Do adult children increase the chances of receiving the recommended hospital treatment among older adults with heart disease?
| Title: | Do adult children increase the chances of receiving the recommended hospital treatment among older adults with heart disease? |
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| Authors: | Sloth MMB; Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark mathildemarie@me.com.; Center for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.; Nielsen J; Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Neble Larsen E; Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Center for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.; Osler M; Center for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark.; Section of Epidemiology, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Jorgensen TSH; Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Center for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Denmark. |
| Source: | Journal of epidemiology and community health [J Epidemiol Community Health] 2025 Feb 10; Vol. 79 (3), pp. 169-175. Date of Electronic Publication: 2025 Feb 10. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: British Medical Assn Country of Publication: England NLM ID: 7909766 Publication Model: Electronic Cited Medium: Internet ISSN: 1470-2738 (Electronic) Linking ISSN: 0143005X NLM ISO Abbreviation: J Epidemiol Community Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London, British Medical Assn. |
| MeSH Terms: | Non-ST Elevated Myocardial Infarction*/therapy ; Non-ST Elevated Myocardial Infarction*/surgery ; Coronary Artery Bypass*/statistics & numerical data ; Angina, Unstable*/therapy ; Angina, Unstable*/surgery ; Percutaneous Coronary Intervention*/statistics & numerical data ; Coronary Angiography*/statistics & numerical data; Humans ; Male ; Female ; Aged ; Aged, 80 and over ; Socioeconomic Factors ; Middle Aged |
| Abstract: | Background: We investigated whether having children and their socioeconomic resources are associated with receiving coronary angiogram (CAG) and coronary artery bypass graft surgery (CABG) or percutaneous coronary intervention (PCI) among older adults with non-ST elevation myocardial infarction (NSTEMI) and unstable angina pectoris.; Methods: The study included 13 046 older adults diagnosed with first-time NSTEMI and unstable angina pectoris between 2002 and 2018. Logistic regression analyses were used to examine the associations of having children and their socioeconomic resources with receiving a CAG examination within the first 3 days of their diagnosis and CABG or PCI within 30 days of their diagnosis following CAG examination, respectively, adjusted for sociodemographic factors.; Results: Within 3 days, 7158 older adults (54.9%) received a CAG, and of those, 4514 older adults (63.1%) received CABG or PCI within 30 days after their diagnosis following CAG examination. In the adjusted analyses, having children was associated with 21% (OR: 1.21, 95% CI 1.08; 1.36) higher odds of receiving CAG within 3 days and 20% (OR: 1.20, 95% CI 1.01; 1.42) higher odds of receiving CABG or PCI within 30 days after being diagnosed with NSTEMI and unstable angina pectoris, respectively, compared with those not having children. In adults with children aged ≥30 years, having children with short education was associated with 13% lower odds (OR: 0.87, 95% CI 0.77; 0.99) of receiving CAG, compared with older adults with children with long education.; Conclusion: Older adults with children had higher odds of receiving examination and treatment after diagnosis with NSTEMI or unstable angina pectoris. Older adults with children with short education had lower odds of receiving examination compared with older adults with children with long education.; (© Author(s) (or their employer(s)) 2025. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Competing Interests: | Competing interests: None declared. |
| Contributed Indexing: | Keywords: AGING; COHORT STUDIES; EPIDEMIOLOGY; GERONTOLOGY; Health inequalities |
| Entry Date(s): | Date Created: 20241015 Date Completed: 20250425 Latest Revision: 20250515 |
| Update Code: | 20260130 |
| DOI: | 10.1136/jech-2024-222399 |
| PMID: | 39406467 |
| Database: | MEDLINE |
Journal Article