Factors Associated with Place of Death for Elderly Japanese-American Men: the Honolulu Heart Program and Honolulu-Asia Aging Study

Overview

Journal J Am Geriatr Soc

Specialty Geriatrics

Date 2009 Jan 30

PMID 19175434

Citations 7

Authors

Christina L Bell

James Davis

Rosanne C Harrigan

Emese Somogyi-Zalud

Marianne K G Tanabe

Kamal H Masaki

Affiliations

Soon will be listed here.

Abstract

Place of death is an indicator of health service utilization at the end of life and differs according to cause of death. Asian Americans may have a higher percentage of hospital deaths than Caucasian Americans, yet reasons for this finding are unclear. This study examined distribution of place of death and the associations between place and cause of death in elderly Japanese-American men in a longitudinal cohort: the Honolulu Heart Program and Honolulu-Asia Aging Study. Data collected between 1991 and 1999 on 1,352 men aged 73 to 99 at death were analyzed for associations between cause-of-death characteristics and hospital, home, or nursing home location of death. Fifty-nine percent of men died in hospitals, 23% died at home, and 18% died in nursing homes. Of the dementia-related deaths, 43% occurred in hospitals (vs 16% in a national study), 37% occurred in nursing homes (vs 67% in a national study), and 20% occurred at home. Of the stroke deaths, 53% occurred in hospitals, 40% were in nursing homes, and 7% occurred at home. Of the cancer deaths, 53% occurred in hospitals, 34% occurred at home, and 13% were in nursing homes. Traditional family obligation to care for elderly people at home and inability to access care for dementia may account for the greater rate of hospital death and lower rate of nursing home deaths in this cohort. Attitudes of elderly Japanese Americans and their families regarding place of care at the end of life, particularly in the setting of dementia, merit future study.

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References

Enguidanos S, Yip J, Wilber K . Ethnic variation in site of death of older adults dually eligible for Medicaid and Medicare. J Am Geriatr Soc. 2005; 53(8):1411-6. DOI: 10.1111/j.1532-5415.2005.53410.x. View

Mitchell S, Teno J, Miller S, Mor V . A national study of the location of death for older persons with dementia. J Am Geriatr Soc. 2005; 53(2):299-305. DOI: 10.1111/j.1532-5415.2005.53118.x. View

WORTH R, Kagan A . Ascertainment of men of Japanese ancestry in Hawaii through World War II Selective Service registration. J Chronic Dis. 1970; 23(5):389-97. DOI: 10.1016/0021-9681(70)90022-6. View

Hansen S, Tolle S, Martin D . Factors associated with lower rates of in-hospital death. J Palliat Med. 2003; 5(5):677-85. DOI: 10.1089/109662102320880499. View

Young D, Masaki K, Curb J . Associations of physical activity with performance-based and self-reported physical functioning in older men: the Honolulu Heart Program. J Am Geriatr Soc. 1995; 43(8):845-54. DOI: 10.1111/j.1532-5415.1995.tb05525.x. View

Ngo-Metzger Q, Phillips R, McCarthy E . Ethnic disparities in hospice use among Asian-American and Pacific Islander patients dying with cancer. J Am Geriatr Soc. 2007; 56(1):139-44. PMC: 2776043. DOI: 10.1111/j.1532-5415.2007.01510.x. View

Gruneir A, Mor V, Weitzen S, Truchil R, Teno J, Roy J . Where people die: a multilevel approach to understanding influences on site of death in America. Med Care Res Rev. 2007; 64(4):351-78. DOI: 10.1177/1077558707301810. View

Ross G, Abbott R, Petrovitch H, Masaki K, Murdaugh C, Trockman C . Frequency and characteristics of silent dementia among elderly Japanese-American men. The Honolulu-Asia Aging Study. JAMA. 1997; 277(10):800-5. View

Braun K, Browne C . Perceptions of dementia, caregiving, and help seeking among Asian and Pacific Islander Americans. Health Soc Work. 1998; 23(4):262-74. DOI: 10.1093/hsw/23.4.262. View

10.

Kagan A, Harris B, Winkelstein Jr W, Johnson K, Kato H, Syme S . Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: demographic, physical, dietary and biochemical characteristics. J Chronic Dis. 1974; 27(7-8):345-64. DOI: 10.1016/0021-9681(74)90014-9. View

11.

Yano K, Blackwelder W, Kagan A, Rhoads G, Cohen J, Marmot M . Childhood cultural experience and the incidence of coronary heart disease in Hawaii Japanese men. Am J Epidemiol. 1979; 109(4):440-50. DOI: 10.1093/oxfordjournals.aje.a112702. View

12.

Levy C, Fish R, Kramer A . Site of death in the hospital versus nursing home of Medicare skilled nursing facility residents admitted under Medicare's Part A Benefit. J Am Geriatr Soc. 2004; 52(8):1247-54. DOI: 10.1111/j.1532-5415.2004.52352.x. View

13.

Thomas C . The place of death of cancer patients: can qualitative data add to known factors?. Soc Sci Med. 2005; 60(11):2597-607. DOI: 10.1016/j.socscimed.2004.10.020. View

14.

Tang S, McCorkle R . Determinants of place of death for terminal cancer patients. Cancer Invest. 2001; 19(2):165-80. DOI: 10.1081/cnv-100000151. View

15.

Braun K, Onaka A, Horiuchi B . Advance directive completion rates and end-of-life preferences in Hawaii. J Am Geriatr Soc. 2002; 49(12):1708-13. DOI: 10.1046/j.1532-5415.2001.49284.x. View

16.

Rantanen T, Guralnik J, Foley D, Masaki K, Leveille S, Curb J . Midlife hand grip strength as a predictor of old age disability. JAMA. 1999; 281(6):558-60. DOI: 10.1001/jama.281.6.558. View

17.

White L, Petrovitch H, Ross G, Masaki K, Abbott R, Teng E . Prevalence of dementia in older Japanese-American men in Hawaii: The Honolulu-Asia Aging Study. JAMA. 1996; 276(12):955-60. View

18.

Gomes B, Higginson I . Factors influencing death at home in terminally ill patients with cancer: systematic review. BMJ. 2006; 332(7540):515-21. PMC: 1388126. DOI: 10.1136/bmj.38740.614954.55. View

19.

Weitzen S, Teno J, Fennell M, Mor V . Factors associated with site of death: a national study of where people die. Med Care. 2003; 41(2):323-35. DOI: 10.1097/01.MLR.0000044913.37084.27. View

20.

McCormick W, Ohata C, Uomoto J, Young H, Graves A, Kukull W . Similarities and differences in attitudes toward long-term care between Japanese Americans and Caucasian Americans. J Am Geriatr Soc. 2002; 50(6):1149-55. DOI: 10.1046/j.1532-5415.2002.50275.x. View