Evidence map›Paper›PMID 30012778›Full record

Observational studyBMJ open2018

Is lack of social support associated with a delay in seeking medical care? A cross-sectional study of Minnesota and Tennessee residents using data from the Behavioral Risk Factor Surveillance System.

Matthew W Reisinger, Marc Moss, Brendan J Clark

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

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  18. Pre-diagnosis Symptoms, Attributed Causes, and Healthcare Seeking Assets of Younger Colorectal Cancer Survivors.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
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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

3 authors.

Matthew W ReisingerDepartment of Hospital Medicine, Rose Medical Center, Denver, Colorado, USA.
Marc MossDepartment of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Brendan J ClarkDepartment of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Denver, Aurora, Colorado, USA.

Funding

Tailored Screening, Brief Intervention, and Referral to Treatment for Medical IntK23AA021814 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI CLARK, BRENDAN JAMES · 2014 to 2017
$688k
NIAAA NIH HHS K23 AA021814
6 · The paper itself

Abstract

objectivePrevious studies have demonstrated an association between social support and lower morbidity and mortality. Delay in seeking medical care is associated with poor health outcomes. The relationship between social support and delay in seeking medical care has not been established. We sought to determine whether lack of social support is associated with higher rates of delays in seeking needed medical care.

methodsThis is a cross-sectional observational study using data from the 2013 and 2014 Centers for Disease Control Behavioral Risk Factor Surveillance System. Participants who were asked questions about delays in medical care and social support were included. The primary outcome was a self-reported delay in seeking needed medical care. The primary independent variable of interest was a dichotomised measure of social support. Multivariable logistic regression was performed, adjusting for demographics, socioeconomic status, comorbidities and access to care.

resultsParticipants without social support were more likely to report delaying needed medical care when compared with participants with social support (38%vs19%, p<0.001). The association between lack of social support and delays in care persisted after adjustment for demographics, socioeconomic status, comorbidities and access to care (OR 1.72; 95% CI 1.45 to 2.06; p<0.001).

conclusionsLack of perceived social support is associated with patient-reported delay of needed medical care. This association may contribute to the poor health outcomes experienced by those with a lack of social support.

Indexed as

Social SupportAdultAgedAged, 80 and overBehavioral Risk Factor Surveillance SystemCase-Control StudiesChronic DiseaseCross-Sectional StudiesFemaleHealth Services AccessibilityHumansLogistic ModelsMaleMiddle AgedMinnesotaOutcome Assessment, Health Careepidemiologypublic healthsocial medicine

Identifiers

PMID30012778
PMCPMC6082447

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.