دورية أكاديمية
Social Determinants of Health and Healthcare Utilization Disparities among Older Adults with and Without Cognitive Impairment.
| العنوان: | Social Determinants of Health and Healthcare Utilization Disparities among Older Adults with and Without Cognitive Impairment. |
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| المؤلفون: | Rahemi Z; School of Nursing, Clemson University, Clemson, SC, 29634-0743., Shalhout SZ; Division of Surgical Oncology, Department of Otolaryngology- Head and Neck Surgery, Mass Eye and Ear, Boston, MA.; Mike Toth Cancer Center, Mass Eye and Ear, Boston, MA.; Department of Otolaryngology- Head and Neck Surgery Harvard Medical School, Boston, MA., Bacsu JR; School of Nursing, Thompson Rivers University, 805 TRU Way, Kamloops, BC V2C 0C8 Canada., Petrovsky DV; Duke University School of Nursing, Division of Women, Children and Families, 307 Trent Drive, Box 3322 Durham, NC 27710., Zanwar PP; Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, PA., Adams SA; College of Nursing, University of South Carolina, Columbia, SC 29208.; Department of Epidemiology & Biostatistics, University of South Carolina, Columbia, SC 29208. |
| المصدر: | MedRxiv : the preprint server for health sciences [medRxiv] 2024 Jul 14. Date of Electronic Publication: 2024 Jul 14. |
| نوع المنشور: | Journal Article; Preprint |
| اللغة: | English |
| بيانات الدورية: | Country of Publication: United States NLM ID: 101767986 Publication Model: Electronic Cited Medium: Internet NLM ISO Abbreviation: medRxiv Subsets: PubMed not MEDLINE |
| مستخلص: | The purpose of this study was to determine the healthcare utilization patterns in a national sample of older adults across several social determinants of health factors (ethnicity, gender, race, education) with normal and dementia/impaired cognition. We used datasets from the Health and Retirement Study (HRS, 2018) to evaluate healthcare utilization, including metrics such as hospital and nursing home stays, hospice care, and number of visits to the doctor. Logistic models were used to predict healthcare utilization separately in those with normal cognition and dementia. Our final sample comprised 15,607 adults (mean age: 65.2 normal cognition, mean age 71.5 dementia). Hispanics with normal cognition were less likely to stay in a hospital than non-Hispanic respondents (OR: 0.52-0.71, p<0.01). Being female was associated with a higher risk for shorter nursing home days (OR: 1.41, p<0.01) and doctor visits (OR: 1.63-2, p<0.01) in cognitively normal older adults. Being female was associated with a lower risk for hospital stay in those with dementia (OR: 0.50-0.78, p<0.01). Respondents identifying as Black or other races with dementia were less likely to experience nursing home days (OR: 0.42, p<0.04). Black respondents with normal cognition were less likely to experience doctor visits (OR: 0.32-0.37, p<0.01). Those with more than a high school education in both groups were more likely to experience doctors' visits. The study points to the continued disparities in healthcare utilization linked to participants' social determinants of health factors and cognition. Competing Interests: Conflicts of Interest declaration The authors declare no conflicts of interest. |
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| معلومات مُعتمدة: | K01 AG081485 United States AG NIA NIH HHS |
| فهرسة مساهمة: | Keywords: Health and Retirement Study; cognition; ethnicity; healthcare use; hospital; nursing home; race |
| تواريخ الأحداث: | Date Created: 20240723 Latest Revision: 20240802 |
| رمز التحديث: | 20240802 |
| مُعرف محوري في PubMed: | PMC11261929 |
| DOI: | 10.1101/2024.07.14.24310385 |
| PMID: | 39040173 |
| قاعدة البيانات: | MEDLINE |
| DOI: | 10.1101/2024.07.14.24310385 |
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