Socioeconomic and Lifestyle Factors Related to Cost and Frequency of Hospitalization in European Older Adults
Abstract
:1. Introduction
2. Material and Methodology
2.1. Dependent Variables
2.2. Independent Variables
2.3. Statistics
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Times Hospitalized | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2011 | 2013 | Δ(2011–2013) | |||||||||||
Country | n | % | Age Mean (SD) | Female % | Zero Times % | Mean (SD) | Mean Censured (SD) n = 5630 | Zero Times % | Mean (SD) | Mean Censured (SD) n = 6220 | Zero Times % | Mean (SD) | Mean Censured (SD) n = 10,097 |
Austria | 3992 | 10.40 | 65.73 (9.638) | 57.29 | 78.35 | 0.336 (0.854) | 1.551 (1.220) | 76.88 | 0.389 (0.962) | 1.683 (1.350) | −1.47 | 0.055 (1.161) | 0.151 (1.917) |
Germany | 1094 | 2.85 | 67.34 (8.233) | 52.83 | 80.22 | 0.348 (0.983) | 1.759 (1.551) | 78.59 | 0.335 (0.851) | 1.564 (1.211) | −1.63 | −0.012 (1.264) | −0.034 (2.15) |
Sweden | 1488 | 3.88 | 69.44 (8.497) | 54.64 | 86.05 | 0.205 (0.704) | 1.469 (1.306) | 84.73 | 0.247 (0.762) | 1.621 (1.258) | −1.32 | 0.040 (0.938) | 0.157 (1.847) |
Netherlands | 2233 | 5.82 | 65.81 (9.224) | 56.29 | 88.95 | 0.169 (0.682) | 1.533 (1.459) | 87.98 | 0.193 (0.706) | 1.608 (1.368) | −0.98 | 0.024 (0.897) | 0.117 (1.985) |
Spain | 2959 | 7.71 | 67.87 (10.526) | 55.53 | 88.89 | 0.204 (0.822) | 1.838 (1.758) | 85.76 | 0.232 (0.755) | 1.631 (1.313) | −3.13 | 0.029 (1.007) | 0.133 (2.162) |
Italy | 2578 | 6.72 | 66.77 (9.043) | 55.16 | 87.37 | 0.182 (0.576) | 1.440 (0.903) | 88.83 | 0.198 (0.773) | 1.770 (1.605) | 1.46 | 0.016 (0.884) | 0.074 (1.931) |
France | 3912 | 10.19 | 66.01 (10.367) | 57.00 | 85.12 | 0.281 (0.978) | 1.888 (1.843) | 84.19 | 0.324 (1.124) | 2.047 (2.115) | −0.92 | 0.045 (1.384) | 0.169 (2.686) |
Denmark | 1922 | 5.01 | 64.55 (10.042) | 53.80 | 88.78 | 0.180 (0.657) | 1.605 (1.252) | 86.81 | 0.213 (0.765) | 1.617 (1.474) | −1.97 | 0.033 (0.886) | 0.156 (1.911) |
Switzerland | 2890 | 7.53 | 65.14 (9.694) | 54.53 | 86.95 | 0.236 (0.893) | 1.806 (1.809) | 85.68 | 0.255 (0.910) | 1.785 (1.749) | −1.26 | 0.019 (1.193) | 0.081 (2.431) |
Belgium | 3900 | 10.16 | 65.33 (10.263) | 55.67 | 83.92 | 0.238 (0.722) | 1.482 (1.184) | 82.87 | 0.271 (0.795) | 1.580 (1.276) | −1.05 | 0.031 (0.974) | 0.112 (1.846) |
Czech Republic | 4005 | 10.44 | 65.6 (8.833) | 59.05 | 82.79 | 0.304 (0.973) | 1.769 (1.706) | 81.24 | 0.360 (1.110) | 1.919 (1.891) | −1.54 | 0.055 (1.384) | 0.18 (2.502) |
Slovenia | 1942 | 5.06 | 65.82 (9.928) | 57.05 | 87.60 | 0.340 (1.396) | 2.746 (3.023) | 85.14 | 0.248 (0.846) | 1.670 (1.566) | −2.46 | −0.093 (1.599) | −0.388 (3.259) |
