{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T03:14:35Z","timestamp":1777000475819,"version":"3.51.4"},"reference-count":76,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T00:00:00Z","timestamp":1718323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There is a paucity of studies that compare older adults' attitudes toward Euthanasia in two different terminal illnesses. Moreover, these studies did not relate to potentially influencing psycho-social factors. The current study aimed to examine the impact of a diverse range of variables on attitudes among older adults toward Euthanasia in two medical conditions: cancer and Parkinson's disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 501 individuals aged 75 and above participated in the study. Attitudes toward Euthanasia were measured using vignettes which described two conditions: an 80-year-old man with metastatic cancer and another man in an advanced stage of Parkinson's disease. The questionnaire included measures of relevant experience (with a close family member or a friend dying from a terminal illness), self-efficacy, will to live, satisfaction with life, will to prolong life, fear of death and dying, social support, and psycho-social characteristics. The data were analyzed using hierarchical linear regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A more positive attitude toward Euthanasia was found in the case of cancer compared to Parkinson's disease. Being a woman, having more years of education, lower level of religiosity, greater fear of death and dying and higher self-efficacy contributes to more favorable attitudes toward Euthanasia in both end-of life conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The finding that attitudes toward Euthanasia are statistically significantly more positive in the case of cancer compared to Parkinson's disease can be attributed to the greater prevalence of cancer in the population, and to the public's awareness of the suffering associated with each of these medical conditions. Beyond the important role of the socio-demographic characteristics of gender, education, and religiosity, it appears that fear of death and dying and self-efficacy are important psychological factors in explaining attitudes toward Euthanasia in both illnesses among older people. These findings shed light on older adults' attitudes toward Euthanasia in debilitating illnesses.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1393535","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T05:16:12Z","timestamp":1718342172000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Older adults' attitudes toward using Euthanasia at the end-of life: cancer vs. Parkinson's disease"],"prefix":"10.3389","volume":"12","author":[{"given":"Rinat","family":"Lifshitz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaacov G.","family":"Bachner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Carmel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/j.jagp.2016.01.135","article-title":"Defining a good death (successful dying): literature review and a call for research and public dialogue","volume":"24","author":"Meier","year":"2016","journal-title":"Am J Geriatr Psychiat."},{"key":"B2","doi-asserted-by":"publisher","first-page":"3540","DOI":"10.21037\/apm-20-637","article-title":"Assisted dying around the world: a status quaestionis","volume":"10","author":"Mroz","year":"2021","journal-title":"Ann Palliat Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e0124320","DOI":"10.1371\/journal.pone.0124320","article-title":"Determinants of public attitudes towards euthanasia in adults and physician-assisted death in neonates in Austria: a national survey","volume":"10","author":"Stolz","year":"2015","journal-title":"PLoS ONE."},{"key":"B4","unstructured":"Where assisted suicide is legal"},{"key":"B5","doi-asserted-by":"publisher","first-page":"6396","DOI":"10.3390\/ijerph18126396","article-title":"Facing death: Attitudes toward physician-assisted end of life among physicians working at a tertiary-care-hospital in Israel","volume":"18","author":"Dopelt","year":"2021","journal-title":"Int J Environ Res Public Health."},{"key":"B6","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1177\/0030222818754667","article-title":"Attitudes toward Euthanasia for patients who suffer from physical or mental illness","volume":"80","author":"Levin","year":"2020","journal-title":"OMEGA - J Death Dying."},{"key":"B7","first-page":"538","article-title":"Euthanasia: Attitudes, wishes and behavior of the public, patients and physicians","volume":"141","author":"Carmel","year":"2002","journal-title":"Harefua."},{"key":"B8","doi-asserted-by":"publisher","first-page":"100349","DOI":"10.1016\/j.esmoop.2021.100349","article-title":"Assisted suicide in patients with cancer","volume":"7","author":"Montagna","year":"2022","journal-title":"ESMO Open"},{"key":"B9","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1186\/s12875-021-01580-z","article-title":"Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute","volume":"22","author":"Schuurmans","year":"2021","journal-title":"BMC Fam Pract."},{"key":"B10","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.nrleng.2024.01.007","article-title":"Euthanasia and assisted suicide in neurological diseases: a systematic review","volume":"39","author":"Trejo-Gabriel-Gal\u00e1n","year":"2021","journal-title":"Neurologia."},{"key":"B11","doi-asserted-by":"publisher","first-page":"3688","DOI":"10.1002\/alz.13094","article-title":"Family involvement in euthanasia or physician assisted duicide and dementia: a systematic review","volume":"19","author":"Scheeres-Feitsma","year":"2023","journal-title":"Alzheimer's Dement."},{"key":"B12","doi-asserted-by":"publisher","first-page":"00302228221090066","DOI":"10.1177\/00302228221090066","article-title":"Older adults' perspectives on voluntary assisted death: an in-depth qualitative investigation in Australia","volume":"2022","author":"Gringart","year":"2022","journal-title":"OMEGA-J Death Dying"},{"key":"B13","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1177\/1471301214532460","article-title":"The relationship between the quality of the built environment and the quality of life of people with dementia in residential care","volume":"15","author":"Fleming","year":"2016","journal-title":"Dementia."},{"key":"B14","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1177\/0269216313511284","article-title":"Why do older people oppose physician-assisted dying? 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