Awareness, Attitudes, and Willingness of Young Adults in Mainland China Regarding Advance Care Planning: A Cross-Sectional Study


  • Min Liu Department of Nursing, The First People’s Hospital of Yancheng, 224001 Jiangsu, China / School of Nursing, Philippine Women's University 1004, Philippines
  • Ronnell D Dela Rosa School of Nursing, Philippine Women's University, Taft Avenue, Malate 1004, Manila, Philippines / College of Nursing and Midwifery, Bataan Peninsula State University, City of Balanga 2100, Bataan, Philippines
  • Wenmin Sun Department of Nursing, The First People’s Hospital of Yancheng, 224001 Jiangsu, China
  • Gaoqiao Liu Department of Nursing, The First People’s Hospital of Yancheng, 224001 Jiangsu, China
  • Dandan Li School of Nursing, Philippine Women's University 1004, Philippines



Background: Advance care planning (ACP) can help healthy young adults enhance their sense of responsibility and can assist others to complete their own end-of-life wishes. Therefore, this study assessed the awareness and attitudes of young adults toward ACP to check their willingness to participate in ACP to popularized it. Purpose: The purpose of this study was to explore the awareness and attitudes of ACP among young adults in mainland China, and determine factors associated with their willingness to participate in ACP. Methods: A total of 1312 Chinese young adults were surveyed by using the Advance Care Planning Questionnaire (ACPQ) between December 2020 and May 2021 in Jiangsu Province, China. Results: The level of young adults’ awareness of ACP was low, but the attitude toward ACP was positive. Monthly income, encouraged by others to participate in ACP, and death-related experiences in the last five years can affect the willingness of ACP among young adults. Conclusion:  This study indicated a low awareness but supportive attitude toward ACP amongst young adults in mainland China. Patient education, public advocacy, and future research on young adult-centered models of shared decision-making are needed to increase young adults’ understanding of ACP and to enable them decision-making empowerment. 



Advance Care Planning, Palliative Care, Young Adult, China


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How to Cite

Liu, M., Dela Rosa, R. D., Sun, W., Liu, G., & Li, D. (2022). Awareness, Attitudes, and Willingness of Young Adults in Mainland China Regarding Advance Care Planning: A Cross-Sectional Study. The Malaysian Journal of Nursing (MJN), 14(1), 10-19.