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  6. Gender Differences In Quality Of Dying And Death Among Older Adults: A Cross-sectional Study In China

Gender differences in quality of dying and death among older adults: a cross-sectional study in China

Xiaohong Feng1, Shumei Liang1, Xiujun Dai1

  • 1School of Public Health, Guangdong Medical University, Dongguan, China.

Frontiers in Public Health
|March 20, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Chinese men experience lower quality of dying and death (QODD) than women. Key factors include age, chronic illness, and place of death, necessitating targeted interventions for successful aging.

Area of Science:

  • Gerontology
  • Public Health
  • Sociology

Background:

  • China's aging population necessitates improved end-of-life care.
  • Quality of Dying and Death (QODD) is a critical concern for older adults.
  • Understanding gender disparities in QODD is essential for policy development.

Purpose of the Study:

  • To investigate gender differences in QODD among Chinese older adults.
  • To identify factors influencing QODD in men and women.
  • To inform end-of-life care policies for an aging society.

Main Methods:

  • Analysis of Chinese Longitudinal Health Longevity Survey (CLHLS) data (2008-2018).
  • Inclusion of 7,341 older adult respondents.
  • Application of Chi-square tests, logistic regression, and Fairlie decomposition analysis (FDA).
Keywords:
CLHLSFairlie decomposition analysisgender differencesolder adults

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Main Results:

  • Female older adults reported higher QODD (63.80%) than males (56.00%).
  • Influencing factors varied by gender, including age, residence, health status, and place of death.
  • Gender differences and unmeasured variables accounted for 52.11% of QODD disparities.

Conclusions:

  • Chinese men exhibit poorer QODD compared to women.
  • Factors like age, chronic illness, and place of death significantly contribute to gender differences in QODD.
  • Addressing these factors is crucial for promoting successful aging and reducing QODD disparities.
quality of dying and death