Estonia | 5461 | 14.23 | 66.33 (9.657) | 60.76 | 86.67 | 0.202 (0.635) | 1.515 (1.018) | 83.79 | 0.272 (0.867) | 1.680 (1.508) | −2.87 | 0.070 (0.981) | 0.276 (1.930) |
Total | 38,376 | 66.12 (9.726) | 56.81 | 85.28 | 0.248 (0.845) | 1.684 (1.559) | 83.74 | 0.281 (0.901) | 1.730 (1.578) | −1.54 | 0.033 (1.141) | 0.126 (2.216) |
Model 1 | Model 2 | Model 3 | Model 4 | |
---|---|---|---|---|
(Intercept) | 0.108 (0.078; 0.148) *** | 0.287 (0.209; 0.393) *** | 0.137 (0.1; 0.188) *** | 0.313 (0.223; 0.440) *** |
Female | 0.816 (0.772; 0.863) *** | 0.808 (0.766; 0.852) *** | 0.853 (0.809; 0.9) *** | 0.813 (0.770; 0.859) *** |
Age (ref. 50–60 y) | ||||
60–70 y | 0.963 (0.898; 1.033) | 0.996 (0.932; 1.065) | 1.033 (0.966; 1.105) | 0.945 (0.881; 1.014) |
70–80 y | 1.075 (0.994; 1.162) | 1.204 (1.12; 1.295) *** | 1.363 (1.269; 1.465) *** | 1.037 (0.959; 1.121) |
80 year and more | 1.091 (0.985; 1.208) | 1.3 (1.187; 1.423) *** | 1.777 (1.627; 1.942) *** | 1.039 (0.938; 1.150) |
Marital status (ref. other situations) | ||||
Married | 1.132 (1.068; 1.199) *** | 1.082 (1.024; 1.144) ** | 1.103 (1.044; 1.166) ** | 1.064 (1.004; 1.127) * |
Comorbidity (ref. no comorbidity) | ||||
Medium | 1.949 (1.829; 2.075) *** | 1.981 (1.865; 2.105) *** | 2.069 (1.948; 2.198) *** | 1.942 (1.824; 2.069) *** |
High | 3.659 (3.370; 3.972) *** | 3.732 (3.453; 4.034) *** | 4.301 (3.98; 4.647) *** | 3.598 (3.314; 3.906) *** |
BMI | 1.005 (0.999; 1.01) | 0.999 (0.994; 1.004) | 1.005 (1; 1.011) * | 1.004 (0.999; 1.010) |
Muscle strength (ref. 1st tertile) | ||||
Second tertile | 0.772 (0.725; 0.822) *** | 0.730 (0.685; 0.778) *** | ||
Third tertile | 0.672 (0.624; 0.722) *** | 0.613 (0.570; 0.660) *** | ||
Vigorous physical activities (ref. Never) | ||||
Once a week or less | 0.752 (0.684; 0.826) *** | 0.685 (0.626; 0.750) *** | 0.722 (0.657; 0.794) *** | |
More than ones a week | 0.703 (0.662; 0.745) *** | 0.627 (0.592; 0.664) *** | 0.675 (0.636; 0.716) *** | |
Moderate physical activities (ref. Never) | ||||
Once a week or less | 0.733 (0.649; 0.828) *** | 0.667 (0.596; 0.745) *** | 0.709 (0.628; 0.801) *** | |
More than ones a week | 0.643 (0.593; 0.697) *** | 0.578 (0.538; 0.621) *** | 0.624 (0.576; 0.676) *** | |
Log income | 1.045 (1.024; 1.065) *** | 0.994 (0.973; 1.015) | 0.977 (0.957; 0.997) * | 0.995 (0.973; 1.018) |
No smoking | 1.035 (0.964; 1.110) | 1.078 (1.008; 1.154) * | 1.018 (0.951; 1.089) | 1.062 (0.990; 1.139) |
No drinking | 0.962 (0.896; 1.033) | 0.944 (0.881; 1.011) | 0.906 (0.846; 0.972) ** | 0.938 (0.873; 1.007) |
