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September 17, 2025Frontiers in Public HealthOpen Access

Community health workers’ knowledge and attitudes toward advance directives in China: a cross-sectional study

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Authors

JZJianshu ZhangRFRonghua Fang

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Overview

Cross-sectional study reveals limited knowledge and supportive attitudes towards advance directives among community health workers in China, indicating a need for better education and legal frameworks.

Key Points

  • Only 22.54% of community health workers possessed prior knowledge of advance directives, highlighting a significant gap in awareness.
  • Despite 83.33% supporting advance directives, only 46.95% were willing to sign one, indicating a disconnect between support and action.
  • Higher education levels correlated with greater support for advance directives, emphasizing the need for educational initiatives.
  • The lack of relevant legislation was identified as the main barrier by 87.79% of community health workers, calling for urgent policy attention.

Cite This Study

Zhang et al. (2025) studied this question.

synapsesocial.com/papers/68d43285713b0b5dfea71ad1https://doi.org/10.3389/fpubh.2025.1661934
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Also Consider

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  1. 1The readiness of knowledge, attitude and confidence and associated factors of implementing living wills among healthcare professionals in Shenzhen: a cross-sectional study2025
  2. 2The Prevalence of Advance Directives and Its Moderators Among Community People, Acutely and Chronically Ill Patients: A Systematic Review and Meta-Analysis.2025
  3. 3Drivers and barriers to participate in advance care planning: insights from Chinese community-dwelling older adults2025
  4. 4Factors influencing the completion of advance directives in cancer patients: a descriptive survey2025
  5. 5Knowledge, Attitudes, Behaviors, and Care Preferences Regarding Palliative Care Among Informal Caregivers of Older Adults in China: A Cross-Sectional Study2025