ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020
Indicators of potential health-related social needs and the association with perceived health and well-being outcomes among community-dwelling medicare beneficiaries.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Unmet Health-Related Social Needs Among Black Adults Who Smoke.Journal of racial and ethnic health disparities · 2026Article
- Modeling Patients' Progression through Health-Related Social Needs.Applied clinical informatics · 2025Article
- Prevalence of Health-Related Social Needs and Associated Missed Imaging Appointments Among Patients With Cancer.Journal of the American College of Radiology : JACR · 2025Article
- Performance of 4 Methods to Assess Health-Related Social Needs.JAMA network open · 2025Article
- Survivors of Stroke Face Greater Social Risks Than Adults Who Have Not Had a Stroke: Results From a Nationwide Study.Journal of the American Heart Association · 2025Article
- Article
- Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders.Medical care research and review : MCRR · 2024Article
- Association Between Self-reported Health-Related Social Needs and Acute Care Utilization Among Older Adults Enrolled in Medicare Advantage.JAMA health forum · 2022Article
- Frequency of Quarterly Self-reported Health-Related Social Needs Among Older Adults, 2020.JAMA network open · 2022Article
- The terminology of social emergency medicine: Measuring social determinants of health, social risk, and social need.Journal of the American College of Emergency Physicians open · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
purposeHealth-related social needs (HRSNs) can make older adults' more vulnerable and impact their health, well-being, and ability to age-in-place. The current study assessed the prevalence of potential HRSNs (pHRSNs) across several domains (e.g., transportation, social isolation) and explored the associations with health and well-being outcomes in a sample of Medicare beneficiaries.
methodsCross-sectional analyses were conducted with a representative sample of community-dwelling Medicare beneficiaries (N = 5758) from the 2012 National Health and Aging Trends Study. Binary indicators of pHRSNs were created for five domains: medical and utility financial needs (MUFN), housing, nutrition, social isolation, and transportation. Outcomes were depression/anxiety, self-rated health, meaning/satisfaction, perceived control/adaptability. Variables were weighted, and multivariate regression models assessed associations between pHRSN variables and outcomes, controlling for sociodemographics and health conditions.
resultsOf the estimated 32 million community-dwelling beneficiaries, approximately 13.3 million were positive for ≥ 1 pHRSN and 11.4 million for ≥ 2 pHRSNs. The prevalence by domain was 7% for housing, 8% for transportation, 12% for UMFN and nutrition, and 33% for social isolation. Each domain, except for housing, was significantly (p < .05) associated with at least two of the four outcomes, where being positive for a pHRSN was associated with greater depression/anxiety and poorer self-rated general health.
conclusionsOver 40% of Medicare beneficiaries had ≥ 1 pHRSN indicators, which means they are more vulnerable and that may limit their ability to age-in-place. Given the growing aging population, better measures and methods are needed to identify, monitor, and address HRSNs. For example, leveraging existing community-based services through coordinated care may be an effective strategy to address older adults' HRSNs.
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