Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study
Summary: Background: Cardiovascular disease (CVD) is the leading cause of death (COD) in China. Understanding the characteristics of place of death (POD) among CVD deaths would be of great importance to evaluate the healthcare service utilization at the end stage of life. Limited studies have repor...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | The Lancet Regional Health. Western Pacific |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666606522000037 |
| _version_ | 1828748297035055104 |
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| author | Wei Wang Yunning Liu Pengpeng Ye Jiangmei Liu Peng Yin Jinlei Qi Jinling You Lin Lin Feixue Wang Lijun Wang Yong Huo Maigeng Zhou |
| author_facet | Wei Wang Yunning Liu Pengpeng Ye Jiangmei Liu Peng Yin Jinlei Qi Jinling You Lin Lin Feixue Wang Lijun Wang Yong Huo Maigeng Zhou |
| author_sort | Wei Wang |
| collection | DOAJ |
| description | Summary: Background: Cardiovascular disease (CVD) is the leading cause of death (COD) in China. Understanding the characteristics of place of death (POD) among CVD deaths would be of great importance to evaluate the healthcare service utilization at the end stage of life. Limited studies have reported the POD distribution among CVD deaths, and little was known about the associated factors of hospital CVD deaths. Methods: By using data from National Mortality Surveillance System (NMSS) in China, this study presented the characteristics of POD distribution during 2008 and 2020. Afterwards, multilevel logistic regression was used to explore associated factors of hospital CVD deaths and quantify the magnitude to which the spatial variations of hospital CVD deaths could be explained by those associated factors. Findings: During 2008-2020, there was 7101871 CVD deaths collected by NMSS in China, with 77·13% home deaths and 18·49% hospital deaths. Shanghai (59·40%) had the highest percentage of hospital CVD deaths. Age, sex, ethnicity, marital status, education, occupation, underlying COD were significant influential factors of hospital CVD deaths. Spatial variations were shown at provincial level, with 33·88% of them being explained by factors at individual level. Interpretation: Home was the leading POD among CVD deaths in China, those CVD decedents characterized as the female, the youngest, Han population, the married, the retiree, lived in urban areas, with higher socioeconomic status and died of chronic CVDs had a higher probability of hospital deaths. Providing accessible and available healthcare services were priorities to improve quality of end-of-life care, significant variations among provinces and sub-population also reminded us of the requirements for equal healthcare resources allocation and multiple options for minorities of POD preference at the end stage of life. Funding: National Key Research & Development Program of China (grant number 2018YFC1315301) |
| first_indexed | 2024-04-14T04:59:10Z |
| format | Article |
| id | doaj.art-c0d5cebec50148d985fd71912d707e95 |
| institution | Directory Open Access Journal |
| issn | 2666-6065 |
| language | English |
| last_indexed | 2024-04-14T04:59:10Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Western Pacific |
| spelling | doaj.art-c0d5cebec50148d985fd71912d707e952022-12-22T02:11:02ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652022-04-0121100383Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based studyWei Wang0Yunning Liu1Pengpeng Ye2Jiangmei Liu3Peng Yin4Jinlei Qi5Jinling You6Lin Lin7Feixue Wang8Lijun Wang9Yong Huo10Maigeng Zhou11National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaDepartment of Cardiology, Peking University First Hospital, Beijing, China; Prof. Yong Huo, Department of Cardiology, Peking University First Hospital, No. 8 Xishiku Street, Xicheng District, Beijing, 100034, China, Tel: 010-83575725, Fax: 010-66551211.National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China; Correspondence to Prof. Maigeng Zhou, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, No. 27 Nanwei Road, Xicheng District, Beijing, 100050, China, Tel: 86-10-63041471, Fax: 86-10-63042350.Summary: Background: Cardiovascular disease (CVD) is the leading cause of death (COD) in China. Understanding the characteristics of place of death (POD) among CVD deaths would be of great importance to evaluate the healthcare service utilization at the end stage of life. Limited studies have reported the POD distribution among CVD deaths, and little was known about the associated factors of hospital CVD deaths. Methods: By using data from National Mortality Surveillance System (NMSS) in China, this study presented the characteristics of POD distribution during 2008 and 2020. Afterwards, multilevel logistic regression was used to explore associated factors of hospital CVD deaths and quantify the magnitude to which the spatial variations of hospital CVD deaths could be explained by those associated factors. Findings: During 2008-2020, there was 7101871 CVD deaths collected by NMSS in China, with 77·13% home deaths and 18·49% hospital deaths. Shanghai (59·40%) had the highest percentage of hospital CVD deaths. Age, sex, ethnicity, marital status, education, occupation, underlying COD were significant influential factors of hospital CVD deaths. Spatial variations were shown at provincial level, with 33·88% of them being explained by factors at individual level. Interpretation: Home was the leading POD among CVD deaths in China, those CVD decedents characterized as the female, the youngest, Han population, the married, the retiree, lived in urban areas, with higher socioeconomic status and died of chronic CVDs had a higher probability of hospital deaths. Providing accessible and available healthcare services were priorities to improve quality of end-of-life care, significant variations among provinces and sub-population also reminded us of the requirements for equal healthcare resources allocation and multiple options for minorities of POD preference at the end stage of life. Funding: National Key Research & Development Program of China (grant number 2018YFC1315301)http://www.sciencedirect.com/science/article/pii/S2666606522000037Cardiovascular diseasePlace of deathChinaTrendsSpatial variationsAssociated factors |
| spellingShingle | Wei Wang Yunning Liu Pengpeng Ye Jiangmei Liu Peng Yin Jinlei Qi Jinling You Lin Lin Feixue Wang Lijun Wang Yong Huo Maigeng Zhou Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study The Lancet Regional Health. Western Pacific Cardiovascular disease Place of death China Trends Spatial variations Associated factors |
| title | Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study |
| title_full | Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study |
| title_fullStr | Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study |
| title_full_unstemmed | Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study |
| title_short | Trends and associated factors in place of death among individuals with cardiovascular disease in China, 2008-2020: A population-based study |
| title_sort | trends and associated factors in place of death among individuals with cardiovascular disease in china 2008 2020 a population based study |
| topic | Cardiovascular disease Place of death China Trends Spatial variations Associated factors |
| url | http://www.sciencedirect.com/science/article/pii/S2666606522000037 |
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