Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016

Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016

Jordan faces complex health care challenges due to refugee influx and an aging population. Palliative care planning and delivery require data to ensure services respond to changing population needs. To determine the trend in mortality and place of death in Jordan. Population-based study. Death regis...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of palliative medicine 2021-11, Vol.24 (11), p.1616-1625
Hauptverfasser: Guo, Ping, Chukwusa, Emeka, Asad, Majed, Nimri, Omar, Arqoub, Kamal, Alajarmeh, Sawsan, Mansour, Asem, Sullivan, Richard, Shamieh, Omar, Harding, Richard
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1625
container_issue 11
container_start_page 1616
container_title Journal of palliative medicine
container_volume 24
creator Guo, Ping
Chukwusa, Emeka
Asad, Majed
Nimri, Omar
Arqoub, Kamal
Alajarmeh, Sawsan
Mansour, Asem
Sullivan, Richard
Shamieh, Omar
Harding, Richard
description Jordan faces complex health care challenges due to refugee influx and an aging population. Palliative care planning and delivery require data to ensure services respond to changing population needs. To determine the trend in mortality and place of death in Jordan. Population-based study. Death registry data of adult decedents (  = 143,215), 2005-2016. Descriptive statistics examined change in demographic and place of death (categorized as hospital and nonhospital). Binomial logistic regression compared the association between hospital deaths and demographic characteristics in 2008-2010, 2011-2013, and 2014-2016, with 2005-2007. The annual number of deaths increased from 6792 in 2005 to 17,018 in 2016 (151% increase). Hospital was the most common place of death (93.7% of all deaths) in Jordan, and percentage of hospital deaths increased for Jordanian (82.6%-98.8%) and non-Jordanian decedents (88.1%-98.7%). There was an increased likelihood of hospital death among Jordanian decedents who died from nonischemic heart disease (odd ratio [OR]: 1.11, 95% confidence interval [CI]: 1.09-1.13,  
doi_str_mv 10.1089/jpm.2020.0476
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2510266914</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2510266914</sourcerecordid><originalsourceid>FETCH-LOGICAL-c332t-d5d894d3641b2d9348aa1eb6a340b7065d43bb9041484af585cef9bfcd01d7e43</originalsourceid><addsrcrecordid>eNo9kE1P3DAQhq2qqMDCsdfKxx7qZfwZpze6pQUEArH0HDnxZAnK2iFOpO6VX04iPk7zavTMK81DyFcOSw42P3nstksBApagMvOJHHCtM5ZlCj5PGXLDjOB2nxym9AgwHYD-QvaltMJYbQ_I8-rBhU0TNvQ69oNrm2FHXfD0tnUV0ljT3-iGB9oEeoepiyEhHeKU63GDSC9C3Y7_f9JTehu7sXVDEwP75RJ6uupjSmyN1bxzLV0Po9_NPZex9y78oAJAMwHcHJG92rUJj9_mgvz7c3a_OmdXN38vVqdXrJJSDMxrb3PlpVG8FD6XyjrHsTROKigzMNorWZY5KK6scrW2usI6L-vKA_cZKrkg3197uz4-jZiGYtukCtvWBYxjKoTmIIzJ-YyyV7Sav-ixLrq-2bp-V3AoZu3FpL2YtRez9on_9lY9llv0H_S7Z_kCeel8ng</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2510266914</pqid></control><display><type>article</type><title>Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016</title><source>Alma/SFX Local Collection</source><creator>Guo, Ping ; Chukwusa, Emeka ; Asad, Majed ; Nimri, Omar ; Arqoub, Kamal ; Alajarmeh, Sawsan ; Mansour, Asem ; Sullivan, Richard ; Shamieh, Omar ; Harding, Richard</creator><creatorcontrib>Guo, Ping ; Chukwusa, Emeka ; Asad, Majed ; Nimri, Omar ; Arqoub, Kamal ; Alajarmeh, Sawsan ; Mansour, Asem ; Sullivan, Richard ; Shamieh, Omar ; Harding, Richard</creatorcontrib><description>Jordan faces complex health care challenges due to refugee influx and an aging population. Palliative care planning and