| 北京市东城区(南)2007~2012年恶性肿瘤患者死亡地点影响因素分析 |
| 投稿时间：2014-01-11 修订日期：2015-01-19 点此下载全文 |
| 引用本文：韩叙,周莹,王联君,何燕.北京市东城区(南)2007~2012年恶性肿瘤患者死亡地点影响因素分析[J].医学研究杂志,2015,44(5):57-60 |
| DOI：
10.11969/j.issn.1673-548X.2015.05.015 |
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| 基金项目:国家自然科学基金资助项目(30971178);"十二五"国家科学技术支柱项目(SQ2015BAI300692);北京市自然科学基金资助项目(7132027) |
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| 中文摘要:目的 了解北京市东城区(南)恶性肿瘤患者死亡地点分布及趋势,分析其影响因素,探讨肿瘤患者临终住院资源获取情况,为相关医疗卫生政策的制定提供依据。方法 应用2007~2012年北京市东城区(南)恶性肿瘤死因居民死亡登记资料,描述死亡地点的分布情况及变化趋势,运用χ2检验及多因素Logistic回归分析等方法对死亡地点影响因素进行分析。结果 2007~2012年,北京市东城区(南)恶性肿瘤居民死于医院病房内平均比例为71.0%,无明显变化趋势(χ2=3.095, P=0.079);年龄(P=0.030)、婚姻状况(P=0.001)、文化程度(P=0.000)、职业类别(P=0.001)及癌症种类(P=0.029)为恶性肿瘤患者死亡地点的影响因素。其中无配偶、低学历、工人、家务及无业人群有明显较高的于医院病房外死亡的风险,而45~64岁年龄组人群及胃癌、肝癌患者更可能死亡于医院病房内。结论 北京市东城区(南)恶性肿瘤患者普遍在临终阶段可以获得良好的医疗服务支持,而居民中低学历、无业及无配偶人群更可能死亡于医院外的特征则提示卫生政策仍应重视提高低收入人群医疗服务的可获取性,同时关注独居老人晚年生活的医疗保障等问题。 |
| 中文关键词:死亡地点 影响因素 恶性肿瘤 |
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| Factors Influencing the Place of Death in Beijing Dongcheng South District Patients with Cancer, 2007-2012 |
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| Abstract:Objective To determine the current distribution and characteristics of cancer patients' place of death in the DongCheng south district of Beijing and to analyze the factors associated with the place of death. Methods Data on cancer patients' place of death from 2007 to 2012 in the Dongcheng South district of Beijing were collected from the Death Cases Reporting System of China. We determined the distributions and trends of place of death and analyzed the factors associated with place of death via χ2 test and logistic regression analyses. Results The average proportion of cancer patients who died at an inpatient hospital ward was 71.0% in the Dongcheng South district of Beijing and displayed no significant trend from 2006 to 2012 (χ2=3.095, P=0.079). Age (P=0.030), marital status (P=0.001), educational level (P=0.000), occupation types (P=0.001) and kinds of cancer (P=0.029) were associated with place of death. Being with no spouse, having a low education level, workers, household and being unemployed were risk factors for dying outside a hospital ward. Being in the 45-64 year age group and suffering from gastric or liver cancer were associated with a reduced risk for dying outside a hospital ward. Conclusion The proportion of cancer patients who died at a hospital ward in the DongCheng South district of Beijing was higher than that of the overall country of China. Residents with low education levels, who were unemployed, and who were with no spouse were more likely to die outside the hospital. Policy-makers should focus on effectively assisting low-income residents in obtaining resources for end-of-life medical care. These results emphasize the difficulties with medical and mental care for elderly individuals who live alone. |
| keywords:Place of death Factors Cancer |
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