Dairy products (ref. <1 times week) | ||||
1–2 times a week | 0.985 (0.860; 1.128) | 0.965 (0.849; 1.096) | 0.945 (0.832; 1.074) | 0.973 (0.850; 1.113) |
3–6 times week/every day | 0.974 (0.878; 1.079) | 0.950 (0.861; 1.048) | 0.913 (0.827; 1.007) | 0.961 (0.866; 1.065) |
Legumes, beans or eggs (ref. <1 times week) | ||||
1–2 times a week | 0.919 (0.863; 0.978) ** | 0.952 (0.897; 1.011) | 0.935 (0.881; 0.993) * | 0.968 (0.909; 1.031) |
3–6 times week/every day | 0.918 (0.864; 0.975) ** | 0.978 (0.922; 1.038) | 0.956 (0.900; 1.014) | 0.995 (0.935; 1.06) |
Fruits or vegetables (ref. <1 times week) | ||||
1–2 times a week | 1.076 (0.889; 1.303) | 1.057 (0.883; 1.266) | 1.023 (0.855; 1.225) | 1.072 (0.886; 1.296) |
3–6 times week/every day | 0.998 (0.855; 1.164) | 1.064 (0.920; 1.232) | 0.980 (0.847; 1.134) | 1.043 (0.894; 1.217) |
Meat, fish or poultry (ref. <1 times week) | ||||
1–2 times a week | 1.029 (0.911; 1.163) | 1.057 (0.943; 1.185) | 1.057 (0.943; 1.185) | 1.060 (0.938; 1.198) |
3–6 times week/every day | 0.912 (0.819; 1.015) | 0.972 (0.878; 1.075) | 0.959 (0.867; 1.062) | 0.990 (0.889; 1.103) |
Country (ref. Austria) | ||||
Germany | 0.851 (0.732; 0.99) * | 0.833 (0.715; 0.969) * | 0.880 (0.754; 1.028) | |
Sweden | 0.566 (0.488; 0.656) *** | 0.545 (0.470; 0.633) *** | 0.589 (0.506; 0.686) *** | |
Netherlands | 0.464 (0.406; 0.531) *** | 0.459 (0.402; 0.525) *** | 0.477 (0.415; 0.548) *** | |
Spain | 0.335 (0.295; 0.381) *** | 0.394 (0.347; 0.447) *** | 0.285 (0.248; 0.327) *** | |
Italy | 0.334 (0.294; 0.379) *** | 0.383 (0.337; 0.435) *** | 0.325 (0.283; 0.372) *** | |
France | 0.540 (0.486; 0.600) *** | 0.597 (0.537; 0.663) *** | 0.517 (0.463; 0.578) *** | |
Denmark | 0.483 (0.421; 0.556) *** | 0.486 (0.423; 0.559) *** | 0.500 (0.433; 0.577) *** | |
Switzerland | 0.599 (0.533; 0.673) *** | 0.603 (0.536; 0.678) *** | 0.601 (0.532; 0.678) *** | |
Belgium | 0.600 (0.541; 0.666) *** | 0.657 (0.592; 0.729) *** | 0.601 (0.539; 0.670) *** | |
Czech Republic | 0.615 (0.554; 0.683) *** | 0.627 (0.565; 0.697) *** | 0.614 (0.549; 0.686) *** | |
Slovenia | 0.474 (0.415; 0.542) *** | 0.474 (0.414; 0.542) *** | 0.468 (0.406; 0.539) *** | |
Estonia | 0.475 (0.429; 0.525) *** | 0.472 (0.427; 0.521) *** | 0.476 (0.428; 0.529) *** |
Reference Country | Germany | Sweden | Netherlands | Spain | Italy | France | Denmark | Switzerland | Belgium | Czech Republic | Slovenia | Estonia |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Austria | 0.88 (0.754; 1.028) | 0.589 (0.506; 0.686) *** | 0.477 (0.415; 0.548) *** | 0.285 (0.248; 0.327) *** | 0.325 (0.283; 0.372) *** | 0.517 (0.463; 0.578) *** | 0.5 (0.433; 0.577) *** | 0.601 (0.532; 0.678) *** | 0.601 (0.539; 0.67) *** | 0.614 (0.549; 0.686) *** | 0.468 (0.406; 0.539) *** | 0.476 (0.428; 0.529) *** |
