California residents still have a tough time dying at home.

Researchers at the California HealthCare Foundation, Oakland, Calif., have reported that finding in a summary of results from a recent survey of 1,669 California residents ages 18 and older.

About 70% of the survey participants said they would like to die at home; fewer than 4% said they would like to die while in a nursing home.

In real life, about 18% of the California residents who died in 2009 died in a nursing home and only 32% died while at home.

But the percentage who died at home increased to 32% in 2009, from just 13% in 1989, and the percentage who died in a nursing home was down from 22% in 1989, the researchers say.