SynthesisInternational journal of health services : planning, administration, evaluation2022
Inequalities in Older age and Primary Health Care Utilization in Low- and Middle-Income Countries: A Systematic Review.
Synthesis in International journal of health services : planning, administration, evaluation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Choice of primary healthcare providers among population in urban areas of low- and middle-income countries: a systematic review of literature.BMC primary care · 2026Pooled it
- Urban-rural disparities in primary health care utilization in Indonesia: a cross-sectional study.Korean journal of family medicine · 2026Article
- Hidden inequities in universal health coverage: determinants of health insurance underutilization in Indonesia.BMC public health · 2026Article
- Older Adults and Vaccination Status: A Cross-Sectional Analysis of the "ECORSINOS" Study.AIDS and behavior · 2026Article
- Urban-rural disparities in living arrangement and older adults care service supply in China: a cross-sectional study.Frontiers in public health · 2026Article
- 3D Body Scanning-Derived Normative Values of Appendicular Circumferences: A Novel Tool for Sarcopenia Screening in Chinese Adults.Journal of cachexia, sarcopenia and muscle · 2025Article
- The Experience of Accessing Primary Healthcare Centres in a Lebanese Community: Perspectives of Older People, Family Members and Service Providers.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The Relationship Between Socioeconomic Status and Health Behaviors in Older Adults: A Narrative Review.Healthcare (Basel, Switzerland) · 2025Review
- Eye care interventions that reduce access inequities for women, rural residents and older people in low-middle-income countries: a scoping review.Frontiers in public health · 2025Article
- Optimization of Health Service Utilization Among Elderly People With Chronic Diseases in Rural Ethnic Minorities in Northwest Yunnan Using Graph Neural Networks.Blockchain in healthcare today · 2025Article
- Article
- Barriers and enablers to primary health care center access for older people in Lebanon: A qualitative inquiry.PloS one · 2025Article
- Advantage in Aging Cognition Associated with theGeroPsych · 2024Article
- Choice of primary healthcare providers among population in urban areas of low- and middle-income countries-a protocol for systematic review of literature.Systematic reviews · 2024Article
- A systematic review and meta-analysis of the prevalence of Parkinson's disease in lower to upper-middle-income countries.NPJ Parkinson's disease · 2024Article
- Access of older people to primary health care in low and middle-income countries: A systematic scoping review.PloS one · 2024Article
- Article
- The determinants of healthcare utilisation in regional, rural and remote South Australia: A cross-sectional study.Health & social care in the community · 2022Article
- Disparities in Stroke Patient-Reported Outcomes Measurement Between Healthcare Systems in Brazil.Frontiers in neurology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this research was to systematically review and synthesize quantitative studies that assessed the association between socioeconomic inequalities and primary health care (PHC) utilization among older people living in low- and middle- income countries (LMICs). Six databases were searched, including Embase, Medline, Psych Info, Global Health, Latin American and Caribbean Health Sciences Literature (LILACS), and China National Knowledge Infrastructure, CNKI, to identify eligible studies. A narrative synthesis approach was used for evidence synthesis. A total of 20 eligible cross-sectional studies were included in this systematic review. The indicators of socioeconomic status (SES) identified included income level, education, employment/occupation, and health insurance. Most studies reported that higher income, higher educational levels and enrollment in health insurance plans were associated with increased PHC utilization. Several studies suggested that people who were unemployed and economically inactive in older age or who had worked in formal sectors were more likely to use PHC. Our findings suggest a pro-rich phenomenon of PHC utilization in older people living in LMICs, with results varying by indicators of SES and study settings.
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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.