{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:09:49Z","timestamp":1782846589168,"version":"3.54.5"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"International University of Health and Welfare"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Canc Educ"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    We investigated awareness and attitudes of Japanese university students toward end-of-life care and advance care planning (ACP) to inform campus-based educational programs and promote ACP dissemination across generations. A cross-sectional survey was conducted among 753 students at a university specializing in medical and welfare sciences. Participants completed a questionnaire assessing preferences for disclosure of terminal diagnoses, treatment decisions, and preferred place of death. Academic departments were classified into Medical sciences (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009629) or Welfare sciences (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009102), and group differences were analyzed using the chi-square test. Among 731 students, approximately 90% desired self-disclosure of a terminal diagnosis, whereas only 50.5% preferred disclosure to a spouse. While no group differences existed for disclosure preferences, place of death preferences significantly differed: medical students preferred home (80.8%) more frequently than welfare students (69.6%). Regarding end-of-life care, medical students were significantly less likely to choose aggressive interventions (e.g., ventilation, surgery) than welfare students. Conversely, welfare students were less likely to prefer artificial nutrition and hydration interventions than medical students. University students strongly favored disclosure of terminal illness and home-based end-of-life care. Differences between medical and welfare students likely reflect variation in familiarity with medical interventions. These findings underscore the importance of providing young adults with opportunities to consider ACP and engage in informed decision-making and dialogue with family members, thereby supporting person-centered care.\n                  <\/jats:p>","DOI":"10.1007\/s13187-026-02939-5","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:21:15Z","timestamp":1782789675000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Survey of Awareness of End-of-Life Care among University Students: A Comparison between Medical and Welfare Disciplines"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0512-5234","authenticated-orcid":false,"given":"Risa","family":"Hamada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miyoko","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"2939_CR1","unstructured":"Cabinet Office, Government of Japan (2025) Annual report on the aging society: 2025 [Internet]. [cited 2025 Nov 27]. Available from: https:\/\/www8.cao.go.jp\/kourei\/whitepaper\/w-2025\/zenbun\/pdf\/1s1s_01.pdf"},{"key":"2939_CR2","unstructured":"Ministry of Health, Labour and Welfare (2024) Monthly report of vital statistics (approximate number) 2024. https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/geppo\/nengai24\/dl\/h1.pdf. Accessed 27 Nov 2025"},{"key":"2939_CR3","unstructured":"The Japan Geriatrics Society (2025) Position statement on medical care and care at the end of life for the elderly 2025. https:\/\/www.jpn-geriat-soc.or.jp\/proposal\/pdf\/tachiba2025.pdf. Accessed 27 Nov 2025"},{"key":"2939_CR4","unstructured":"The Japan Geriatrics Society (2019) Proposal for promoting ACP 2019. https:\/\/www.jpn-geriat-soc.or.jp\/press_seminar\/pdf\/ACP_proposal.pdf. Accessed 27 Nov 2025"},{"issue":"5","key":"2939_CR5","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1016\/j.jpainsymman.2016.12.331","volume":"53","author":"R Sudore","year":"2017","unstructured":"Sudore R, Lum H, You J, Hanson L, Meier D, Pantilat S, Matlock D, Rietjens J, Korfage I, Ritchie C, Kutner J, Teno J, Thomas JL, McMahan R, Heyland D (2017) Defining Advance Care Planning for Adults: A Consensus Definition From a Multidisciplinary Delphi Panel. J Pain Symptom Manag 53(5):821\u2013832e1. https:\/\/doi.org\/10.1016\/j.jpainsymman.2016.12.331","journal-title":"J Pain Symptom Manag"},{"key":"2939_CR6","doi-asserted-by":"publisher","first-page":"45","DOI":"10.3143\/geriatrics.36.45","volume":"36","author":"T Matsushita","year":"1999","unstructured":"Matsushita T (1999) Survey of elderly outpatients\u2019 attitudes toward terminal care [in Japanese]. Nippon Ronen Igakkai Zasshi 36:45\u201351","journal-title":"Nippon Ronen Igakkai Zasshi"},{"key":"2939_CR7","unstructured":"Kubo A (2011) Awareness of end-of-life among 4th-year physical therapy students in Japan and its changes: comparison between 2000 and 2011. In: Proceedings of the 9th International Meeting of Physical Therapy Science; Xian, China"},{"key":"2939_CR8","unstructured":"Ministry of Health, Labour and Welfare (2025) Report on the attitude survey regarding medical care and care at the end of life. https:\/\/www.mhlw.go.jp\/toukei\/list\/dl\/saisyuiryo_a_r04.pdf. Accessed 27 Nov 2025"},{"key":"2939_CR9","first-page":"77v88","volume":"26","author":"Y Kimura","year":"2021","unstructured":"Kimura Y, Nakayama S, Tamai N, Shimizu C, Morita T (2021) Relationship between university students\u2019 perception of advanced cancer disclosure and experience of end-of-life care education [in Japanese]. Meio Univ Bull 26:77v88","journal-title":"Meio Univ Bull"},{"key":"2939_CR10","doi-asserted-by":"publisher","unstructured":"Sisk B, Fasciano K, Block S, Mack J (2020) Longitudinal prognostic communication needs of adolescents and young adults with cancer. Cancer 126. https:\/\/doi.org\/10.1002\/cncr.32533","DOI":"10.1002\/cncr.32533"},{"key":"2939_CR11","doi-asserted-by":"publisher","first-page":"7","DOI":"10.2512\/jspm.17.7","volume":"17","author":"G Yoshimura","year":"2022","unstructured":"Yoshimura G, Hamamoto A, Sakaguchi K, Ando S, Sato K (2022) Public prognosis explanations, end-of-life care, decision-maker hopes, and related factors [in Japanese]. Palliat Care Res 17:7\u201315","journal-title":"Palliat Care Res"},{"key":"2939_CR12","doi-asserted-by":"publisher","first-page":"1681","DOI":"10.1111\/jocn.13572","volume":"26","author":"S Ohr","year":"2017","unstructured":"Ohr S, Jeong S, Saul P (2017) Cultural and religious beliefs and values, and their impact on preferences for end-of\u2010life care among four ethnic groups of community\u2010dwelling older persons. J Clin Nurs 26:1681\u20131689. https:\/\/doi.org\/10.1111\/jocn.13572","journal-title":"J Clin Nurs"},{"key":"2939_CR13","first-page":"77","volume":"18","author":"Y Yamaguchi","year":"2023","unstructured":"Yamaguchi Y, Ozaki Y, Suzuki Y, Ueno H, Kiuchi T (2023) Survey on the actual status of advance care planning (ACP) among nursing students at university A [in Japanese]. Bull Tokyo Healthc Univ 18:77\u201381","journal-title":"Bull Tokyo Healthc Univ"}],"container-title":["Journal of Cancer Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13187-026-02939-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13187-026-02939-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13187-026-02939-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:21:25Z","timestamp":1782843685000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13187-026-02939-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":13,"alternative-id":["2939"],"URL":"https:\/\/doi.org\/10.1007\/s13187-026-02939-5","relation":{},"ISSN":["0885-8195","1543-0154"],"issn-type":[{"value":"0885-8195","type":"print"},{"value":"1543-0154","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]},"assertion":[{"value":"30 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"The study protocol was approved by the Ethics Committee of the International University of Health and Welfare (Approval No. 25-TA-185). Participants were provided with a written explanation of the study, and the return of the completed questionnaire was considered as implied consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval<!--Emphasis Type='Bold' removed-->and Consent"}}]}}