Evidence map›Paper›PMID 41462336›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Exploring the public attitudes toward euthanasia legalization in China, especially among individuals with mental disorders: a national cross-sectional study.

Xinyao Yi, Yan He, Zhiguang Huang, Ming Liu, Ginenus Fekadu, Xinchang Liu, Zhenjie Yu, Hei Hang Edmund Yiu, Jian Huang, Yibo Wu and 1 more

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xinyao YiDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Yan HeDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Zhiguang HuangDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Ming LiuDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Ginenus FekaduDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Xinchang LiuDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Zhenjie YuDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China.
Hei Hang Edmund YiuCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.ORCID http://orcid.org/0000-0002-1492-9414
Jian HuangInstitute for Human Development and Potential (IHDP), Agency for Science, Technology and Research (A*STAR), Singapore, Republic of Singapore.
Yibo WuDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China. wuyiboism@zju.edu.cn.
Wai-Kit MingDepartment of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, China. wkming2@cityu.edu.hk.

Funding

SIRG - CityU Strategic Interdisciplinary Research Grant No.7020093
6 · The paper itself

Abstract

backgroundThe legalization of euthanasia remains a highly contentious issue in China, with no comprehensive cross-sectional studies conducted in the country to date. However, in end-of-life decision-making among terminally ill patients, psychosocial factors demonstrate significantly greater predictive power than somatic determinants.

methodsA national cross-sectional study based on multistage random sampling was conducted from June 20 to August 31, 2022, in China. We employed a stratified random sampling method, collecting a total of 31,449 questionnaires of Chinese residents aged above 18. We employed a multivariate ordinal logistic regression model, considering various factors. Additionally, we conducted subgroup analyses to address potential confounding factors and fitted the same model to obtain the corresponding coefficients, odds ratios, 95% confidence intervals, and P-values, which were used to assess the results.

resultsSeveral factors were found to influence the attitude of euthanasia legalization in China. Lower age, higher educational level, and higher family monthly income showed positive attitudes toward euthanasia legalization. Comparative analysis revealed that females were more likely to support euthanasia legalization than males. Moreover, adherents of Buddhism or Islam demonstrated significantly lower support for euthanasia legalization compared to non-affiliated respondents. Individuals majored in medicine were more likely to support euthanasia legalization than other academic disciplines. Notably, individuals living with mental disorders or other chronic diseases showed a greater tendency to support euthanasia legalization. Compared to individuals who did not encounter any serious events, those who had experienced the death of a close relative had higher scores supporting euthanasia legalization.

conclusionsBasic demographic information, economic status, physical health status and lived experience are associated with attitudes toward euthanasia legalization. This study can contribute towards promoting more holistic and balanced legislation and policy implementation on euthanasia, reconciling considerations of individual autonomy, medical ethics, and broader societal interests.

trial registrationNot applicable.

Indexed as

Chinese publicCross-sectional studyEuthanasia legalizationMental disorders

Identifiers

PMID41462336
PMCPMC12752339

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.