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Unmet health-care needs and mortality : A prospective cohort study from southern Sweden

Lindström, Christine LU ; Rosvall, Maria LU and Lindström, Martin LU (2019) In Scandinavian Journal of Public Health
Abstract

Aims: Research on the effect of unmet health-care needs on mortality at follow-up is scarce. This study investigated whether unmet health-care needs in 2008 were associated with a higher risk of mortality during a five-year follow-up period in a population in southern Sweden, and whether the association was stronger for particular subgroups of cause of death. Methods: The 2008 public-health survey in Skåne was used as baseline. The survey included variables such as unmet health-care needs, risk behaviours and social and socio-economic variables, and had 28,198 respondents aged 18–80 years. The study was longitudinal. Mortality data for the period 27 August 2008 (start of the survey) to 31 December 2013 were provided by the National... (More)

Aims: Research on the effect of unmet health-care needs on mortality at follow-up is scarce. This study investigated whether unmet health-care needs in 2008 were associated with a higher risk of mortality during a five-year follow-up period in a population in southern Sweden, and whether the association was stronger for particular subgroups of cause of death. Methods: The 2008 public-health survey in Skåne was used as baseline. The survey included variables such as unmet health-care needs, risk behaviours and social and socio-economic variables, and had 28,198 respondents aged 18–80 years. The study was longitudinal. Mortality data for the period 27 August 2008 (start of the survey) to 31 December 2013 were provided by the National Board on Health and Welfare. Analyses were run using Cox proportional hazard models. Mortality was analysed as the total and in subgroups: cardiovascular disease (CVD), cancer and other causes. Results: In the time period studied, 946 (3.4%) people had died. Unmet health-care needs increased the hazard ratios (HRs) of total mortality after adjusting for age, particularly for people aged 65–80 years (HR=1.53; confidence interval 1.24–1.88). Unmet health-care needs were associated with death due to cancer and other causes but not with CVD. Adjusting for self-rated health attenuated the HRs. For the age group 18–64 years, there was no significant association between unmet health-care needs and mortality. Conclusions: Having unmet health-care needs at baseline was significantly associated with increased mortality for all causes, except CVD, in the following five year-period, particularly for people aged 65–80 years.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
longitudinal study, mortality, prospective cohort study, Sweden, Unmet health-care needs
in
Scandinavian Journal of Public Health
publisher
SAGE Publications
external identifiers
  • pmid:31405329
  • scopus:85071497345
ISSN
1403-4948
DOI
10.1177/1403494819863530
language
English
LU publication?
yes
id
188d0f15-867e-432e-977a-0c6d3a9bd270
date added to LUP
2019-09-23 14:09:35
date last changed
2020-01-13 02:24:52
@article{188d0f15-867e-432e-977a-0c6d3a9bd270,
  abstract     = {<p>Aims: Research on the effect of unmet health-care needs on mortality at follow-up is scarce. This study investigated whether unmet health-care needs in 2008 were associated with a higher risk of mortality during a five-year follow-up period in a population in southern Sweden, and whether the association was stronger for particular subgroups of cause of death. Methods: The 2008 public-health survey in Skåne was used as baseline. The survey included variables such as unmet health-care needs, risk behaviours and social and socio-economic variables, and had 28,198 respondents aged 18–80 years. The study was longitudinal. Mortality data for the period 27 August 2008 (start of the survey) to 31 December 2013 were provided by the National Board on Health and Welfare. Analyses were run using Cox proportional hazard models. Mortality was analysed as the total and in subgroups: cardiovascular disease (CVD), cancer and other causes. Results: In the time period studied, 946 (3.4%) people had died. Unmet health-care needs increased the hazard ratios (HRs) of total mortality after adjusting for age, particularly for people aged 65–80 years (HR=1.53; confidence interval 1.24–1.88). Unmet health-care needs were associated with death due to cancer and other causes but not with CVD. Adjusting for self-rated health attenuated the HRs. For the age group 18–64 years, there was no significant association between unmet health-care needs and mortality. Conclusions: Having unmet health-care needs at baseline was significantly associated with increased mortality for all causes, except CVD, in the following five year-period, particularly for people aged 65–80 years.</p>},
  author       = {Lindström, Christine and Rosvall, Maria and Lindström, Martin},
  issn         = {1403-4948},
  language     = {eng},
  month        = {08},
  publisher    = {SAGE Publications},
  series       = {Scandinavian Journal of Public Health},
  title        = {Unmet health-care needs and mortality : A prospective cohort study from southern Sweden},
  url          = {http://dx.doi.org/10.1177/1403494819863530},
  doi          = {10.1177/1403494819863530},
  year         = {2019},
}