Gender differences in time to first hospital admission at age 60 in Denmark, 1995–2014

Höhn, A., Oksuzyan, A., Lindahl-Jacobsen, R., Christensen, K. and Seaman, R. (2021) Gender differences in time to first hospital admission at age 60 in Denmark, 1995–2014. European Journal of Ageing, (doi: 10.1007/s10433-021-00614-w) (Early Online Publication)

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Abstract

Women have consistently lower mortality rates than men at all ages and with respect to most causes. However, gender differences regarding hospital admission rates are more mixed, varying across ages and causes. A number of intuitive metrics have previously been used to explore changes in hospital admissions over time, but have not explicitly quantified the gender gap or estimated the cumulative contribution from cause-specific admission rates. Using register data for the total Danish population between 1995 and 2014, we estimated the time to first hospital admission for Danish men and women aged 60. This is an intuitive population-level metric with the same interpretive and mathematical properties as period life expectancy. Using a decomposition approach, we were able to quantify the cumulative contributions from eight causes of hospital admission to the gender gap in time to first hospital admission. Between 1995 and 2014, time to first admission increased for both, men (7.6 to 9.4 years) and women (8.3 to 10.3 years). However, the magnitude of gender differences in time to first admission remained relatively stable within this time period (0.7 years in 1995, 0.9 years in 2014). After age 60, Danish men had consistently higher rates of admission for cardiovascular conditions and neoplasms, but lower rates of admission for injuries, musculoskeletal disorders, and sex-specific causes. Although admission rates for both genders have generally declined over the last decades, the same major causes of admission accounted for the gender gap. Persistent gender differences in causes of admission are, therefore, important to consider when planning the delivery of health care in times of population ageing.

Item Type:Articles
Additional Information:This research was supported by the US National Institute of Health (P01AG031719, R01AG026786, and 2P01AG031719), the VELUX Foundation, the Max Planck Society within the framework of the project “On the edge of societies: New vulnerable populations, emerging challenges for social policies and future demands for social innovation and the experience of the Baltic Sea States (2016-2021)”, and the European Research Council (Grant Number 716323).
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:Seaman, Dr Rosie
Authors: Höhn, A., Oksuzyan, A., Lindahl-Jacobsen, R., Christensen, K., and Seaman, R.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:European Journal of Ageing
Publisher:Springer
ISSN:1613-9372
ISSN (Online):1613-9380
Published Online:27 March 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in European Journal of Ageing 2021
Publisher Policy:Reproduced under a Creative Commons License

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