ArticleAging & mental health2022
Unmet healthcare needs among midlife adults with mental distress and multiple chronic conditions.
Article in Aging & mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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
4 citing papers in PubMed.
- Socioeconomic disparities in access to care and healthcare expenditures among U.S. adults: evidence from the Medical Expenditure Panel Survey, 2018-2022.Annals of medicine and surgery (2012) · 2026Article
- Restorative museum environments: emotional coping strategies for people living with chronic multimorbidity.Frontiers in psychiatry · 2025Article
- Paying Attention to Women's Ageing Bodies in Recovery From Substance Use.Frontiers in psychiatry · 2022Article
- Economic Stressors, Alcohol Use, and Health-Related Quality of Life in Middle-aged Adults.Journal of applied developmental psychologyArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundLimited attention has focused on midlife health. Yet, this is a time of great change, including onset of chronic conditions and changes in mental health.
objectiveTo examine unmet healthcare needs among midlife adults (50-64 years) in the US with severe psychological distress (SPD) and/or multiple chronic conditions (MCC).
methodsNationally representative data for midlife adults (50-64 years) from NHIS 2014-2018 were examined (
resultsNearly 40% of midlife adults had MCC, SPD, or SPD/MCC. SPD with or without MCC had higher prevalence of social disadvantage, fair/poor health, activity limitations, and delayed/foregone healthcare. Compared to those with neither, adults with SPD/MCC were more likely to delay care due to limited office hours (AOR = 4.2, 95% CI 3.1-5.5) and had nearly three to four times higher odds of delays for all other reasons. Those with SPD/MCC had higher odds of needing but not getting mental healthcare (AOR = 6.4, 95% CI 4.5-9.1), prescriptions (AOR = 4.8, 95% CI 3.9-5.9), or follow-up care (AOR = 5.0, 95% CI 3.7-6.6), and three to four times higher odds of all other types of foregone care.
conclusionsMidlife adults with SPD/MCC have substantial unmet healthcare needs. Midlife is a critical time to manage both chronic conditions and mental illness. Coordinated efforts by policymakers and healthcare systems are crucial to address complex healthcare needs of this population at a critical stage of the life-course.
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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.