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Place of death : analysis of cancer deaths in part of North West England.

Gatrell, Anthony C. and Harman, Juliet C. and Francis, Brian J. and Thomas, Carol and Morris, Sara M. and McIllmurray, Malcolm (2003) Place of death : analysis of cancer deaths in part of North West England. Journal of Public Health Medicine, 25 (1). pp. 53-58.

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Abstract

Background Relatively little work of a detailed geographical nature has been undertaken on the distribution of place of death. In particular, given evidence that most cancer patients would prefer to die at home there is a need to examine the extent to which this preference is met differentially from place to place. Methods Using data on cancer deaths for a single Health Authority in North West England we conducted both small area and individual analyses of place of death, using binomial and binary logistic regression models, respectively. Results Results from the small area analysis show that in more deprived areas cancer patients are more likely to die in hospital or hospice, and less likely to die at home, but that the effect disappears for home and hospice deaths once other factors are controlled for. At the individual level, the probability of death at home decreases among those living in deprived areas, whereas the probability of death in hospital increases as area deprivation increases. Age, gender, type of cancer, and proximity to hospital or hospice all have some effect on the probability of dying in a particular setting. Conclusion There is significant place-to-place variation in place of death among cancer patients in part of North West England. However, studies of place of death among cancer patients need to consider the full range of settings and, if examining the impact of deprivation or social class, need to adjust for other factors, including proximity to different settings.

Item Type: Article
Journal or Publication Title: Journal of Public Health Medicine
Additional Information: The definitive publisher-authenticated version of Gatrell, Anthony C. .. et al., Place of death: analysis of cancer deaths in part of North West England. Journal of Public Health Medicine 2003 25: 53-58 is available online at: http://jpubhealth.oxfordjournals.org/cgi/content/abstract/25/1/53
Uncontrolled Keywords: palliative care ; cancer ; hospice ; deprivation
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Science and Technology > Lancaster Environment Centre
Faculty of Health and Medicine > Health Research
Faculty of Arts & Social Sciences
Faculty of Health and Medicine
Faculty of Science and Technology > Mathematics and Statistics
Faculty of Arts & Social Sciences > Applied Social Science
ID Code: 491
Deposited By: Professor Tony Gatrell
Deposited On: 05 Apr 2007
Refereed?: Yes
Published?: Published
Last Modified: 09 Oct 2013 15:18
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/491

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