The Impact of Different Socioeconomic Factors on End-of-Life Quality for the Older Adults
With the popularization of the concept of holistic well-being,the quality of death has received increasing attention among the general population,revealing inequalities in end-of-life quality across different groups.To investi-gate the distribution of painful death risks among the elderly,this study utilized data from the Chinese Longitudinal Healthy Longevity Survey(CLHLS)from 2005 to 2018.By employing descriptive statistics and Mlogit regression mod-els,the study analyzed the individual,family,and societal factors that influence the quality of death among older adults.The results indicate significant differences in end-of-life quality among older adults of different socioeconomic backgrounds.Controlling for other factors,those with lower levels of education and poorer family economic conditions are more likely to experience painful death.While an increase in household income can reduce the likelihood of elderly individuals experiencing"peaceful"death,the risk of overtreatment due to increased payment capacity may also reduce the likelihood of"peaceful"death.Older adults living in urban areas,the central region and the eastern region had bet-ter death quality than those in rural and western areas.Lastly,delaying the age of death only narrowed the probability gap of painful death among older adults with different socioeconomic backgrounds but did not reduce the disparity in the probability of peaceful death.Therefore,it is recommended that the government,entrepreneurs,social organiza-tions,and grassroots units work together to bridge the gap in end-of-life care resources,ensuring a good death for more vulnerable older adults.
Death InequalitySocioeconomic FactorsOlder AdultsDeath QualityPalliative Care