ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2021
Use of Informal Support as a Predictor of Home- and Community-Based Services Utilization.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed.
- Differences in patient access to and utilization of caregiving services: a scoping review.BMC health services research · 2026Article
- The relationship between home and community-based healthcare services utilization and depressive symptoms in older adults in rural China: a moderated mediation model.BMC public health · 2023Article
- Perspectives on the popularization of smart senior care to meet the demands of older adults living alone in communities of Southwest China: A qualitative study.Frontiers in public health · 2023Article
- Why do older adults living alone in cities cease seeking assistance? A qualitative study in China.BMC geriatrics · 2022Article
- The relationship between Medicaid policy and realized access to home- and community-based services.Home health care services quarterlyArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesHome- and community-based services (HCBS) help older adults remain living safely in their homes by delaying or preventing the need for institutionalization. This analysis is guided by the Andersen Behavioral Model of Health Services Use to examine the association between informal support and use of HCBS.
methodHealth and Retirement Study data from 2011 and 2012 are used in the bivariate analyses and multivariate logistic regression models to examine differences in HCBS utilization among extremely vulnerable older adults who have informal caregivers and those who do not.
resultsFor extremely vulnerable older adults who report difficulties with any instrumental or basic activities of daily living, use of HCBS is not strongly associated with access to informal caregivers. However, for this same population of extremely vulnerable older adults, those who live alone have roughly 3 times the odds of using any HCBS compared to those who do not live alone. DISCUSSION: Among already vulnerable older adults, this study revealed that living alone is an important enabling factor of the Andersen Behavioral Model as applied in HCBS research. Further investigation is needed to see if more resources should be allocated to senior centers and local providers to identify vulnerable older adults who live alone and may have unmet needs.
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Registered trials
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