Work

Kinlessness at Death: Examining End-of-Life Outcomes With Danish Registry Data

Year: 2020

Type: article

Abstract: Demographic changes that lead to “kinlessness” such as low fertility and low marriage rates are not a recent phenomenon for the countries of Northern Europe, such as Denmark. Characterized by small family sizes, high individualism, and a highly formalized healthcare system that is less dependent on family caregivers, Denmark presents a useful case study for the analysis of end-of-life outcomes among the “kinless.” We analyze the population of decedents aged 50 and older (N=175,755) using Danish civil registry data. Approximately 15% of those who died in Denmark had no living partner and no living child. Danish decedents’ family structures are associated with multiple end-of-life outcomes, including number of hospitalizations, ICU visits, and use of specific medical treatments—but not always in the direction hypothesized. Denmark’s highly formalized and individualized healthcare system may offer insight regarding healthcare reform in countries that have yet to complete the second demographic transition.

Source: Innovation in Aging

DOI: 10.1093/geroni/igaa057.2036

Authors: Christine Mair, Katherine Ornstein, Melissa Aldridge, Lau Thygesen

Institutions: University of Maryland, Baltimore County, Icahn School of Medicine at Mount Sinai, University of Southern Denmark

Language: English

Topic: Palliative Care and End-of-Life Issues

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities

Open Access status: gold

Estimated APC paid: $3,977