ArticleBMC geriatrics2019
Longitudinal and reciprocal associations between financial strain, home characteristics and mobility in the National Health and Aging Trends Study.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 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
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Reporting race and ethnicity in aging in place research: A systematic review.The Gerontologist · 2026Pooled it
- Financial strain measures and associations with adult health: A systematic literature review.Social science & medicine (1982) · 2025Pooled it
- Utilization Patterns Among Heterogeneous Subgroups of Homebound Older Adults: A Latent Class Analysis.Journal of the American Geriatrics Society · 2026Observational
- Perspectives on AI and Novel Technologies Among Older Adults, Clinicians, Payers, Investors, and Developers.JAMA network open · 2025Article
- Late-Life Informal Social Participation, Physical and Cognitive Functions Among the Chinese Elderly: A Life Course Perspective.Healthcare (Basel, Switzerland) · 2025Article
- Social Isolation and Hospitalization in Community-Dwelling Older Adults by Dementia Status.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Observational
- Demystifying the Digital Divide: Disparities in Telerehabilitation Readiness Among Older Adults in the United States.Archives of physical medicine and rehabilitation · 2024Article
- The heterogeneity of the homebound: A latent class analysis of a national sample of homebound older adults.Journal of the American Geriatrics Society · 2023Article
- Predictors of falls in older adults with and without dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Community-Led, Cross-Sector Partnership of Housing and Health Care to Promote Aging in Place (Unite Health Project): Protocol for a Prospective Observational Study.JMIR research protocols · 2023Article
- Social Norms About Handling Financial Challenges in Relation to Health-Protective Capacity Among Low-Income Older Adults.The Gerontologist · 2023Article
- Epidemiology of public transportation use among older adults in the United States.Journal of the American Geriatrics Society · 2022Article
- Leveraging survey and claims data to identify high-need Medicare beneficiaries in the National Health and Aging Trends Study.Journal of the American Geriatrics Society · 2022Article
- Improvements of Disability Outcomes in CAPABLE Older Adults Differ by Financial Strain Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Conceptualizing Food Insecurity Among Older Adults: Development of a Summary Indicator in the National Health and Aging Trends Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
- Racial/Ethnic Differences in Health-Related Quality of Life in Persons With and Without Dementia.Journal of the American Geriatrics Society · 2021Article
- Housing characteristics of low and moderate income older adults with and without disabilities.Geriatric nursing (New York, N.Y.)Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOlder adults need homes that suit their physical capacity. Financial strain may limit home repairs and modifications and prompt relocations; repairing, relocating or modifying may increase financial strain. Likewise, reciprocal relationships may exist between financial strain and home characteristics and mobility; financial strain and home characteristics may influence mobility and mobility declines may increase financial strain, limit home repairs and modifications and prompt relocations. We test cross-lagged associations between financial strain, home disorder, relocation, home modifications and mobility.
methodsIn the National Health and Aging Trends Study, ability to complete a walking test, speed among those able to complete, financial strain, home disorder, relocating and modifying the home were recorded annually for 3 years (2012-2014). Structural equation models separately examined ability to walk and walking speed among those able, accounting for sociodemographic characteristics, social support, health prior health characteristics and autoregressive effects. Sampling weights accounted for the complex survey design and non-response over time.
resultsIn both models (n = 3234 and n = 2467), financial strain predicted greater home disorder and vice versa, but cross-lagged associations were not found with relocating and modifications. Greater home disorder predicted lower odds of ability to walk and slower speed among those able. Financial strain and home modifications predicted lower odds of ability to walk. Also, faster walking speed predicted lower odds of subsequent financial strain and lower subsequent home disorder scores and ability to walk predicted less subsequent home disorder and lower odds of relocating.
conclusionsHome disorder links financial strain with reduced mobility in a national sample of U.S. older adults. Cross-lagged associations between financial strain and home disorder and between home disorder and mobility suggest reciprocal effects that may accumulate over time. Also, financial strain, reduced mobility, relocations and modifications predicted greater home disorder. Together, these results highlight home disorder as a social determinant of mobility for older adults. Greater attention should be given to repairing and modifying home environments and supporting stable housing for older adults with financial strain.
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.