Hospice use by Hispanic and non-Hispanic white cancer decedents

Nuha A. Lackan, Glenn V. Ostir, Jean L. Freeman, Yong Fang Kuo, Dong Zhang, James Goodwin

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective. To investigate rates of hospice use between Hispanic and non-Hispanic white Medicare beneficiaries diagnosed with cancer using data from a large, population-based study. Data Sources. Secondary data from the linked SEER-Medicare database including the SEER areas of Los Angeles, San Francisco, and San Jose-Monterey, California, and the state of New Mexico. All subjects were Hispanic or non-Hispanic whites, aged 67 and older, had a cancer diagnosis of breast, colorectal, lung, or prostate cancer from 1991-1996, and died of cancer from 1991-1998. Study Design. This study employed a retrospective cohort design to compare rates of hospice use between Hispanics and non-Hispanic whites across patient characteristics and over time. Principal Findings. Rates of hospice use were similar for Hispanics (39.2 percent) and non-Hispanic whites (41.5 percent). In a bivariate logistic regression model, Hispanics were significantly less likely to use hospice than non-Hispanic whites (OR 0.91; 95 percent CI 0.85-0.97). However, after adjusting for age, marital status, sex, educational attainment, income, urban versus rural residence, and type of insurance using multivariate logistic regression analysis, the estimated odds for being a hospice user among Hispanics is similar to the odds of being a hospice user among non-Hispanic whites (OR 1.05; 95 percent CI 0.98-1.13). Stratified analyses revealed significant differences between ethnic groups in the use of hospice by type of insurance and SEER area, indicating interactions between ethnicity and these variables. Conclusions. Our findings indicate similar rates of hospice use for Hispanics and non-Hispanic whites diagnosed with one of the four leading cancers. Additional studies from other national registries may be necessary to confirm these findings.

Original languageEnglish (US)
Pages (from-to)969-983
Number of pages15
JournalHealth Services Research
Volume39
Issue number4 I
StatePublished - Aug 2004

Fingerprint

Hospices
hospice
Hispanic Americans
cancer
Neoplasms
Logistic Models
Medicare
Insurance
insurance
logistics
San Francisco
Los Angeles
Information Storage and Retrieval
Marital Status
marital status
Ethnic Groups
Registries
Colorectal Neoplasms
Lung Neoplasms
Prostatic Neoplasms

Keywords

  • Cancer
  • End-of-life care
  • Hispanics
  • Hospice
  • Minority health

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Lackan, N. A., Ostir, G. V., Freeman, J. L., Kuo, Y. F., Zhang, D., & Goodwin, J. (2004). Hospice use by Hispanic and non-Hispanic white cancer decedents. Health Services Research, 39(4 I), 969-983.

Hospice use by Hispanic and non-Hispanic white cancer decedents. / Lackan, Nuha A.; Ostir, Glenn V.; Freeman, Jean L.; Kuo, Yong Fang; Zhang, Dong; Goodwin, James.

In: Health Services Research, Vol. 39, No. 4 I, 08.2004, p. 969-983.

Research output: Contribution to journalArticle

Lackan, NA, Ostir, GV, Freeman, JL, Kuo, YF, Zhang, D & Goodwin, J 2004, 'Hospice use by Hispanic and non-Hispanic white cancer decedents', Health Services Research, vol. 39, no. 4 I, pp. 969-983.
Lackan NA, Ostir GV, Freeman JL, Kuo YF, Zhang D, Goodwin J. Hospice use by Hispanic and non-Hispanic white cancer decedents. Health Services Research. 2004 Aug;39(4 I):969-983.
Lackan, Nuha A. ; Ostir, Glenn V. ; Freeman, Jean L. ; Kuo, Yong Fang ; Zhang, Dong ; Goodwin, James. / Hospice use by Hispanic and non-Hispanic white cancer decedents. In: Health Services Research. 2004 ; Vol. 39, No. 4 I. pp. 969-983.
@article{a690a8adc8334af7b7fa3a6a191870ab,
title = "Hospice use by Hispanic and non-Hispanic white cancer decedents",
abstract = "Objective. To investigate rates of hospice use between Hispanic and non-Hispanic white Medicare beneficiaries diagnosed with cancer using data from a large, population-based study. Data Sources. Secondary data from the linked SEER-Medicare database including the SEER areas of Los Angeles, San Francisco, and San Jose-Monterey, California, and the state of New Mexico. All subjects were Hispanic or non-Hispanic whites, aged 67 and older, had a cancer diagnosis of breast, colorectal, lung, or prostate cancer from 1991-1996, and died of cancer from 1991-1998. Study Design. This study employed a retrospective cohort design to compare rates of hospice use between Hispanics and non-Hispanic whites across patient characteristics and over time. Principal Findings. Rates of hospice use were similar for Hispanics (39.2 percent) and non-Hispanic whites (41.5 percent). In a bivariate logistic regression model, Hispanics were significantly less likely to use hospice than non-Hispanic whites (OR 0.91; 95 percent CI 0.85-0.97). However, after adjusting for age, marital status, sex, educational attainment, income, urban versus rural residence, and type of insurance using multivariate logistic regression analysis, the estimated odds for being a hospice user among Hispanics is similar to the odds of being a hospice user among non-Hispanic whites (OR 1.05; 95 percent CI 0.98-1.13). Stratified analyses revealed significant differences between ethnic groups in the use of hospice by type of insurance and SEER area, indicating interactions between ethnicity and these variables. Conclusions. Our findings indicate similar rates of hospice use for Hispanics and non-Hispanic whites diagnosed with one of the four leading cancers. Additional studies from other national registries may be necessary to confirm these findings.",
keywords = "Cancer, End-of-life care, Hispanics, Hospice, Minority health",
author = "Lackan, {Nuha A.} and Ostir, {Glenn V.} and Freeman, {Jean L.} and Kuo, {Yong Fang} and Dong Zhang and James Goodwin",
year = "2004",
month = "8",
language = "English (US)",
volume = "39",
pages = "969--983",
journal = "Health Services Research",
issn = "0017-9124",
publisher = "Wiley-Blackwell",
number = "4 I",