Germany | 1 | 0.669 (0.554; 0.808) *** | 0.542 (0.453; 0.648) *** | 0.323 (0.27; 0.387) *** | 0.369 (0.308; 0.441) *** | 0.587 (0.5; 0.689) *** | 0.568 (0.473; 0.682) *** | 0.682 (0.576; 0.807) *** | 0.682 (0.582; 0.801) *** | 0.697 (0.593; 0.819) *** | 0.531 (0.442; 0.638) *** | 0.54 (0.462; 0.632) *** |
Sweden | 1 | 0.81 (0.681; 0.963) * | 0.484 (0.406; 0.576) *** | 0.551 (0.462; 0.658) *** | 0.878 (0.753; 1.024) | 0.849 (0.712; 1.014) | 1.02 (0.866; 1.2) | 1.02 (0.875; 1.19) | 1.042 (0.889; 1.221) | 0.794 (0.663; 0.952) * | 0.808 (0.693; 0.942) ** | |
Netherlands | 1 | 0.597 (0.507; 0.703) *** | 0.681 (0.577; 0.802) *** | 1.084 (0.942; 1.248) | 1.049 (0.888; 1.239) | 1.259 (1.084; 1.463) ** | 1.26 (1.095; 1.449) ** | 1.287 (1.113; 1.487) ** | 0.981 (0.828; 1.161) | 0.998 (0.868; 1.147) | ||
Spain | 1 | 1.14 (0.972; 1.336) | 1.816 (1.579; 2.089) *** | 1.756 (1.485; 2.078) *** | 2.109 (1.808; 2.46) *** | 2.11 (1.832; 2.43) *** | 2.155 (1.872; 2.481) *** | 1.642 (1.393; 1.937) *** | 1.671 (1.462; 1.91) *** | |||
Italy | 1 | 1.593 (1.383; 1.836) *** | 1.541 (1.3; 1.826) *** | 1.85 (1.587; 2.156) *** | 1.851 (1.608; 2.131) *** | 1.891 (1.647; 2.17) *** | 1.441 (1.224; 1.696) *** | 1.466 (1.282; 1.676) *** | ||||
France | 1 | 0.967 (0.837; 1.118) | 1.161 (1.024; 1.317) * | 1.162 (1.038; 1.3) ** | 1.187 (1.055; 1.335) ** | 0.904 (0.781; 1.048) | 0.92 (0.823; 1.029) | |||||
Denmark | 1 | 1.201 (1.029; 1.401) * | 1.201 (1.04; 1.387) * | 1.227 (1.057; 1.425) ** | 0.935 (0.786; 1.112) | 0.951 (0.823; 1.099) | ||||||
Switzerland | 1 | 1.001 (0.884; 1.132) | 1.022 (0.895; 1.167) | 0.779 (0.665; 0.912) ** | 0.792 (0.697; 0.901) *** | |||||||
Belgium | 1 | 1.021 (0.91; 1.147) | 0.778 (0.672; 0.901) ** | 0.792 (0.708; 0.886) *** | ||||||||
Czech Republic | 1 | 0.762 (0.66; 0.88) *** | 0.775 (0.698; 0.861) *** | |||||||||
Slovenia | 1 | 1.017 (0.885; 1.169) | ||||||||||
Estonia | 1 |
Model 1 | Model 2 | Model 3 | Model 4 | |
---|---|---|---|---|
(Intercept) | 6772.6 (5283.2; 8262.1) *** | 10,403.2 (8752.0; 12,054.5) *** | 7849.5 (5957.5; 9741.4) *** | 9901.5 (8197.9; 11,605.2) *** |
Female | −197.9 (−447.2; 51.3) | −204.7 (−434.4; 24.9) | −178.4815 (−452.5; 95.5) | −179.9 (−409.4; 49.5) |
Age (ref. 50–60 y) | ||||
60–70 y | −7.5 (−305.3; 290.2) | −79.2 (−353.3; 194.9) | 103.6 (−223.4; 430.8) | −106.8 (−380.4; 166.7) |
70–80 y | 52.7 (−295.9; 401.5) | 279.5 (−36.6; 595.7) | 717.4 (343.9; 1090.8) *** | −29.7 (−354.6; 295.2) |