delivery require data to ensure services respond to changing population needs. To determine the trend in mortality and place of death in Jordan. Population-based study. Death registry data of adult decedents (  = 143,215), 2005-2016. Descriptive statistics examined change in demographic and place of death (categorized as hospital and nonhospital). Binomial logistic regression compared the association between hospital deaths and demographic characteristics in 2008-2010, 2011-2013, and 2014-2016, with 2005-2007. The annual number of deaths increased from 6792 in 2005 to 17,018 in 2016 (151% increase). Hospital was the most common place of death (93.7% of all deaths) in Jordan, and percentage of hospital deaths increased for Jordanian (82.6%-98.8%) and non-Jordanian decedents (88.1%-98.7%). There was an increased likelihood of hospital death among Jordanian decedents who died from nonischemic heart disease (odd ratio [OR]: 1.11, 95% confidence interval [CI]: 1.09-1.13,  &lt; 0.001), atherosclerosis (OR: 1.10, 95% CI: 1.08-1.13,  &lt; 0.001), renal failure (OR: 1.05, 95% CI: 1.02-1.08,  &lt; 0.001), hemorrhagic fevers (OR: 1.09, 95% CI: 1.06-1.13,  &lt; 0.001), and injury (OR: 1.18, 95% CI: 1.06-1.33,  &lt; 0.001) in the period 2014-2016, compared with 2005-2007. There were similar increases in the likelihood of hospital death among non-Jordanians in 2014-2016 for the following conditions: malignant neoplasms (except leukemia), nonischemic heart disease, atherosclerosis, injury, and HIV, compared with 2005-2007. Country-level palliative care development must respond to both internal (aging) and external (refugee influx) population trends. Universal Health Coverage requires palliative care to move beyond cancer and meet population-specific needs. Community-based services should be prioritized and expanded to care for the patients with nonischemic heart disease, atherosclerosis, renal failure, hemorrhagic fevers, and injury.</description><identifier>ISSN: 1096-6218</identifier><identifier>EISSN: 1557-7740</identifier><identifier>DOI: 10.1089/jpm.2020.0476</identifier><identifier>PMID: 33826858</identifier><language>eng</language><publisher>United States</publisher><ispartof>Journal of palliative medicine, 2021-11, Vol.24 (11), p.1616-1625</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-d5d894d3641b2d9348aa1eb6a340b7065d43bb9041484af585cef9bfcd01d7e43</citedby><cites>FETCH-LOGICAL-c332t-d5d894d3641b2d9348aa1eb6a340b7065d43bb9041484af585cef9bfcd01d7e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33826858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guo, Ping</creatorcontrib><creatorcontrib>Chukwusa, Emeka</creatorcontrib><creatorcontrib>Asad, Majed</creatorcontrib><creatorcontrib>Nimri, Omar</creatorcontrib><creatorcontrib>Arqoub, Kamal</creatorcontrib><creatorcontrib>Alajarmeh, Sawsan</creatorcontrib><creatorcontrib>Mansour, Asem</creatorcontrib><creatorcontrib>Sullivan, Richard</creatorcontrib><creatorcontrib>Shamieh, Omar</creatorcontrib><creatorcontrib>Harding, Richard</creatorcontrib><title>Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016</title><title>Journal of palliative medicine</title><addtitle>J Palliat Med</addtitle><description>Jordan faces complex health care challenges due to refugee influx and an aging population. Palliative care planning and delivery require data to ensure services respond to changing population needs. To determine the trend in mortality and place of death in Jordan. Population-based study. Death registry data of adult decedents (  = 143,215), 2005-2016. Descriptive statistics examined change in demographic and place of death (categorized as hospital and nonhospital). Binomial logistic regression compared the association between hospital deaths and demographic characteristics in 2008-2010, 2011-2013, and 2014-2016, with 2005-2007. The annual number of deaths increased from 6792 in 2005 to 17,018 in 2016 (151% increase). Hospital was the most common place of death (93.7% of all deaths) in Jordan, and percentage of hospital deaths increased for Jordanian (82.6%-98.8%) and non-Jordanian decedents (88.1%-98.7%). There was an increased likelihood of hospital death among Jordanian decedents who died from nonischemic heart disease (odd ratio [OR]: 1.11, 95% confidence interval [CI]: 1.09-1.13,  &lt; 0.001), atherosclerosis (OR: 1.10, 95% CI: 1.08-1.13,  &lt; 0.001), renal failure (OR: 1.05, 95% CI: 1.02-1.08,  &lt; 0.001), hemorrhagic fevers (OR: 1.09, 95% CI: 1.06-1.13,  &lt; 0.001), and injury (OR: 1.18, 95% CI: 1.06-1.33,  &lt; 0.001) in the period 2014-2016, compared with 2005-2007. There were similar increases in the likelihood of hospital death among non-Jordanians in 2014-2016 for the following conditions: malignant neoplasms (except leukemia), nonischemic heart disease, atherosclerosis, injury, and HIV, compared with 2005-2007. Country-level palliative care development must respond to both internal (aging) and external (refugee influx) population trends. Universal Health Coverage requires palliative care to move beyond cancer and meet population-specific needs. Community-based services should be prioritized and expanded to care for the patients with nonischemic heart disease, atherosclerosis, renal failure, hemorrhagic fevers, and injury.</description><issn>1096-6218</issn><issn>1557-7740</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNo9kE1P3DAQhq2qqMDCsdfKxx7qZfwZpze6pQUEArH0HDnxZAnK2iFOpO6VX04iPk7zavTMK81DyFcOSw42P3nstksBApagMvOJHHCtM5ZlCj5PGXLDjOB2nxym9AgwHYD-QvaltMJYbQ_I8-rBhU0TNvQ69oNrm2FHXfD0tnUV0ljT3-iGB9oEeoepiyEhHeKU63GDSC9C3Y7_f9JTehu7sXVDEwP75RJ6uupjSmyN1bxzLV0Po9_NPZex9y78oAJAMwHcHJG92rUJj9_mgvz7c3a_OmdXN38vVqdXrJJSDMxrb3PlpVG8FD6XyjrHsTROKigzMNorWZY5KK6scrW2usI6L-vKA_cZKrkg3197uz4-jZiGYtukCtvWBYxjKoTmIIzJ-YyyV7Sav-ixLrq-2bp-V3AoZu3FpL2YtRez9on_9lY9llv0H_S7Z_kCeel8ng</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Guo, Ping</creator><creator>Chukwusa, Emeka</creator><creator>Asad, Majed</creator><creator>Nimri, Omar</creator><creator>Arqoub, Kamal</creator><creator>Alajarmeh, Sawsan</creator><creator>Mansour, Asem</creator><creator>Sullivan, Richard</creator><creator>Shamieh, Omar</creator><creator>Harding, Richard</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202111</creationdate><title>Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016</title><author>Guo, Ping ; Chukwusa, Emeka ; Asad, Majed ; Nimri, Omar ; Arqoub, Kamal ; Alajarmeh, Sawsan ; Mansour, Asem ; Sullivan, Richard ; Shamieh, Omar ; Harding, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-d5d894d3641b2d9348aa1eb6a340b7065d43bb9041484af585cef9bfcd01d7e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guo, Ping</creatorcontrib><creatorcontrib>Chukwusa, Emeka</creatorcontrib><creatorcontrib>Asad, Majed</creatorcontrib><creatorcontrib>Nimri, Omar</creatorcontrib><creatorcontrib>Arqoub, Kamal</creatorcontrib><creatorcontrib>Alajarmeh, Sawsan</creatorcontrib><creatorcontrib>Mansour, Asem</creatorcontrib><creatorcontrib>Sullivan, Richard</creatorcontrib><creatorcontrib>Shamieh, Omar</creatorcontrib><creatorcontrib>Harding, Richard</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guo, Ping</au><au>Chukwusa, Emeka</au><au>Asad, Majed</au><au>Nimri, Omar</au><au>Arqoub, Kamal</au><au>Alajarmeh, Sawsan</au><au>Mansour, Asem</au><au>Sullivan, Richard</au><au>Shamieh, Omar</au><au>Harding, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016</atitle><jtitle>Journal