Epidemiological characteristics of centenarian deaths in China during 2013-2020: A trend and subnational analysis

Fan Mao; Weiwei Zhang; Peng Yin; Lijun Wang; Jinling You; Jiangmei Liu; Yunning Liu; Maigeng Zhou

doi:10.1097/CM9.0000000000002823

Epidemiological characteristics of centenarian deaths in China during 2013-2020: A trend and subnational analysis

Chin Med J (Engl). 2023 Sep 15. doi: 10.1097/CM9.0000000000002823. Online ahead of print.

Authors

Fan Mao¹, Weiwei Zhang, Peng Yin, Lijun Wang, Jinling You, Jiangmei Liu, Yunning Liu, Maigeng Zhou

Affiliation

¹ National Center for Chronic and Non-Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

PMID: 37718285
DOI: 10.1097/CM9.0000000000002823

Abstract

Background: Studies that comprehensively address the characteristics of centenarian deaths are rare. The present study aimed to examine the characteristics of centenarian deaths in China and their changing trends.

Methods: Data on centenarian deaths between 2013 and 2020 were obtained from the national mortality surveillance system of China, including date, place of death (PoD), and underlying cause of death (CoD). Descriptive analyses were performed to understand the epidemiological characteristics, and a joinpoint regression model was adopted to examine the changing trends in the proportions of different PoDs, CoDs, and centenarian deaths accounting for all deaths and deaths among people aged 65 years and older.

Results: There were 46,938 registered centenarian deaths between 2013 and 2020 that included 34,311 females (73.10%) and 12,627 males (26.90%). January (12.05%), February (9.99%), and December (9.74%) were the top three months with the highest number of deaths. The proportions of deaths that occurred in homes, hospitals, and nursing homes were 81.71%, 13.63%, and 2.68%, respectively. The proportion of deaths in nursing homes increased by 9.60% (95% confidence intervals [CIs], 6.4-12.9%) from 2014 to 2020. Heart disease (35.72%) was the leading cause of death, followed by respiratory diseases (17.63%), cerebrovascular disease (15.60%), and old age (11.22%). The proportion of respiratory diseases decreased by 4.8% (95% CI, -8.8 to -0.7%), and the proportion of deaths from old age decreased by 2.3% (95% CI, -4.4 to -0.1%) per year. Shanghai had the highest proportions of deaths in hospitals (39.38%) and nursing homes (14.68%). Sichuan had the highest proportion of deaths attributed to respiratory diseases (32.30%), while Jiangsu (26.58%) and Zhejiang (23.61%) had the highest proportions of deaths from old age.

Conclusions: Unlike other countries, centenarian deaths in China are characterized by a higher proportion of home and heart disease deaths, and this death pattern differs across provinces.