Disparities in the recording of Parkinson's disease on death certificates
Identifieur interne : 003953 ( Main/Curation ); précédent : 003952; suivant : 003954Disparities in the recording of Parkinson's disease on death certificates
Auteurs : Joyce C. Pressley [États-Unis] ; Ming-Xin Tang [États-Unis] ; Karen Marder [États-Unis] ; Lucien J. Cote [États-Unis] ; Richard Mayeux [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-03.
Descripteurs français
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Death Certificates, Demography, Documentation (methods), Ethnic Groups (statistics & numerical data), Female, Humans, Male, Medical Records, Middle Aged, Parkinson Disease (epidemiology), Parkinson Disease (mortality), Parkinson's disease, Population Surveillance (methods), United States (epidemiology), death certificates, epidemiologic methods, parkinsonism.
- MESH :
- geographic , epidemiology : United States.
- epidemiology : Parkinson Disease.
- methods : Documentation, Population Surveillance.
- mortality : Parkinson Disease.
- statistics & numerical data : Ethnic Groups.
- Aged, Aged, 80 and over, Death Certificates, Demography, Female, Humans, Male, Medical Records, Middle Aged.
Abstract
Although little is known regarding potential socioeconomic or racial bias in the recording of Parkinson's disease (PD) on death certificates, studies of incidence, prevalence, and the etiology of PD frequently rely on this type of data. A national population‐based survey was linked to death certificate data to investigate the concordance of PD reported on death certificates for persons reporting PD during life. Logistic regression was used to identify independent factors associated with differential reporting of PD at death. Among decedents with PD reported during life, 54.8% had PD recorded on the death certificate. Nearly 70% of persons in higher income categories had PD recorded at death compared to 35.4% for those earning $10,000 or less. Age and gender adjusted odds of having PD recorded at death was 2.3 (1.1–3.9), for those with an annual income of $35,000 or more. Income differences remain significant in multivariable models after controlling for age, gender, race, census region, family size, rural residence, and number of chronic medical conditions. In conclusion, this study found socioeconomic bias in the reporting of PD at death. This bias is large enough to confound death certificate–based investigations of incidence, prevalence, and risk factors that differ across socioeconomic strata. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20339
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<front><div type="abstract" xml:lang="en">Although little is known regarding potential socioeconomic or racial bias in the recording of Parkinson's disease (PD) on death certificates, studies of incidence, prevalence, and the etiology of PD frequently rely on this type of data. A national population‐based survey was linked to death certificate data to investigate the concordance of PD reported on death certificates for persons reporting PD during life. Logistic regression was used to identify independent factors associated with differential reporting of PD at death. Among decedents with PD reported during life, 54.8% had PD recorded on the death certificate. Nearly 70% of persons in higher income categories had PD recorded at death compared to 35.4% for those earning $10,000 or less. Age and gender adjusted odds of having PD recorded at death was 2.3 (1.1–3.9), for those with an annual income of $35,000 or more. Income differences remain significant in multivariable models after controlling for age, gender, race, census region, family size, rural residence, and number of chronic medical conditions. In conclusion, this study found socioeconomic bias in the reporting of PD at death. This bias is large enough to confound death certificate–based investigations of incidence, prevalence, and risk factors that differ across socioeconomic strata. © 2004 Movement Disorder Society</div>
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