ArticleThe Gerontologist2022
The Community as the Unit of Healing: Conceptualizing Social Determinants of Health and Well-Being for Older American Indian Adults.
Article in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Structural marginalization of older adults within health care settings: a concept analysis.BMC geriatrics · 2025Pooled it
- Natural Teeth Present and Quality of Life in Older Adults from Indigenous Communities in the Peruvian Amazon: A Cross-Sectional Study.Oral health & preventive dentistry · 2026Observational
- It's about time: Racial/ethnic health disparities conditional on socioeconomic status among US women, 1978-2018.SSM - population health · 2026Article
- "When the Worlds Change and We Get Old": Indigenous Older Adults Reflecting on Dementia and Aging.International journal of environmental research and public health · 2026Article
- Risk and Protective Factors for Mental Health among American Indian, Alaska Native, and Native Hawaiian Older Adults in the United States.American Indian and Alaska native mental health research (Online) · 2026Article
- Culturally responsive approaches to brain health and dementia education for American Indian, Alaska Native, and Native Hawaiian communities.The Gerontologist · 2025Article
- Documentation of social determinants of health across individuals from different racial and ethnic groups in home healthcare.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Empowering Healthcare Access: Ethnographic Insights into Sustainable Solutions for a Particularly Vulnerable Tribal Group (PVTG) in South India- a Qualitative Research.F1000Research · 2025Article
- Article
- Healthcare professionals' perspectives of barriers to cancer care delivery for American Indian, rural, and frontier populations.PEC innovation · 2024Article
- The intersection of social and Indigenous determinants of health for health system strengthening: a scoping review.International journal of circumpolar health · 2024Article
- Article
- Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders.Journal of health care for the poor and underserved · 2024Article
- Understanding Unmet Care Needs of Rural Older Adults with Chronic Health Conditions: A Qualitative Study.International journal of environmental research and public health · 2023Article
- Associations Between Rurality, pre-pregnancy Health Status, and Macrosomia in American Indian/Alaska Native Populations.Maternal and child health journal · 2022Article
- What does dementia mean to you? Perceptions of dementia and aging among Indigenous older adults living in a Pueblo community.Journal of Alzheimer's disease reportsArticle
- Considerations for disclosing Alzheimer's disease risk and biomarker results in a Pueblo community in Southwest United States.Alzheimer's & dementia (Amsterdam, Netherlands)Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
BACKGROUND AND
objectivesMultiple racial and social inequities shape health and access to health care for American Indian Elders, who have a lower life expectancy than all other aging populations in the United States. This qualitative study examines how upstream social determinants of health influence Elders' ability to access and use health care. RESEARCH DESIGN AND
methodsBetween June 2016 and March 2017, we conducted individual, semistructured interviews with 96 American Indian Elders, aged 55 and older, and 47 professionals involved in planning or delivering care to Elders in 2 states in the U.S. Southwest. Transcripts were analyzed iteratively using grounded theory approaches, including open and focused coding. A group of American Indian Elders and allies called the Seasons of Care Community Action Board guided interpretation and prioritization of findings.
resultsParticipants described multiple barriers that hindered Elders' ability to access health care services and providers, which were largely tied to funding shortages and bureaucratic complexities associated with health care and insurance systems. Where available, community resources bridged service gaps and helped Elders navigate systems. DISCUSSION AND IMPLICATIONS: Longstanding structural inequities for American Indians manifest in barriers to health equity, many of which are situated at the community level. These are compounded by additional disparities affecting older adults, rural residents, and marginalized citizens in general. Findings underscore the importance of health and policy initiatives for American Indian Elders that emphasize the community as the focus of intervention.
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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.