The University of Southampton
University of Southampton Institutional Repository

Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain

Bowling, Ann, Ilife, Steve, Kessel, Anthony and Higginson, Irene J. (2010) Fear of dying in an ethnically diverse society: cross-sectional studies of people aged 65+ in Britain Postgraduate Medical Journal, 86, (1014), 197 - 202. (doi:10.1136/pgmj.2009.084020). (PMID:20354041).

Record type: Article


Aim To examine fears about dying in an ethnically diverse population sample, and a more homogeneous population sample, aged 65 and over.

Methods Personal interviews with people aged 65+ living at home responding to two Office for National Statistics Omnibus Surveys in Britain, and two Ethnibus Surveys of ethnically diverse populations in Britain.

Results Ethnically diverse respondents were more likely than British population respondents to express fears about dying on all measures used. Respondents in both samples with better, compared with worse, quality of life had significantly reduced odds of having extreme fears of dying (ethnically diverse sample, OR 0.924 (95% CI 0.898 to 0.951); British population sample, OR 0.981 (95% CI 0.966 to 0.996); both p<0.001). In the latter sample only, older age was protective (OR 0.957; 95% CI 0.930 to 0.985; p<0.001), whereas in the Ethnibus sample, having a longstanding illness (OR 2.024; 95% CI 1.158 to 3.535; p<0.05) and having more relatives to help them (OR 1.134; 95% CI 1.010 to 1.274; p<0.05) increased fears about dying.

Conclusions Enabling older people to express fears about dying is likely to be important when planning supportive end-of-life care. Practitioners should not assume that fears about dying are the same in different social groups, or that extensive family support is protective against such anxiety. Older people from ethnic minorities had more anxieties about dying than others, and were more likely to express fears the more extensive their family support. These findings have implications for commissioners and practitioners of primary and secondary care.

Full text not available from this repository.

More information

Published date: April 2010
Keywords: dying, 65+
Organisations: Faculty of Health Sciences


Local EPrints ID: 334794
ISSN: 0032-5473
PURE UUID: 679d4081-e7a0-4729-b0d4-f3ec4f11cb92

Catalogue record

Date deposited: 14 Mar 2012 10:09
Last modified: 18 Jul 2017 06:11

Export record



Author: Ann Bowling
Author: Steve Ilife
Author: Anthony Kessel
Author: Irene J. Higginson

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.