Full
Outline
To understand the distribution characteristics of cardiovascular disease (CVD) deaths among permanent residents in Hainan Province from 2018 to 2024, and to explore the relationship between socio-demographic characteristics, disease-related factors, regional factors, etc. and the place of death of CVD patients.
Using Hainan Province's cause-of-death data from the National Mortality Surveillance System, we described the distribution of CVD death places, and used univariate and multivariable logistic regression models to analyze the influencing factors of CVD deaths at home.
From 2018 to 2024, a total of 136 378 CVD deaths were collected, with 86.73% occurring at home and 9.38% occurring in medical and healthcare institutions. After adjusting for other factors, the analysis revealed that females (OR=1.07, 95% CI: 1.03-1.11) were more likely to die at home than males; the likelihood of dying at home grew gradually with age; compared to the Han ethnicity, the Li ethnicity (OR=1.64, 95% CI: 1.53-1.76) was more likely to die at home; compared to married individuals, widowed individuals (OR=1.46, 95% CI: 1.38-1.54) were more likely to die at home than unmarried (OR=0.49, 95% CI: 0.45-0.53) and divorced individuals (OR=0.51, 95% CI: 0.44-0.59); the higher the educational level, the lower the likelihood of dying at home; compared to workers, farmers (OR=2.79, 95% CI: 2.56-3.04) were more likely to die at home than individuals in other occupations; compared to rheumatic heart disease, hypertension and its complications (OR=1.29, 95% CI: 1.10-1.51) were more likely to die at home than other CVD subtypes; compared to the Eastern region, the Central region (OR=0.66, 95% CI: 0.63-0.70) and the Western region (OR=0.85, 95% CI: 0.82-0.89) were less likely to die at home.
The place of death for CVD among permanent residents in Hainan Province is mainly at home, and patients who are female, elderly, Li ethnicity, widowed, with low educational level, farmers, hypertension and its complications, and patients in the eastern region are more likely to die at home. Therefore, the specific conditions of CVD patients with different characteristics should be considered comprehensively to optimize the allocation of healthcare resources and improve clinical intervention and treatment capacity; meanwhile, a care model combining clinical care and community/home should be established to improve the quality of end-of-life care.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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