Healthcare services and medication use among widowed partners of patients deceased due to cancer - results from the Survey of Health, Ageing and Retirement in Europe (SHARE)

Autores da FMUP

• Nuno Miguel De Sousa Lunet

  Autor

Participantes de fora da FMUP

• Costa, AR
• Alves, L

Unidades de investigação

• Ciências da Saúde Pública e Forenses, e Educação Médica

Abstract

Objective This study aimed to quantify the effect of a cancer death on healthcare and medication use among widowed individuals (Widowed-Cancer), by comparing this population with partnered individuals and with widowed individuals whose partners were deceased due to cardiovascular diseases (Widowed-CVD). Methods Data were retrieved from the Sixth Wave of the Survey of Health, Ageing and Retirement in Europe - SHARE, conducted in 2015, in 18 countries.Widowed-Cancerwere matched by country, sex, age and educational level with currently partnered individuals (1:2; n = 901 and n = 1802, respectively) and withWidowed-CVD(1:1; n = 606 and n = 606, respectively). Adjusted odds ratios (OR) and 95% confidence intervals (95%CI) were computed using logistic regression. Results The use of drugs for sleep problems (OR = 1.42, 95%CI:1.12-1.80) and anxiety or depression (OR = 1.56, 95%CI:1.20-2.03) was more common amongWidowed-Cancerthan in partnered individuals; a tendency towards higher odds of being hospitalised in the previous year was also observed inWidowed-Cancer(OR = 1.20, 95%CI:0.98-1.47). Among participants whose partners were deceased in 2015,Widowed-Cancerwere more likely thanWidowed-CVDto report >= 10 contacts with medical doctors or nurses in the previous year (OR = 3.32, 95%CI:1.20-9.24;Pfor interaction = .042) and a higher use of drugs for sleep problems (OR = 14.43, 95%CI:1.74-119.84;Pfor interaction = .027). Conclusion Widowed individuals whose partners were deceased due to cancer had a higher use of healthcare, which highlights the importance of improving the quality of end-of-life care, even during widowhood.

Keywords

• cancer; family; healthcare surveys; oncology; widowhood