ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2021
Black-White Disparities in Social and Behavioral Determinants of Health Index and Their Associations with Self-rated Health and Functional Limitations in Older Adults.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Food insecurity and diabetes management among adults of African descent: A systematic review.Diabetic medicine : a journal of the British Diabetic Association · 2024Pooled it
- Referrals to Community and State Agencies to Address Social Determinants of Health for Improving Mental Health, Functioning, and Quality of Care Outcomes for Diverse Adults.American journal of public health · 2024Trial
- Baseline modern medical management in the BEST-CLI trial.Journal of vascular surgery · 2023Trial
- Socioeconomic position and its effect on cardiovascular outcomes and mortality in patients with prostate cancer.JNCI cancer spectrum · 2025Article
- Joint association of social determinants of health and congestive heart failure with mortality in U.S. adults.Scientific reports · 2025Article
- Limitations in Activities of Daily Living Among Individuals With Systemic Lupus Erythematosus.Arthritis care & research · 2025Article
- Associations of cardiovascular health and social determinants of health with the risks of all-cause and cause-specific mortality.PloS one · 2025Article
- Article
- Joint effects of depression and social determinants of health on mortality risk among U.S. adults: a cohort study.BMC psychiatry · 2024Article
- Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study.JMIR medical informatics · 2024Article
- The Interplay of Race, Ethnicity, and Language in Caregiver Health: Insights from the National Social Life, Health, and Aging Project.Research square · 2024Article
- Understanding the relationship between social risk factors and functional limitation among stroke survivors in the US.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024Article
- Disparities in diabetes and sedentary behavior across Florida counties.Health promotion perspectives · 2024Article
- Cumulative social disadvantage and health-related quality of life: national health interview survey 2013-2017.BMC public health · 2023Article
- Association between patient-reported social, behavioral, and health factors and emergency department visits in high-risk VA patients.Health services research · 2023Article
- The Prevalence and Trends of Instrumental Activities of Daily Living Impairments in the United States from 2008-2018.Journal of Alzheimer's disease reports · 2023Article
- The epidemiology of preexisting geriatric and palliative conditions in older adults with poor prognosis cancers.Journal of the American Geriatrics Society · 2022Article
- Pushing Past Limits: How Efficacious Is High-Effort Coping for Self-Rated Health among African American and Caribbean Black Women?International journal of environmental research and public health · 2022Article
- Promoting Caregiver Mastery in Black American Dementia Caregivers.The Gerontologist · 2022Article
- The accelerated aging phenotype: The role of race and social determinants of health on aging.Ageing research reviews · 2022Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundTo characterize cumulative risk scores of social and behavioral determinants of health (SDoH) and examine their association with self-rated general health and functional limitations between non-Hispanic black and white older adults in the United States.
methodWe used data from the 2013-2014 National Health and Nutrition Examination Survey (NHANES), with a nationally representative sample of black and white adults aged 65 or older (n = 954 unweighted). We quantified the cumulative risk scores of SDoH (eg, food insecurity, education and poverty), ranging from 0 (no risk at all) to 8 (highest risk), and used multivariable-adjusted logistic and Poisson regression analyses to assess the association of SDoH by racial group with self-rated health and functional limitations, adjusting for other covariates.
resultsBlack older adults had a higher mean cumulative risk score than white counterparts (2.3 ± 2.1 vs 1.5 ± 1.0; p < .001). Black older adults were more likely to report lower self-rated health than white older adults in each of SDoH domains (p < .01 for each). In multivariable-adjusted analyses, black older adults were more likely to report lower self-rated health than white older adults (p < .01 for all) regardless of SDoH risk factors. However, those with high SDoH risk factors (ie, ≥3 risk factors) were more likely to report functional limitations than those in the low-risk group (ie, <3 risk factors) in both racial groups (p < .01 for all).
conclusionSDoH-related black-white disparities remain persistent in older age. In particular, SDoH index scores for black and white older adults were differentially associated with functional limitations. Addressing SDoH should be an important consideration in reducing gaps in black-white disparities of functioning.
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