80 year and more | −312.5 (−816.6; 191.5) | 201.6 (−231.3; 634.7) | 1123.206 (624.1; 1622.2) *** | −250.8 (−729.1; 227.5) |
Marital status (ref. other situations) | ||||
Married | 653.7 (368.3; 939.1) *** | 588.5 (325.8; 851.1) *** | 710.0413 (398.0; 1022.0) *** | 571.6 (305.0; 838.2) *** |
Comorbidity (ref. no comorbidity) | ||||
Medium | 355.8 (82.9; 628.7) * | 432.4 (182.3; 682.4) ** | 741.2 (446.4; 1036.0) *** | 448.4704 (199.7; 697.1) *** |
High | 833.4 (453.1; 1213.7) *** | 879.7 (538.5; 1220.8) *** | 1815.2 (1404.3; 2226.1) *** | 886.4 (535.5405; 1237.4) *** |
Muscle strength (ref. 1st tertile) | ||||
Second tertile | −988.7 (−1317.5; −659.8) *** | −838.0 (−1150.2; −525.8) *** | ||
Third tertile | −1315.8 (−1669.2; −962.4) *** | −1188.7 (−1522.6; −854.9) *** | ||
BMI | −9.3 (−34.3; 15.7) | −19.2 (−41.064; 2.6) | −14.4 (−40.0; 11.2) | −3.6 (−27.1; 19.7) |
Vigorous physical activities (ref. Never) | ||||
Once a week or less | −1244.9 (−1648.4; −841.4) *** | −1222.3 (−1603.0; −841.5) *** | −1042.8 (−1431.5; −654.1) *** | |
More than ones a week | −1104.8 (−1390.5; −819.1) *** | −1369.2 (−1631.1; −1107.3) *** | −1165.3 (−1435.5; −895.1) *** | |
Moderate physical activities (ref. Never) | ||||
Once a week or less | −2288.8 (−3020.5; −1557.1) *** | −2593.3 (−3250.1; −1936.6) *** | −2099.6 (−2811.1; −1388.1) *** | |
More than ones a week | −2505.6 (−3081.2; −1929.9) *** | −2937.186 (−3441.8; −2432.4) *** | −2494.5 (−3049.0; −1940.1) *** | |
Log income | 132.1 (52.8; 211.4) ** | −145.5 (−263.3; −27.7) * | −214.1 (−356.3; −72.0) ** | −108.8 (−227.2; 9.6) |
No smoking | −333.2 (−671.6; 5.2) | −100.4 (−405.8; 205.0) | −363.0 (−734.9; 8.8) | −162.1 (−471.3; 147.0) |
No drinking | −248.6 (−548.4; 51.1) | −48.9 (−333.6; 235.7) | −250.3 (−588.0; 87.3) | −10.4 (−293.7; 272.8) |
Daily products (ref. <1 times week) | ||||
1–2 times a week | 400.2 (−253.0; 1053.6) | 625.0 (20.8; 1229.3) * | 298.8 (−416.8; 1014.6) | 469.9 (−137.1; 1076.9) |
3–6 times week/every day | 176.8 (−300.3; 654.0) | 221.1 (−209.8; 652.2) | 27.5 (−506.6; 561.8) | 216.9 (−226.6; 660.5) |
Legumes, beans or eggs (ref. <1 times week) | ||||
1–2 times a week | 85.1 (−211.1; 381.5) | 144.3 (−131.5; 420.2) | 123.7 (−203.8; 451.3) | 129.7 (−147.8; 407.3) |
3–6 times week/every day | −114.4 (−390.6; 161.7) | 33.5 (−233.3; 300.3) | 32.7 (−284.7; 350.3) | 4.2 (−264.1; 272.6) |
Fruits or vegetables (ref. <1 times week) | ||||
1–2 times a week | 165.9 (−732.5; 1064.4) | 119.5 (−660.9; 900.1) | 138.5 (−779.5; 1056.5) | 109.7 (−695.1; 914.7) |
