not being considered.
| Translated title of the contribution | Preferência por morrer em casa e fatores associados de pessoas idosas da cidade de Belo Horizonte, Brasil |
|---|---|
| Original language | Multiple languages |
| Pages (from-to) | 3001-3012 |
| Number of pages | 12 |
| Journal | Ciencia & saude coletiva |
| DOIs | |
| Publication status | Published - 5 Aug 2019 |
Bibliographical note
PRISMA was funded by the European Commis-sion’s Seventh Framework Programme (contract
number: Health-F2-2008-201655) with the over-
all aim to co-ordinate high-quality international
research into end-of-life cancer care. PRISMA
aimed to provide evidence and guidance on best
practice to ensure that research can measure
and improve outcomes for patients and families.
PRISMA activities aimed to reflect the preferenc-
es and cultural diversities of citizens, the clinical
priorities of clinicians, and appropriately mea-
sure multidimensional outcomes across settings
where end–of-life care is delivered. Principal In-
vestigator: Richard Harding. Scientific Director:
Irene J Higginson. PRISMA members: Gwenda
Albers, Barbara Antunes, Ana Barros Pinto, Clau-
dia Bausewein, Dorothee Bechinger-English, Ha-
mid Benalia, Emma Bennett, Lucy Bradley, Lucas
Ceulemans, Barbara A Daveson, Luc Deliens,
Noël Derycke, Martine de Vlieger, Let Dillen, Julia
Downing, Michael Echteld, Natalie Evans, Dagny
Faksvåg Haugen, Silvia Finetti, Nancy Gikaara,
Barbara Gomes, Marjolein Gysels, Sue Hall, Rich-
ard Harding, Irene J Higginson, Stein Kaasa, Jon-
athan Koffman, Pedro Lopes Ferreira, Arantza
Meñaca, Johan Menten, Natalia Monteiro Calan-
zani, Fliss Murtagh, Bregje Onwuteaka-Philipsen,
Roeline Pasman, Francesca Pettenati, Robert
Pool, Richard A. Powell, Miel Ribbe, Katrin Sig-
urdardottir, Steffen Simon, Franco Toscani, Bart
Van den Eynden, Paul Vanden Berghe and Trudie
van Iersel.
RJ was supported by Coordination for the
Improvement of Higher Education Personnel
(CAPES). AF was supported by Fundação para a
Ciência e a Tecnologia (FCT), within project UID/
MAT/04106/2019 (CIDMA). LS was supported
by National Funds through FCT - Fundação para
a Ciência e a Tecnologia within CINTESIS, R&D
Unit (reference UID/IC/4255/2019).