ArticleJournal of general internal medicine2005
Vulnerability and unmet health care needs. The influence of multiple risk factors.
Article in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
116 citing papers in PubMed, 1 synthesis or guideline pooled it, 305 citations in OpenAlex.
- Barriers of Influenza Vaccination Intention and Behavior - A Systematic Review of Influenza Vaccine Hesitancy, 2005 - 2016.PloS one · 2017Pooled it
- Impact of Healthcare Non-Take-Up on Adherence to Long-Term Positive Airway Pressure Therapy.Frontiers in public health · 2021Trial
- Evaluating the Feasibility of Educational Videos in a Medical Oncology Sarcoma Clinic to Improve Patient Knowledge and Satisfaction.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Patient Race/Ethnicity, Socioeconomic Status, and Acute Myocardial Infarction Mortality: Between-Hospital Versus Within-Hospital Disparities.Medical care · 2026Article
- Determinants of Self-Reported Unmet Healthcare Needs by Disability Status: A Secondary Cross-Sectional Analysis of Linked National Survey and Administrative Data from Korea.Healthcare (Basel, Switzerland) · 2026Article
- Association of unmet healthcare needs with health-related productivity loss, work ability, and work engagement.Industrial health · 2026Article
- Exploring patients' perspectives on patient rights in Latvia: from awareness to implementation and strengthening.BMC medical ethics · 2026Article
- Branch retinal artery occlusion time to presentation and diagnosis: a retrospective review.International journal of retina and vitreous · 2026Article
- Infectious Diseases and Other Health Findings in Refugees Who Arrived Through National Institute for Health, Migration and Poverty (NIHMP)-Verified Humanitarian Corridors in Italy: Changes from 2018 to 2024.Healthcare (Basel, Switzerland) · 2026Article
- Blood Pressure 15 to 90 Days After a Hypertensive Disorder of Pregnancy and Later Hypertension.Hypertension (Dallas, Tex. : 1979) · 2026Article
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Population and health system factors affecting the transferability of health kiosks in markets in Kenya.International health · 2026Article
- Psychosocial predictors of non-adherence to antihypertensive medication among Korean adults: A nationwide cross-sectional study.PloS one · 2026Article
- Association between equivalized annual household income and regular medical visits for hypertensive patients since the COVID-19 outbreak.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Disparities and Outcomes of Physical Restraint Use in Hepatic Encephalopathy: A National Inpatient Assessment.Digestive diseases and sciences · 2025Article
- Socioeconomic disparities and health literacy: Unraveling the impact on diagnostic and cancer care in Uruguay.Journal of cancer policy · 2024Article
- Intersectional Effect of Gender, Race, and Socioeconomic Status in Mental Health Service Utilization: Evidence from the Canadian Community Health Survey 2015-2016.Community mental health journal · 2024Article
- Nativity differences in socioeconomic barriers and healthcare delays among cancer survivors in the All of Us cohort.Cancer causes & control : CCC · 2024Article
- Racial disparities in staging, treatment, and mortality in non-small cell lung cancer.Translational lung cancer research · 2024Article
- Health Care Utilization and Care-seeking Behavior Among Vulnerabilized Sexual Minority Women: A Social-ecological Approach.Journal of health care for the poor and underserved · 2024Article
56 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextPrevious studies have demonstrated a strong association between minority race, low socioeconomic status (SES), and lack of potential access to care (e.g., no insurance coverage and no regular source of care) and poor receipt of health care services. Most studies have examined the independent effects of these risk factors for poor access, but more practical models are needed to account for the clustering of multiple risks.
objectiveTo present a profile of risk factors for poor access based on income, insurance coverage, and having a regular source of care, and examine the association of the profiles with unmet health care needs due to cost. Relationships are examined by race/ethnicity.
designAnalysis of 32,374 adults from the 2000 National Health Interview Survey.
main outcome measuresReported unmet needs due to cost: missing/delaying needed medical care, and delaying obtaining prescriptions, mental health care, or dental care.
resultsControlling for personal demographic and community factors, individuals who were low income, uninsured, and had no regular source of care were more likely to miss or delay needed health care services due to cost. After controlling for these risk factors, whites were more likely than other racial/ethnic groups to report unmet needs. When presented as a risk profile, a clear gradient existed in the likelihood of having an unmet need according to the number of risk factors, regardless of racial/ethnic group.
conclusionUnmet health care needs due to cost increased with higher risk profiles for each racial and ethnic group. Without attention to these co-occurring risk factors for poor access, it is unlikely that substantial reductions in disparities will be made in assuring access to needed health care services among vulnerable populations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.