Place of death among individuals with chronic respiratory diseases in China: Trends and associated factors between 2014 and 2020

Frontiers in Public Health

Public Health

Yanming Li¹  Xunliang Tong¹  Peng Yin²  Maigeng Zhou²  Wei Wang²  Xinyue Zhang³  Enying Gong⁴ 

[1] Department of Pulmonary and Critical Care Medicine, National Center of Gerontology, Beijing Hospital, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China;National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China;Peking Union Medical College Graduate School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China;School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China;

关键词: asthma;    chronic obstructive pulmonary disease (COPD);    epidemiology;    place of death;    trends and associated factors;   

DOI  :  10.3389/fpubh.2023.1043534

 received in 2022-09-13, accepted in 2023-01-16,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundChronic respiratory disease (CRD) is a common cause of mortality in China, but little is known about the place of death (POD) among individuals with CRD.MethodsInformation about CRD-caused deaths was obtained from the National Mortality Surveillance System (NMSS) in China, covering 605 surveillance points in 31 provinces, autonomous regions, and municipalities. Both individual- and provincial-level characteristics were measured. Multilevel logistic regression models were built to evaluate correlates of hospital CRD deaths.ResultsFrom 2014 to 2020, a total of 1,109,895 individuals who died of CRD were collected by the NMSS in China, among which home was the most common POD (82.84%), followed by medical and healthcare institutions (14.94%), nursing homes (0.72%), the way to hospitals (0.90%), and unknown places (0.59%). Being male, unmarried, having a higher level of educational attainment, and being retired personnel were associated with increased odds of hospital death. Distribution of POD differed across the provinces and municipalities with different development levels, also presenting differences between urban and rural. Demographics and individual socioeconomic status (SES) explained a proportion of 23.94% of spatial variations at the provincial level. Home deaths are the most common POD (>80%) among patients with COPD and asthma, which are the two major contributors to CRD deaths.ConclusionHome was the leading POD among patients with CRD in China in the study period; therefore, more attention should be emphasized to the allocation of health resources and end-of-life care in the home setting to meet the increasing needs among people with CRD.

【 授权许可】

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Copyright © 2023 Tong, Wang, Zhang, Yin, Gong, Li and Zhou.