SynthesisRevista de saude publica2017
Socioeconomic determinants of access to health services among older adults: a systematic review.
Synthesis in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses 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
41 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Barriers to health, social and long-term care access among older adults: a systematic review of reviews.International journal for equity in health · 2025Pooled it
- Inequalities in Older age and Primary Health Care Utilization in Low- and Middle-Income Countries: A Systematic Review.International journal of health services : planning, administration, evaluation · 2022Pooled it
- Socioeconomic inequalities in primary-care and specialist physician visits: a systematic review.International journal for equity in health · 2021Pooled it
- The Prevalence of Advance Directives and Its Moderators Among Community People, Acutely and Chronically Ill Patients: A Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- The impact of educational intervention on enhancing the health literacy among middle-aged individuals at risk for cardiovascular diseases: a randomized cotrolled trial.BMC public health · 2025Trial
- Socioeconomic and geographic inequalities in dental care utilization among Thai older adults: trends and determinants, 2009-2021.BMC oral health · 2026Article
- Is equitable access to health and social care possible for Vietnamese older adults? Care providers' perspectives.International health · 2026Article
- Factors associated with lack of access to dental services among Brazilian adults.Revista de saude publica · 2026Article
- Inequalities in the use of public oral health services among older adults in Brazil: a national population-based study, 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Socioeconomic position and its effect on cardiovascular outcomes and mortality in patients with prostate cancer.JNCI cancer spectrum · 2025Article
- Mapping Geographic Disparities in Healthcare Access Barriers Among Married Women in Pakistan: Evidence from a Nationally Representative Survey.Healthcare (Basel, Switzerland) · 2025Article
- Barriers and facilitators to accessing healthcare services among elderly people living in a rural Amazonian community, Brazil.BMC health services research · 2025Article
- Weight management and its educational differences among retired individuals living with obesity-a salutogenic approach.BMC public health · 2025Article
- [The impact of health literacy, walking practice, and sarcopenia on health-related quality of life in rural older adults: A cross-sectional descriptive study].Journal of Korean gerontological nursing · 2025Article
- Family function and health self-management ability among older adults from mountainous areas in China: moderated mediation model in a cross-sectional study.BMC public health · 2025Article
- Women's healthcare access: assessing the household, logistic and facility-level barriers in India.BMC health services research · 2025Article
- Understanding the Mismatch Between Utilization and Demand for Home Medical Care Among Disabled Older Adults in China.Journal of multidisciplinary healthcare · 2025Article
- Factors associated with the use of dental services by older people in the city of São Paulo, Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- Experiences in healthcare for weight management - a qualitative interview study of retired individuals with obesity and low or high education.BMC health services research · 2024Article
- Impact of PRECEDE-PROCEED Model Audits in Cancer Screening Programs in Lombardy Region: Supporting Equity and Quality Improvement.Current oncology (Toronto, Ont.) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of this study was to analyze the association between the socioeconomic characteristics and the access to or use of health services among older adults.
methodsThis is a systematic review of the literature. The search has been carried out in the databases PubMed, LILACS and Web of Science, without restriction of dates and languages; however we have included only articles published in Portuguese, English, and Spanish. The inclusion criteria were: observational design, socioeconomic factors as variables of interest in the analysis of the access to or use of health services among older adults, representative sample of the target population, adjustment for confounding factors, and no selection bias.
resultsWe have found 5,096 articles after deleting duplicates and 36 of them have been selected for review after the process of reading and evaluating the inclusion criteria. Higher income and education have been associated with the use and access to medical appointments in developing countries and some developed countries. The same association has been observed in dental appointments in all countries. Most studies have shown no association between socioeconomic characteristics and the use of inpatient and emergency services. We have identified greater use of home visits in lower-income individuals, with the exception of the United States.
conclusionsWe have observed an unequal access to or use of health services in most countries, varying according to the type of service used. The expansion of the health care coverage is necessary to reduce this unequal access generated by social inequities.
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.