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Peer-reviewedCC BY 4.0Frontiers in Public Health

The association between illness perception and family functioning with good death expectations in community-dwelling older adults with chronic diseases

  • Yixuan Liang1
  • Yingchun Wang2
  1. 1School of Nursing, Jinzhou Medical University
  2. 2First Affiliated Hospital of Jinzhou Medical University
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Abstract

Objective: To examine the association between good death expectations and family functioning in community-dwelling older adults with chronic diseases, and the association with illness perception.

Methods: In this cross-sectional study (Nov 2025–Mar 2026) of 300 community-dwelling older adults (≥60 years, ≥1 chronic disease) from three districts of a city in China, validated tools measured key variables. Mediation analysis used PROCESS bootstrapping (5,000 samples) with sociodemographic adjustment.

Results: Family functioning positively correlated with good death expectations ( r = 0.561, p < 0.01) and negatively with illness perception ( r = −0.482, p < 0.01). Illness perception negatively correlated with good death expectations ( r = −0.506, p < 0.01). Illness perception showed a significant indirect effect in the relationship [indirect effect = 0.1317; 95% CI (0.0804,0.1912)], accounting for 26.12% of the total effect.

Conclusion: Family functioning was associated with good death expectations and illness perception showed a significant indirect association. Future research is needed to determine whether interventions targeting these factors could improve end-of-life expectations.

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Cite

BibTeXRIS
BibTeX
@article{liang2026association,
  title = {{The association between illness perception and family functioning with good death expectations in community-dwelling older adults with chronic diseases}},
  author = {Yixuan Liang and Yingchun Wang},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.2001715},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.2001715/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - The association between illness perception and family functioning with good death expectations in community-dwelling older adults with chronic diseases
AU  - Yixuan Liang
AU  - Yingchun Wang
PY  - 2026
DA  - 2026/10/28
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.2001715
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.2001715/full
AB  - Objective: To examine the association between good death expectations and family functioning in community-dwelling older adults with chronic diseases, and the association with illness perception.  Methods: In this cross-sectional study (Nov 2025–Mar 2026) of 300 community-dwelling older adults (≥60 years, ≥1 chronic disease) from three districts of a city in China, validated tools measured key variables. Mediation analysis used PROCESS bootstrapping (5,000 samples) with sociodemographic adjustment.  Results: Family functioning positively correlated with good death expectations ( r = 0.561, p < 0.01) and negatively with illness perception ( r = −0.482, p < 0.01). Illness perception negatively correlated with good death expectations ( r = −0.506, p < 0.01). Illness perception showed a significant indirect effect in the relationship [indirect effect = 0.1317; 95% CI (0.0804,0.1912)], accounting for 26.12% of the total effect.  Conclusion: Family functioning was associated with good death expectations and illness perception showed a significant indirect association. Future research is needed to determine whether interventions targeting these factors could improve end-of-life expectations.
SN  - 2296-2565
ER  -