3–6 times week/every day | 281.0 (−449.2; 1011.3) | 157.2 (−470.1; 784.6) | 172.2 (−563.2; 907.6) | 94.4 (−557.7; 746.6) |
Meat, fish or poultry (ref. <1 times week) | ||||
1–2 times a week | −196.9 (−817.0; 423.1) | −7.4 (−549.4; 534.5) | −188.3 (−865.0; 488.3) | −133.6 (−691.4; 424.0) |
3–6 times week/every day | −442.2 (−987.3; 102.8) | −19.6 (−493.8; 454.5) | −305.4 (−901.8; 290.8) | −79.7 (−568.9; 409.5) |
Country (ref. Austria) | ||||
Germany | −629.4 (−1463.4; 204.6) | −668.2 (−1649.1; 312.6) | −428.6 (−1272.4; 415.2) | |
Sweden | −2505.4 (−3116.2; −1894.6) *** | −2838.9 (−3548.0; −2129.8) *** | −2165.3 (−2796.0; −1534.6) *** | |
Netherlands | −1541.1 (−2205.1; −877.195) *** | −1243.4 (−2073.2; −413.6) ** | −1283.7 (−1965.2; −602.2) *** | |
Spain | −2162.8 (−2818.7; −1506.9) *** | −1504.7 (−2314.5; −694.8) *** | −2301.7 (−2970.6; −1632.8) *** | |
Italy | −1711.0 (−2405.8; −1016.2) *** | −1320.9 (−2147.3; −494.6) ** | −1462.6 (−2195.8; −729.3) *** | |
France | −1908.6 (−2449.9; −1367.3) *** | −1690.4 (−2328.0; −1052.8) *** | −1775.7 (−2328.8; −1222.6) *** | |
Denmark | −2321.9 (−2929.3; −1714.5) *** | −2606.2 (−3300.8; −1911.6) *** | −2132.7 (−2738.1; −1527.3) *** | |
Switzerland | −285.3 (−968.8; 398.0) | −393.5 (−1184.0; 396.9) | −271.9 (−955.0; 411.1) | |
Belgium | −1509.6 (−2065.7; −953.5) *** | −966.0 (−1635.2; −296.8) ** | −1530.54 (−2083.2; −977.8) *** | |
Czech Republic | −2107.3 (−2641.3; −1573.3) *** | −2152.7 (−2782.7; −1522.7) *** | −2051.0 (−2588.8; −1513.2) *** | |
Slovenia | −2074.7 (−2705.0; −1444.4) *** | −2346.0 (−3076.4; −1615.6) *** | −1810.8 (−2466.0; −1155.5) *** | |
Estonia | −2970.5 (−3461.5; −2479.6) *** | −3172.0 (−3751.7; −2592.3) *** | −2789.5 (−3285.8; −2293.3) *** |
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Pardo-Garcia, I.; Amo-Saus, E.; Moya-Martinez, P. Socioeconomic and Lifestyle Factors Related to Cost and Frequency of Hospitalization in European Older Adults. Int. J. Environ. Res. Public Health 2021, 18, 2833. https://doi.org/10.3390/ijerph18062833
Pardo-Garcia I, Amo-Saus E, Moya-Martinez P. Socioeconomic and Lifestyle Factors Related to Cost and Frequency of Hospitalization in European Older Adults. International Journal of Environmental Research and Public Health. 2021; 18(6):2833. https://doi.org/10.3390/ijerph18062833
Chicago/Turabian StylePardo-Garcia, Isabel, Elisa Amo-Saus, and Pablo Moya-Martinez. 2021. "Socioeconomic and Lifestyle Factors Related to Cost and Frequency of Hospitalization in European Older Adults" International Journal of Environmental Research and Public Health 18, no. 6: 2833. https://doi.org/10.3390/ijerph18062833