ArticleJournal of the American Geriatrics Society2018
Linking Neighborhood Context and Health in Community-Dwelling Older Adults in the Medicare Advantage Program.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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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.
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Who cites it
19 citing papers in PubMed.
- The impact of falls on activities of daily living in older adults: A retrospective cohort analysis.PloS one · 2024Article
- Association Between Community-Level Social Risk and Spending Among Medicare Beneficiaries: Implications for Social Risk Adjustment and Health Equity.JAMA health forum · 2023Article
- An age-friendly population health dashboard geolocating by clinical and social determinant needs.Health services research · 2023Article
- Neighborhood disadvantage and dementia incidence in a cohort of Asian American and non-Latino White older adults in Northern California.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review.International journal of environmental research and public health · 2022Article
- Validating the HELP Survey to Understand Health Disparity Influence on Chronic Pain.Journal of pain research · 2022Article
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- Nursing Home Alzheimer's Special Care Units: Geographic Location Matters.Journal of the American Medical Directors Association · 2022Article
- Evaluation of neighborhood resources and mental health in American military Veterans using geographic information systems.Preventive medicine reports · 2021Article
- Community socioeconomic disadvantage drives type of 30-day medical-surgical revisits among patients with serious mental illness.BMC health services research · 2021Article
- Evaluating the impact of social deprivation on Press Ganey® Outpatient Medical Practice Survey Scores.Health and quality of life outcomes · 2021Article
- Neighborhood-Level Social Disadvantage and Risk of Delirium Following Major Surgery.Journal of the American Geriatrics Society · 2020Article
- Neighborhood disadvantage and 30-day readmission risk following Clostridioides difficile infection hospitalization.BMC infectious diseases · 2020Observational
- Age-Friendly Features in Home and Community and the Self-Reported Health and Functional Limitation of Older Adults: the Role of Supportive Environments.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- The Association Between Neighborhood Socioeconomic Disadvantage and Readmissions for Patients Hospitalized With Sepsis.Critical care medicine · 2020Article
- The Association Between Neighborhood Socioeconomic Disadvantage and Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2020Article
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Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo examine whether neighborhood context moderates the relationship between multiple chronic conditions (MCCs) and function in Medicare Advantage (MA) beneficiaries.
designCross-sectional study.
settingMedicare Health Outcome Survey Cohort 16 baseline data from 2013.
participantsMA beneficiaries aged 65 and older (N=187,434). MEASUREMENTS: We defined disadvantaged neighborhoods as those with an Area Deprivation Index greater than the 85
resultsMore than one third (35.6%) of the sample reported a functional limitation. Beneficiaries with MCCs were more likely to report a functional limitation those with 0 or 1 chronic condition (odds ratio (OR)=2.63, 95% confidence interval (CI)=2.50-2.77). Beneficiaries in more-disadvantaged neighborhoods were more likely to report a functional limitation than those in less-disadvantaged neighborhoods (OR=1.14, 95% CI=1.08-1.21). In older adults with MCCs, the probability of reporting a functional limitation was 12 percentage points greater in those living in more-disadvantaged neighborhoods than in those living in less-disadvantaged neighborhoods.
conclusionNeighborhood context is a significant predictor of functional limitation and moderates the association between chronic conditions and functional limitations. Health plans and public health officials could use publicly available indicators such as the ADI to target interventions to reduce functional impairment.
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