ArticleBMC public health2021
Advance directives and end-of-life care preferences among adults in Wuhan, China: a cross-sectional study.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- The general public's perceptions of advance care planning (ACP) in the Asia-Pacific region: a systematic review.BMC palliative care · 2026Pooled it
- Family perspectives on and experiences with advance care planning in nursing homes: A thematic synthesis.Journal of advanced nursing · 2025Pooled it
- Factors influencing palliative care decision-making participation among elderly patients in the terminal stage: a cross-sectional study.BMC palliative care · 2026Article
- "It sounds unfamiliar, yet appealing": a qualitative study on perceptions of a good death and hospice care needs among older adults in remote rural China.BMC palliative care · 2026Article
- Article
- Predicting 6-month decisional regret among family surrogate decision-makers of ICU patients: development and internal validation of prediction models.Frontiers in public health · 2026Observational
- Perspectives on advanced care planning of adolescent and young adult cancer patients, families, and healthcare providers: A qualitative study based on the health belief model.Asia-Pacific journal of oncology nursing · 2025Article
- How does the general public perceive hospice and palliative care? -an empirical study from China.BMC palliative care · 2025Article
- Application of the end-of-life demands card game and mindfulness-based cancer recovery program for reducing negative emotion in patients with advanced lung cancer: a randomized controlled trial.Frontiers in psychology · 2025Article
- Community health workers' knowledge and attitudes toward advance directives in China: a cross-sectional study.Frontiers in public health · 2025Article
- Perspectives of healthcare providers on withdrawal of life-sustaining treatment and advanced directives for unresponsive wakefulness syndrome in China.Frontiers in neurology · 2024Article
- Associations of health literacy, personality traits, and pro-individualism with the willingness to complete advance directives in Taiwan.BMC palliative care · 2023Article
- Perspective on advanced directives among older adults in Shanghai: A qualitative study.International journal of nursing sciences · 2023Article
- Perceived Facilitators and Barriers in Implementing Hospice Care: A Qualitative Study Among Health Care Providers in Binzhou, China.Global qualitative nursing researchArticle
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about advance directives (ADs) and end-of-life (EOL) care preferences among the general population in Mainland China. This study aimed to describe knowledge and attitudes of ADs and EOL care preferences, and to explore factors related to preferences for ADs among Chinese adults.
methodsThe sample included 1114 adult participants in Wuhan, Mainland China. A brief message including the link to the online survey was sent to local residents who were registered at household registration management centers in Wuhan. The questionnaire included information regarding demographics, self-rated health, views on ADs and EOL care. Bivariate analyses and binary forward logistic regression were conducted to examine factors related to ADs preferences of Chinese adults.
resultsThe average age of the sample was 48.0 years and more than half of the sample was female. 81.8% had never heard of ADs, but 86.6% indicated that they might create one after learning what ADs were. 58% would choose hospice care if they were terminally ill whereas 48.7% of the participants wanted to die at home. 92.3% would want to know their diagnosis and prognosis if ill; however, if their family members were diagnosed with an incurable disease, 50.5% would not tell their ill family member the actual diagnosis and prognosis. Those who had heard of ADs (OR = 1.567, p < 0.001), earned an associate's degree (OR = 2.448, p < 0.001) or a bachelor's degree or higher (OR = 2.382, p < 0.001), and self-rated their health as very poor/poor (OR = 1.002, p = 0.001) were more likely to be willing to make an AD than their counterparts. However, those who were single (OR = 0.149, p < 0.001) or widowed /divorced/separated (OR = 0.405, p = 0.001) were less likely to be willing to make an AD than the married ones.
conclusionsChinese adults showed positive attitudes towards ADs. There is an urgent need to promote more educational initiatives and raise awareness on the importance of ADs. It is important to develop more policies and legislation about ADs to improve the quality of EOL care in Mainland China.
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