of palliative medicine</jtitle><addtitle>J Palliat Med</addtitle><date>2021-11</date><risdate>2021</risdate><volume>24</volume><issue>11</issue><spage>1616</spage><epage>1625</epage><pages>1616-1625</pages><issn>1096-6218</issn><eissn>1557-7740</eissn><abstract>Jordan faces complex health care challenges due to refugee influx and an aging population. Palliative care planning and delivery require data to ensure services respond to changing population needs. To determine the trend in mortality and place of death in Jordan. Population-based study. Death registry data of adult decedents (  = 143,215), 2005-2016. Descriptive statistics examined change in demographic and place of death (categorized as hospital and nonhospital). Binomial logistic regression compared the association between hospital deaths and demographic characteristics in 2008-2010, 2011-2013, and 2014-2016, with 2005-2007. The annual number of deaths increased from 6792 in 2005 to 17,018 in 2016 (151% increase). Hospital was the most common place of death (93.7% of all deaths) in Jordan, and percentage of hospital deaths increased for Jordanian (82.6%-98.8%) and non-Jordanian decedents (88.1%-98.7%). There was an increased likelihood of hospital death among Jordanian decedents who died from nonischemic heart disease (odd ratio [OR]: 1.11, 95% confidence interval [CI]: 1.09-1.13,  &lt; 0.001), atherosclerosis (OR: 1.10, 95% CI: 1.08-1.13,  &lt; 0.001), renal failure (OR: 1.05, 95% CI: 1.02-1.08,  &lt; 0.001), hemorrhagic fevers (OR: 1.09, 95% CI: 1.06-1.13,  &lt; 0.001), and injury (OR: 1.18, 95% CI: 1.06-1.33,  &lt; 0.001) in the period 2014-2016, compared with 2005-2007. There were similar increases in the likelihood of hospital death among non-Jordanians in 2014-2016 for the following conditions: malignant neoplasms (except leukemia), nonischemic heart disease, atherosclerosis, injury, and HIV, compared with 2005-2007. Country-level palliative care development must respond to both internal (aging) and external (refugee influx) population trends. Universal Health Coverage requires palliative care to move beyond cancer and meet population-specific needs. Community-based services should be prioritized and expanded to care for the patients with nonischemic heart disease, atherosclerosis, renal failure, hemorrhagic fevers, and injury.</abstract><cop>United States</cop><pmid>33826858</pmid><doi>10.1089/jpm.2020.0476</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1096-6218
ispartof Journal of palliative medicine, 2021-11, Vol.24 (11), p.1616-1625
issn 1096-6218
1557-7740
language eng
recordid cdi_proquest_miscellaneous_2510266914
source Alma/SFX Local Collection
title Changing Mortality and Place of Death in Response to Refugee Influx: A Population-Based Cross-Sectional Study in Jordan, 2005-2016
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T14%3A58%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Changing%20Mortality%20and%20Place%20of%20Death%20in%20Response%20to%20Refugee%20Influx:%20A%20Population-Based%20Cross-Sectional%20Study%20in%20Jordan,%202005-2016&rft.jtitle=Journal%20of%20palliative%20medicine&rft.au=Guo,%20Ping&rft.date=2021-11&rft.volume=24&rft.issue=11&rft.spage=1616&rft.epage=1625&rft.pages=1616-1625&rft.issn=1096-6218&rft.eissn=1557-7740&rft_id=info:doi/10.1089/jpm.2020.0476&rft_dat=%3Cproquest_cross%3E2510266914%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2510266914&rft_id=info:pmid/33826858&rfr_iscdi=true