The status and influencing factors of death anxiety among Chinese college students under the COVID-19 pandemic: a cross-sectional study

BMC Public Health. 2025 Jan 22;25(1):279. doi: 10.1186/s12889-025-21477-1.

Abstract

Background: To comprehend the current state of death anxiety among Chinese college students during the COVID-19 pandemic, analyze its influencing factors, and provide recommendations for mitigating death anxiety among these students.

Methods: From March to May 2023, utilizing a cluster sampling method, students from three universities in Changzhou, Jiangsu, were selected as research participants. The investigation employed a general information questionnaire, the PTSD Checklist for DSM-5 (PCL-5), the Chinese Version Templer-Death Anxiety Scale (CT-DAS), and the brief version of the Big Five Inventory (BFI-10). Multivariate linear regression analysis was performed to examine the factors influencing death anxiety among Chinese college students during the COVID-19 pandemic.

Results: The total average score of death anxiety among the college students in this study was 44.35 ± 8.21. There was a positive correlation between death anxiety scores and both PTSD symptoms scores and neuroticism (r = 0.134, 0.255, both P < 0.01), and a negative correlation between death anxiety scores and extraversion, agreeableness, conscientiousness, and age (r=-0.135, -0.049, -0.172, -0.093, all P < 0.01). Multivariate linear regression analysis indicated that gender, age, place of origin, COVID-19 infection, PTSD symptoms scores, neuroticism, extraversion, and conscientiousness were significant factors influencing death anxiety among college students (all P < 0.05).

Conclusions: Death anxiety among Chinese college students during the COVID-19 pandemic is relatively high and is associated with gender, age, place of origin, COVID-19 infection, PTSD symptoms scores, and personality traits. Appropriate intervention strategies can be formulated based on these influencing factors.

Keywords: Death anxiety; Influencing factors; Personality traits; Post-traumatic stress disorder.

MeSH terms

  • Adolescent
  • Adult
  • Anxiety* / epidemiology
  • Attitude to Death
  • COVID-19* / epidemiology
  • COVID-19* / mortality
  • COVID-19* / psychology
  • China / epidemiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Pandemics
  • Students* / psychology
  • Students* / statistics & numerical data
  • Surveys and Questionnaires
  • Universities
  • Young Adult