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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1643

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Title: Association between subjective economic status and refusal of life-prolonging treatment: a cross-sectional study using content analysis with stratified random sampling
Authors: Kasuga, Hideaki
Endo, Shota
Masuishi, Yusuke
Hidaka, Tomoo
Kakamu, Takeyasu
Saito, Keiko
Abe, Koichi
Fukushima, Tetsuhito
Affiliation: 衛生学・予防医学講座
Source title: Fukushima Journal of Medical Science
Volume: 68
Issue: 1
Start page: 11
End page: 18
Issue Date: 2022
Abstract: Introduction: Older adults tend to refuse life-prolonging treatment for various reasons, and it is important to respect their choice of treatment at the end-of-life stage. The present study examines the associations of subjective economic status and gender with reasons for refusal of life-prolonging treatment in older adults in general population. Methods: In this cross-sectional study, using stratified random sampling, 1,595 older adults living in Koriyama City, Japan, as of 2016, completed self-administered questionnaires on subjective economic status and preference for life-prolonging treatment, with free-description regarding reasons for refusal. We analyzed the associations between the combination of subjective economic status and gender with frequently mentioned terms and their clusters regarding such reasons, using χ2 test, content analysis, text mining and hierarchical cluster analysis. Results: The combinations of subjective economic status and gender were significantly associated with clustered reasons for refusal of life-prolonging treatment (p < 0.01). The reasons frequently mentioned were: 'avoidance of unnecessary medical care' and 'dignity' in well-off females; and 'financial burden on family' in poor males. Conclusions: Our findings suggest that older adults who at first glance appear to be freely refusing life-prolonging treatment, may have their decision making restricted through economic constraints.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1643
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1643/1/FksmJMedSci_68_p11.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2021-13
PubMed ID: 35046211
Related Page: https://doi.org/10.5387/fms.2021-13
Rights: © 2022 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.68 (2022)

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FksmJMedSci_68_p11.pdf216.26 kBAdobe PDFDownload

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