}

TY - JOUR

T1 - Hospice use by Hispanic and non-Hispanic white cancer decedents

AU - Lackan, Nuha A.

AU - Ostir, Glenn V.

AU - Freeman, Jean L.

AU - Kuo, Yong Fang

AU - Zhang, Dong

AU - Goodwin, James

PY - 2004/8

Y1 - 2004/8

N2 - Objective. To investigate rates of hospice use between Hispanic and non-Hispanic white Medicare beneficiaries diagnosed with cancer using data from a large, population-based study. Data Sources. Secondary data from the linked SEER-Medicare database including the SEER areas of Los Angeles, San Francisco, and San Jose-Monterey, California, and the state of New Mexico. All subjects were Hispanic or non-Hispanic whites, aged 67 and older, had a cancer diagnosis of breast, colorectal, lung, or prostate cancer from 1991-1996, and died of cancer from 1991-1998. Study Design. This study employed a retrospective cohort design to compare rates of hospice use between Hispanics and non-Hispanic whites across patient characteristics and over time. Principal Findings. Rates of hospice use were similar for Hispanics (39.2 percent) and non-Hispanic whites (41.5 percent). In a bivariate logistic regression model, Hispanics were significantly less likely to use hospice than non-Hispanic whites (OR 0.91; 95 percent CI 0.85-0.97). However, after adjusting for age, marital status, sex, educational attainment, income, urban versus rural residence, and type of insurance using multivariate logistic regression analysis, the estimated odds for being a hospice user among Hispanics is similar to the odds of being a hospice user among non-Hispanic whites (OR 1.05; 95 percent CI 0.98-1.13). Stratified analyses revealed significant differences between ethnic groups in the use of hospice by type of insurance and SEER area, indicating interactions between ethnicity and these variables. Conclusions. Our findings indicate similar rates of hospice use for Hispanics and non-Hispanic whites diagnosed with one of the four leading cancers. Additional studies from other national registries may be necessary to confirm these findings.

AB - Objective. To investigate rates of hospice use between Hispanic and non-Hispanic white Medicare beneficiaries diagnosed with cancer using data from a large, population-based study. Data Sources. Secondary data from the linked SEER-Medicare database including the SEER areas of Los Angeles, San Francisco, and San Jose-Monterey, California, and the state of New Mexico. All subjects were Hispanic or non-Hispanic whites, aged 67 and older, had a cancer diagnosis of breast, colorectal, lung, or prostate cancer from 1991-1996, and died of cancer from 1991-1998. Study Design. This study employed a retrospective cohort design to compare rates of hospice use between Hispanics and non-Hispanic whites across patient characteristics and over time. Principal Findings. Rates of hospice use were similar for Hispanics (39.2 percent) and non-Hispanic whites (41.5 percent). In a bivariate logistic regression model, Hispanics were significantly less likely to use hospice than non-Hispanic whites (OR 0.91; 95 percent CI 0.85-0.97). However, after adjusting for age, marital status, sex, educational attainment, income, urban versus rural residence, and type of insurance using multivariate logistic regression analysis, the estimated odds for being a hospice user among Hispanics is similar to the odds of being a hospice user among non-Hispanic whites (OR 1.05; 95 percent CI 0.98-1.13). Stratified analyses revealed significant differences between ethnic groups in the use of hospice by type of insurance and SEER area, indicating interactions between ethnicity and these variables. Conclusions. Our findings indicate similar rates of hospice use for Hispanics and non-Hispanic whites diagnosed with one of the four leading cancers. Additional studies from other national registries may be necessary to confirm these findings.

KW - Cancer

KW - End-of-life care

KW - Hispanics

KW - Hospice

KW - Minority health

UR - http://www.scopus.com/inward/record.url?scp=3142754076&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3142754076&partnerID=8YFLogxK

M3 - Article

C2 - 15230937

AN - SCOPUS:3142754076

VL - 39

SP - 969

EP - 983

JO - Health Services Research

JF - Health Services Research

SN - 0017-9124

IS - 4 I

ER -