Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study.
<h4>Background</h4>Spousal bereavement is a life event that affects older people differently. We investigated the impact of spousal bereavement on medical expenditures and mortality in the general population, emphasizing on age and sex.<h4>Methods</h4>Data are from a populati...
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282892&type=printable |
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| author | Alexandros Katsiferis Samir Bhatt Laust Hvas Mortensen Swapnil Mishra Rudi G J Westendorp |
| author_facet | Alexandros Katsiferis Samir Bhatt Laust Hvas Mortensen Swapnil Mishra Rudi G J Westendorp |
| author_sort | Alexandros Katsiferis |
| collection | DOAJ |
| description | <h4>Background</h4>Spousal bereavement is a life event that affects older people differently. We investigated the impact of spousal bereavement on medical expenditures and mortality in the general population, emphasizing on age and sex.<h4>Methods</h4>Data are from a population-based, retrospective cohort study following 924,958 Danish citizens over the age of 65 years, within 2011-2016. Changes in health care expenditures in those who suffer bereavement were compared with time matched changes among those who did not. Mortality hazards were analysed with time to event analysis.<h4>Results</h4>A total of 77,722 (~8.4%) individuals experienced bereavement, 65.8% being females. Among males, bereavement was associated with increase of expenditures the year after, that was 42 Euros per week (95% CI, 36 to 48) larger than the non-bereaved group. The corresponding increase for females was 35 Euros per week (95% CI, 30 to 40). The increase of mortality hazards was highest in the first year after bereavement, higher in males than females, in young old and almost absent in the oldest old. Compared with the reference, mortality the year after spousal loss was 70% higher (HR 1.70 [95% CI 1.40 to 2.08]) for males aged 65-69 years and remained elevated for a period of six years. Mortality for females aged 65-69 years was 27% higher in the first year (HR 1.27, [1.07 to 1.52]), normalizing thereafter.<h4>Conclusion</h4>Bereavement affects older people differently with younger males being most frail with limited recovery potential. |
| format | Article |
| id | doaj-art-df86136484ad4204b46773c080bf4c6f |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-df86136484ad4204b46773c080bf4c6f2025-08-20T03:46:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01183e028289210.1371/journal.pone.0282892Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study.Alexandros KatsiferisSamir BhattLaust Hvas MortensenSwapnil MishraRudi G J Westendorp<h4>Background</h4>Spousal bereavement is a life event that affects older people differently. We investigated the impact of spousal bereavement on medical expenditures and mortality in the general population, emphasizing on age and sex.<h4>Methods</h4>Data are from a population-based, retrospective cohort study following 924,958 Danish citizens over the age of 65 years, within 2011-2016. Changes in health care expenditures in those who suffer bereavement were compared with time matched changes among those who did not. Mortality hazards were analysed with time to event analysis.<h4>Results</h4>A total of 77,722 (~8.4%) individuals experienced bereavement, 65.8% being females. Among males, bereavement was associated with increase of expenditures the year after, that was 42 Euros per week (95% CI, 36 to 48) larger than the non-bereaved group. The corresponding increase for females was 35 Euros per week (95% CI, 30 to 40). The increase of mortality hazards was highest in the first year after bereavement, higher in males than females, in young old and almost absent in the oldest old. Compared with the reference, mortality the year after spousal loss was 70% higher (HR 1.70 [95% CI 1.40 to 2.08]) for males aged 65-69 years and remained elevated for a period of six years. Mortality for females aged 65-69 years was 27% higher in the first year (HR 1.27, [1.07 to 1.52]), normalizing thereafter.<h4>Conclusion</h4>Bereavement affects older people differently with younger males being most frail with limited recovery potential.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282892&type=printable |
| spellingShingle | Alexandros Katsiferis Samir Bhatt Laust Hvas Mortensen Swapnil Mishra Rudi G J Westendorp Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study. PLoS ONE |
| title | Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study. |
| title_full | Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study. |
| title_fullStr | Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study. |
| title_full_unstemmed | Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study. |
| title_short | Sex differences in health care expenditures and mortality after spousal bereavement: A register-based Danish cohort study. |
| title_sort | sex differences in health care expenditures and mortality after spousal bereavement a register based danish cohort study |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0282892&type=printable |
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