ArticleBMC palliative care2025
Urban residence, income source, and place of death among Chinese older adults.
Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Observational
- Measurement of the coupling coordination level and influencing factors of community healthcare services and older adults care services in China.BMC geriatrics · 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
- Who cares and who pays? Financial sources and care preferences among older adults in China.Innovation in aging · 2026Article
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Authors and funding
3 authors.
Funding
Abstract
backgroundPlace of death has received extensive interest among scholars, but research focusing on place of death among Chinese older adults is scarce. This study aimed to explore the associations between rural/urban residence, primary income source, and place of death among Chinese older adults.
methodsThe sample consists of 24,794 decedents (female = 60%, died at home = 88%, mean age at death = 95) from the 2002-2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). Chi-squared tests and binary logistic regression models were used to analyze relationships between residential area (urban vs. town or rural), income source (financial support from family vs. personal income), and place of death (home vs. hospitals or other healthcare settings).
resultsDecedents living in cities were 3.5 times more likely to die in hospitals or other healthcare settings than at home, and those who had personal income were 1.5 times more likely to die in healthcare settings than at home. Notably, the interaction between city and personal income were significant (P < 0.001). Older adults who both lived in cities and had personal income had the highest probability (83%) to die in healthcare settings.
conclusionsUrban residence and having personal income were highly associated with dying in hospitals or other healthcare settings. As China urbanizes and expands its pension system, an increasingly higher percentage of deaths may happen in healthcare settings. This study alerts policymakers of the enormous pressures that the hospital-centered care system may face in the future. A home-based palliative care and hospice system may be needed to improve the incidence and experiences of patients dying at home.
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