Evidence map›Paper›PMID 30302622›Full record

ArticleJournal of immigrant and minority health2019

Correlates of Emergency Department Service Utilization Among U.S. Chinese Older Adults.

Dexia Kong, Mengting Li, Yin-Ling Irene Wong, Jinjiao Wang, Benjamin C Sun, Xinqi Dong

Abstract read
In one paragraph

Article in Journal of immigrant and minority health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Dexia KongInstitute for Health, Health Care Policy and Aging Research, Rutgers University, 112 Paterson Street, New Brunswick, NJ, 08901, USA. dkong@ifh.rutgers.edu.
Mengting LiRush University Medical Center, Chicago, IL, USA.
Yin-Ling Irene WongSchool of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, USA.
Jinjiao WangSchool of Nursing, University of Rochester Medical Center, Rochester, NY, USA.
Benjamin C SunCenter for Policy Research-Emergency Medicine, Department of Emergency Medicine, Oregon Health & Science University, Portland, OR, USA.
Xinqi DongInstitute for Health, Health Care Policy and Aging Research, Rutgers University, 112 Paterson Street, New Brunswick, NJ, 08901, USA.

Funding

Patient Navigation 2.0: Addressing the Challenge of Scaling Navigation through Checklist-based ImplementationR01CA163830 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIMON, MELISSA A. · 2012 to 2024
$5.4M
Epidemiology of Psychological Distress in Chinese Aging PopulationR01AG042318 · NIA · RUTGERS, THE STATE UNIV OF N.J. · PI CHUNG, TAMMY · 2012 to 2018
$2.7M
Filial Piety and Psychosocial Well-being in Chinese PopulationR01MD006173 · NIMHD · RUTGERS, THE STATE UNIV OF N.J. · PI DONG, XINQI · 2012 to 2015
$1.4M
Building Research Infrastructure & Network in Chicago ChinatownRC4AG039085 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI DONG, XINQI · 2010 to 2010
$998k
XinQi Dong Grant Transfer #5 from Rush to Rutgers PHS Grant #R34 MH100443: Suicide Prevention in Chinese Older AdultsR34MH100443 · NIMH · RUTGERS, THE STATE UNIV OF N.J. · PI DONG, XINQI, SIMON, MELISSA A. · 2014 to 2016
$662k
2/2 - Suicide Prevention in Chinese Older AdultsR34MH100393 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DONG, XINQI, SIMON, MELISSA A. · 2014 to 2016
$546k
NCI NIH HHS R01 CA163830NIA NIH HHS R01 AG042318NIA NIH HHS RC4 AG039085NIMHD NIH HHS R01 MD006173NIMH NIH HHS R34 MH100393NIMH NIH HHS R34 MH100443
6 · The paper itself

Abstract

Older adults visit emergency departments (EDs) at a disproportionally higher rate than other age groups. Prior studies examining racial disparities in ED utilization focus on African Americans and Hispanics. There is a dearth of information on ED utilization patterns among older Asian Americans despite the evidence that ED expenditures in Asian Americans are comparable to that of Caucasians. To address this knowledge gap, we examined factors associated with ED service utilization in the largest Asian subgroup, U.S. Chinese older adults. Cross-sectional data from the Population Study of Chinese Elderly in Chicago (PINE) (N = 3,157) were used. Multivariate negative binomial regression analyses were conducted to examine significant factors associated with ED use. Higher education (rate ratio [RR] = 1.03, 95% confidence interval [CI] 1.00-1.05) and acculturation levels (RR = 1.02, CI 1.00-1.04), fewer people in the household (RR = 0.94, CI 0.88-0.99), health insurance coverage (RR = 1.34, CI 1.01-1.78), lower income (RR = 0.89, CI 0.80-0.99), poorer perceived health (RR = 0.67, CI 0.58-0.77), more functional limitations (RR = 1.09, CI 1.06-1.13) and depressive symptoms (RR = 1.04, CI 1.02-1.07), and a history of heart disease (RR = 2.28, CI 1.83-2.84), stroke (RR = 1.68, CI 1.20-2.35), cancer (RR = 1.86, CI 1.31-2.63), and hip fracture (RR = 1.42, CI 1.02-1.98) were associated with higher rates of ED visits. Our findings highlight several significant correlates of ED use in U.S. Chinese older adults. Culturally-appropriate interventions modifying these factors have the potential to decrease ED visits and improve care outcomes in this population.

Indexed as

AsianAsian PeopleEmergency Service, HospitalPatient Acceptance of Health CareAcculturationAgedAged, 80 and overChicagoCross-Sectional StudiesFemaleHumansMaleMiddle AgedUnited StatesChineseEmergency departmentHealth services utilizationMinoirty aging

Identifiers

PMID30302622
PMCPMC6639148

What OpenQuestion holds

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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.