ArticleBMC geriatrics2025
Sex differences in the prevalence and determinants of death anxiety among community-dwelling older adults in China: a cross-sectional study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Associations between death anxiety, health literacy, and illness perception in Iranian individuals with heart failure an analytical cross sectional study.Discover mental health · 2026Article
- The relationship between climate change anxiety, death anxiety, and psychological resilience in older adults with chronic illnesses.BMC geriatrics · 2026Article
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Abstract
backgroundDeath anxiety levels among older adults may differ by sex and are influenced by distinct factors. This study examined the levels of death anxiety and its determinants among older Chinese adults, with a focus on sex differences.
methodsA multistage sampling method was used to recruit 559 older adults aged 60 years and above who completed a questionnaire survey. Death anxiety was assessed using the Templer Death Anxiety Scale (T-DAS). Factors influencing death anxiety were identified using a multiple linear regression model.
resultsThe average death anxiety scores among men and women were 5.48 ± 3.64 and 6.70 ± 3.70, respectively. Among both men and women, residence [men: rural area (β = 1.087, p = 0.018); women: rural area (β = 2.176, p < 0.001)], the number of outpatient visits in the past year [men: 1 (β = 1.906, p < 0.001), ≥ 2 (β = 2.027, p < 0.001); women:1 (β = 1.612, p = 0.001), ≥ 2 (β = 2.160, p < 0.001)], satisfaction with family relationships [men: satisfied ( β= -1.994, p = 0.001); women: satisfied (β = -1.728, p < 0.001)], and the experience of having seen articles or programmes related to the topic of death in the media [men: yes (β = 1.938, p < 0.001); women: yes (β = 0.911, p = 0.048)] were associated with death anxiety score. Per capita monthly income of the household (1,001 to 3,000 Chinese Yuan: β = 1.188, p = 0.025), and the number of hospitalisations in the past year (≥ 2: β = 1.237, p = 0.046) were associated with death anxiety score only among men. Conversely, educational level (junior high school and above: β = -1.436, p = 0.012) was associated with death anxiety score only among women.
conclusionsOlder women exhibited significantly higher death anxiety levels than men. Determinants of death anxiety varied by sex. Therefore, these factors should be considered in future interventional measures.
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