ArticleArchives of gerontology and geriatrics
Characteristics of community-dwelling older individuals who delayed care during the COVID-19 pandemic.
Article in Archives of gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed.
- Delayed Diagnosis of Perimandibular Abscess in a Woman With Social Isolation: A Case Report.Cureus · 2025Article
- Characteristics of Community-Dwelling Older People Who Are Less Likely to Respond to Mail Surveys Under Infection Countermeasures for New Strains of Coronavirus: The Takasaki Study.International journal of environmental research and public health · 2025Article
- "It just isn't the same": altered routines among older Americans three years after the COVID-19 pandemic onset.Frontiers in public health · 2025Article
- "I just can't go back": Challenging Places for Older Americans since the COVID-19 Pandemic Onset.SSM. Qualitative research in health · 2024Article
- Factors Associated With Health Care Delays Among Adults Over 50 During the COVID-19 Pandemic.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Pre-pandemic factors associated with delayed health care among US older adults during the COVID-19 pandemic.The journal of medicine accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisruptions and reductions in healthcare services, coupled with infection concerns in the public, have caused widespread delay in health care during the COVID-19 pandemic. Persons with disability were at increased risk for deferred care. This study aimed to examine the extent of delayed care among older US individuals by disability status, identify characteristics associated with delayed care, and explore potential barriers to care during the pandemic.
methodsData were drawn from the Health and Retirement Study (HRS) 2020 Core Early Release. Community-dwelling adults over age 50 (n = 15145) were classified as having ADL (or IADL) impairment versus no impairment. Distributions of demographic, clinical, and psychosocial characteristics, delayed care, and barriers to care were compared between disability groups. Characteristics associated with delayed care were identified with the multivariable logistic regression model with multiple imputation.
results30.7% of older individuals delayed care. ADL/IADL impairment was associated with delayed care overall and in specific domains. Sociodemographic (e.g., younger age and higher socioeconomic status), clinical (e.g., disability, psychiatric conditions, pain, and severe fatigue), and psychosocial (e.g., concerns about the pandemic, perceived financial insecurity, and loneliness) characteristics were associated with delayed care. Financial barrier to care and fear disproportionately affected those with social and clinical vulnerabilities, whereas reductions in healthcare services had a greater impact on those with socioeconomic well-being.
conclusionEfforts should be directed to increase receipt of needed care among vulnerable older individuals. Both pandemic-induced and long-standing barriers to care among disparate subpopulations should be considered in alternative care delivery models.
Indexed as
Identifiers
What OpenQuestion holds
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.