Evidence map›Paper›PMID 26475139›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016

Indicators of resilience and healthcare outcomes: findings from the 2010 health and retirement survey.

Amara E Ezeamama, Jennifer Elkins, Cherie Simpson, Shaniqua L Smith, Joseph C Allegra, Toni P Miles

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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Resilience at the Intersection of Race/Ethnicity, Sex, and Sexual Orientation among U.S. Adults.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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  12. Associating Outcomes After Hip Arthroscopy With Patient Resilience.Orthopaedic journal of sports medicine · 2023
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  15. Hope and Resilience Related to Fear of COVID-19 in Young People.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amara E EzeamamaDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, 101 Buck Hall, Miller Hall, Room 110, Athens, GA, 30602, USA.
Jennifer ElkinsSchool of Social Work, University of Georgia, Athens, GA, USA.
Cherie SimpsonSchool of Nursing, University of Texas, Austin, TX, USA.
Shaniqua L SmithDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, 101 Buck Hall, Miller Hall, Room 110, Athens, GA, 30602, USA.
Joseph C AllegraDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, 101 Buck Hall, Miller Hall, Room 110, Athens, GA, 30602, USA.
Toni P MilesDepartment of Epidemiology and Biostatistics, College of Public Health, University of Georgia, 101 Buck Hall, Miller Hall, Room 110, Athens, GA, 30602, USA. tonimile@uga.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test the hypothesis that higher levels of resilience indicators are associated with lower overall healthcare utilization (HCU) as well as improvements in self-rated health (SRH), we analyzed a representative sample of 4562 adults 50-70 years old enrolled in the US 2010 health and retirement survey.

methodsMultivariable logistic regression models estimated odds ratios (ORs) and 95 % confidence intervals (CIs) for high versus low resilience in relation to HCU and SRH improvements over 2 years. Resilience indicators included: cumulative lifetime adversity, social support, global mastery and domain-specific mastery. Cumulative lifetime adversity was defined as 0, 1-2, 3-4 or 5+ events. HCU included hospitalization (any vs. none) and physician visits (< 20 vs. ≥ 20) over 2 years.

findingsHospitalization odds declined by 25 % (OR 0.75, 95 %CI 0.64-0.86), odds of ≥ 20 physician visits declined by 47 % (OR 0.53, 95 % CI 0.45-0.63) and the odds of SRH improvement increased by 49 % (OR 1.49, 95 % CI 1.17-1.88) for respondents with high versus low health mastery. Cumulative lifetime adversity manifested a dose-dependent positive relationship with HCU. Specifically, hospitalization odds was, respectively, 25, 80 and 142 % elevated for participants that reported 1-2, 3-4 and 5+ versus 0 lifetime adversities. High versus low global, financial and health mastery, respectively, predicted improved SRH, lower physician's visits and hospitalizations.

conclusionIn this sample of adults near or in retirement, resilience predicted lower HCU and improved SRH. Resilience is a dynamic state that can be enhanced in adults with positive impacts on subjective well-being and HCU.

Indexed as

Resilience, PsychologicalAgedDelivery of Health CareFemaleHealth ServicesHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareQuality of LifeRetirementSocial SupportSurveys and QuestionnairesTreatment OutcomeComorbid conditionsHealth and retirement surveyHealthcare utilizationMidlifePublic healthResilience

Identifiers

PMID26475139

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Registered trials

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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.