Social determinants of where people die: A study of moderators and mediators using linked UK Census and mortality data.

ABSTRACT:

Background

Where people die depends on many factors and is important to the quality of end-of-life care. Many people prefer to avoid end-of-life hospital admissions and yet hospital remains the most common place of death across high-income countries and is more likely for people who live in more deprived areas. This study examines moderators and mediators of socioeconomic inequality in place of death.

Methods

We used census data linked to mortality data for people who died in England and Wales between 2011 and 2017 to investigate the association between area-based income deprivation and death in hospital versus home, hospice, and care home. We tested moderators including age, sex, ethnicity, underlying cause of death and region, and mediating pathways through housing depriva

SUBMITTER: Davies JM 

PROVIDER: S-EPMC12005918 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature