{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:19:50Z","timestamp":1787008790623,"version":"build-2736575974"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2019,1,2]],"date-time":"2019-01-02T00:00:00Z","timestamp":1546387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although studies suggest that most people prefer to die at home, not enough is known about place of death patterns by cause of death considering sociodemographic factors. The objective of this study was to determine the place of death in the population and to analyze the sociodemographic variables and causes of death associated with home as the place of death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional population-based study. All death certificate data on the residents in Spain aged 15 or over who died in Spain between 2012 and 2015 were included. We employed multinomial logistic regression to explore the relation between place of death, sociodemographic variables and cause of death classified according to the International Classification of Diseases, 10th revision, and to conditions needing palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over half of all deaths occurred in hospital (57.4%), representing double the frequency of deaths that occurred at home. All the sociodemographic variables (sex, educational level, urbanization level, marital status, age and country of birth) were associated with place of death, although age presented the strongest association. Cause of death was the main predictor with heart disease, neurodegenerative disease, Alzheimer\u2019s disease, dementia and senility accounting for the highest percentages of home deaths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most people die in hospital. Cause of death presented a stronger association with place of death than sociodemographic variables; of these latter, age, urbanization level and marital status were the main predictors. These results will prove useful in planning end-of-life care that is more closely tailored to people\u2019s circumstances and needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurpub\/cky267","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T07:13:49Z","timestamp":1543821229000},"page":"608-615","source":"Crossref","is-referenced-by-count":31,"title":["Place of death and associated factors: a population-based study using death certificate data"],"prefix":"10.1093","volume":"29","author":[{"given":"Mar\u00eda Jos\u00e9","family":"Caba\u00f1ero-Mart\u00ednez","sequence":"first","affiliation":[{"name":"Departamento de Enfermer\u00eda, Universidad de Alicante, Alicante, Espa\u00f1a"},{"name":"Instituto de Investigaci\u00f3n Sanitaria y Biom\u00e9dica de Alicante (ISABIAL-Fundaci\u00f3n FISABIO), Alicante, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6583-379X","authenticated-orcid":false,"given":"Andreu","family":"Nolasco","sequence":"additional","affiliation":[{"name":"Unidad Mixta de Investigaci\u00f3n para el An\u00e1lisis de las Desigualdades en Salud y la Mortalidad FISABIO-UA, Departamento de Enfermer\u00eda Comunitaria, Medicina Preventiva y Salud P\u00fablica, e Historia de la Ciencia, Universidad de Alicante, Alicante, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inmaculada","family":"Melchor","sequence":"additional","affiliation":[{"name":"Registro de Mortalidad de la Comunitat Valenciana, Servicio de Estudios Epidemiol\u00f3gicos y Estad\u00edsticas Sanitarias, Direcci\u00f3n General de Salud P\u00fablica, Conselleria de Sanitat Universal i Salut P\u00fablica, Generalitat Valenciana, Valenciana, Espa\u00f1a"},{"name":"Unidad Mixta de Investigaci\u00f3n Para el An\u00e1lisis de las Desigualdades en Salud y la Mortalidad FISABIO-UA, Departamento de Enfermer\u00eda Comunitaria, Medicina Preventiva y Salud P\u00fablica, e Historia de la Ciencia, Universidad de Alicante, Alicante, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Fern\u00e1ndez-Alc\u00e1ntara","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Mente, Cerebro y Comportamiento (CIMCYC-UGR), Universidad de Granada, Granada, Espa\u00f1a"},{"name":"Departamento de Psicolog\u00eda de la Salud, Universidad de Alicante (UA), Alicante, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Cabrero-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda, Universidad de Alicante, Alicante, Espa\u00f1a"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,1,2]]},"reference":[{"key":"2019072614001622900_cky267-B1","doi-asserted-by":"crossref","first-page":"e93762","DOI":"10.1371\/journal.pone.0093762","article-title":"Actual and preferred place of death of home-dwelling patients in four European countries: making sense of quality indicators","volume":"9","author":"De Roo","year":"2014","journal-title":"PLoS One"},{"key":"2019072614001622900_cky267-B2","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1136\/bmj.38740.614954.55","article-title":"Factors influencing death at home in terminally ill patients with cancer: systematic review","volume":"332","author":"Gomes","year":"2006","journal-title":"BMJ"},{"key":"2019072614001622900_cky267-B3","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.1093\/annonc\/mdr602","article-title":"Preferences for place of death if faced with advanced cancer: a population survey in England, Flanders, Germany, Italy, the Netherlands, Portugal and Spain","volume":"23","author":"Gomes","year":"2012","journal-title":"Ann Oncol"},{"key":"2019072614001622900_cky267-B4","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1472-684X-12-7","article-title":"Heterogeneity and changes in preferences for dying at home: a systematic review","volume":"12","author":"Gomes","year":"2013","journal-title":"BMC Palliat Care"},{"key":"2019072614001622900_cky267-B5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s12916-015-0466-5","article-title":"Is dying in hospital better than home in incurable cancer and what factors influence this? 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Place of death in the Czech Republic and Slovakia: a population based comparative study using death certificates data","volume":"13","author":"Loucka","year":"2014","journal-title":"BMC Palliat Care"},{"key":"2019072614001622900_cky267-B12","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1177\/0269216315627122","article-title":"Predictors of place of death in South West Scotland 2000\u20132010: retrospective cohort study","volume":"30","author":"Black","year":"2016","journal-title":"Palliat Med"},{"key":"2019072614001622900_cky267-B13","doi-asserted-by":"crossref","first-page":"fdv167","DOI":"10.1093\/pubmed\/fdv167","article-title":"Do social factors affect the place of death? 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