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Urbanization and place of death for the elderly: a 10-year population-based study

School of Health Care Administration, Taipei Medical University, Taipei, henry11111{at}tmu.edu.tw

Yen-Ju Lin

Department of Public Finance, China University of Technology, Taipei

Tsai-Ching Liu

Department of Public Finance, National Taipei University, Taipei

Chin-Shyan Chen

Department of Economics, National Taipei University, Taipei

Chia-Chin Lin

Graduate Institute of Nursing, Taipei Medical University, Taipei

Objectives: To explore the association between the place of death and the level of urbanization within the communities where the elderly were residing at the time of their death. Methods: A retrospective, population-based, cross-sectional study set in Taiwan, involving a total of 697 814 eligible deaths occurred between 1995 and 2004, among elderly people (aged 65 years or above). Results: After adjusting for other factors, the multilevel logistic regression analyses showed that home death was associated with lower levels of urbanization; as compared with participants living in the highest urbanization level (level 1), the respective adjusted odds of dying at home were 1.600, 2.769, 3.774, 4.481, 4.003 and 4.717 times for those living in the areas from the second highest to the lowest urbanization levels (levels 2—7). Conclusions: After adjusting for other socio-demographic, clinical and healthcare factors, the place of death has a significant association with the level of urbanization among the elderly. Palliative Medicine 2007; 21: 705—711

Key Words: elderly deaths • place of death • urbanization

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Palliative Medicine, Vol. 21, No. 8, 705-711 (2007)
DOI: 10.1177/0269216307083033


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Lin, H.-C. Articles by Lin, C.-C. Search for Related Content PubMed PubMed Citation Articles by Lin, H.-C. Articles by Lin, C.-C. Social Bookmarking                         What's this?