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Palliative Medicine
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What's this?

The association of marital status and hospice use in the USA

Nuha A Lackan

Sealy Center on Aging, Galveston

Glenn V Ostir

Sealy Center on Aging, Department of Internal Medicine, and Department of Preventive Medicine and Community Health, Galveston

Yong-Fang Kuo

Sealy Center on Aging, Department of Preventive Medicine and Community Health, and Office of Biostatistics, University of Texas Medical Branch, Galveston

Jean L Freeman

Sealy Center on Aging, Department of Internal Medicine, and Department of Preventive Medicine and Community Health, Galveston

Background: Married individuals are more likely to use hospice than unmarried individuals. We examine this association and how it is influenced by gender.

Methods: Medicare beneficiaries dying of cancer were studied.

Results: Currently married (OR 1.36 95% C.I. 1.28 1.45) or ever married (OR 1.23 95% C.I. 1.16 1.31) subjects were more likely to use hospice than never married subjects. A significant interaction between marital status and gender (PB .001) was observed.

Conclusions: Subjects likely to enroll in hospice are subjects likely to have greater supportive relationships.

Key Words: cancer • elderly • end-of-life care • hospice • marital status

Palliative Medicine, Vol. 19, No. 2, 160-162 (2005)
DOI: 10.1191/0269216305pm981oa
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