Evidence map›Paper›PMID 34098443›Full record

ArticleGeriatric nursing (New York, N.Y.)

Community-dwelling older adults who are low-income and disabled weathering financial challenges.

Laura J Samuel, Rebecca Wright, Marianne Granbom, Janiece L Taylor, Ciara Hupp, Laken C Roberts Lavigne, Sarah L Szanton

Open access · greenAbstract read
In one paragraph

Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  4. Trends and disparities in mortality due to hypertensive disease and coexisting obesity in the USA: 1999-2023.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Laura J SamuelJohns Hopkins University School of Nursing, 525 North Wolfe St., Rm 426, Baltimore, MD, United States. Electronic address: lsamuel@jhmi.edu.
Rebecca WrightJohns Hopkins University School of Nursing, 525 North Wolfe St., Rm 426, Baltimore, MD, United States.
Marianne GranbomDepartment of Health Sciences, Lund University, Sweden.
Janiece L TaylorJohns Hopkins University School of Nursing, 525 North Wolfe St., Rm 426, Baltimore, MD, United States.
Ciara HuppKennedy Krieger Institute, United States.
Laken C Roberts LavigneJohns Hopkins University School of Nursing, 525 North Wolfe St., Rm 426, Baltimore, MD, United States.
Sarah L SzantonJohns Hopkins University School of Nursing, 525 North Wolfe St., Rm 426, Baltimore, MD, United States; Johns Hopkins Bloomberg School of Public Health Department of Health Policy and Management, United States.
Johns Hopkins University · USKennedy Krieger Institute · USLund University · SE

Funding

Household income, financial stress and physiologic aging markers in low income adults across the life courseK01AG054751 · NIA · JOHNS HOPKINS UNIVERSITY · PI SAMUEL, LAURA · 2018 to 2022
$651k
Associations of Neighborhood Green Space and Social Disadvantage with Stress-Sensitive Inflammatory BiomarkersF31HL146080 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ROBERTS, LAKEN CAMILLE · 2019 to 2021
$137k
NHLBI NIH HHS F31 HL146080NIA NIH HHS K01 AG054751
6 · The paper itself

Abstract

Despite interventions aiming to improve outcomes among older adults experiencing financial challenges, the challenges and strategies employed to handle them are poorly understood. This study examined the experiences of financial challenges among low-income adults aged ≥65 years. Eleven semi-structured interviews were analyzed using thematic analyses. An overarching theme was "I guess it balances", capturing attempts to maintain hope and proactively address challenges despite stress, uncertainty and limitations. Balancing was demonstrated within four domains, including cognitive bandwidth ("think a lot" versus "I don't dwell on that"), emotional experience ("depressing" versus "be thankful"), learned resilience ("that was a shock" versus "there's always a way"), and meeting daily needs ("we learned to do without" versus "take a dollar and stretch it"). Participants described being weathered by challenges and using predominately high-effort coping strategies to weather the challenges. These findings call for strengthening the safety net for older adults facing financial challenges.

Indexed as

Independent LivingPersons with DisabilitiesAdaptation, PsychologicalAgedFinancial StressHumansWeatherAgingCopingFinancial strainIncomeSocioeconomic factorsWeathering

Identifiers

PMID34098443
PMCPMC8316314
OpenAlexW3172093691

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.