ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2023
Health Insurance Coverage as a Social Determinant of Osteoporosis Diagnosis in a Population-Based Cohort Study of Older American Adults.
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 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.
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Who cites it
9 citing papers in PubMed.
- Insurance Coverage and Distribution of DXA Screening in Saudi Arabia: Evidence from Major Healthcare Settings.Healthcare (Basel, Switzerland) · 2026Article
- Knowledge, attitude, and practice about osteoporosis in women with osteoporosis in Iran.Archives of osteoporosis · 2025Article
- Psychological Disorders Linked to Osteoporosis Diagnoses in a Population-Based Cohort Study of Middle and Older Age United States Adults.The Gerontologist · 2024Article
- 3D Topographical Scanning for the Detection of Osteoporosis.Journal of frailty, sarcopenia and falls · 2024Article
- Development of a diverse osteoporosis screening tool for older US adults from the health and retirement study.Heliyon · 2024Article
- Patient-informed exploration of the aftermath of a diagnostic problem or mistake based on results of a national survey.Frontiers in health services · 2024Article
- Childhood Family Environment and Osteoporosis in a Population-Based Cohort Study of Middle-to Older-Age Americans.JBMR plus · 2023Article
- Adapting forensic case reporting to account for marginalization and vulnerability.Forensic science international. Synergy · 2023Article
- Structural Inequity and Socioeconomic Status Link to Osteoporosis Diagnosis in a Population-Based Cohort of Middle-Older-Age Americans.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Social determinants of health theoretical frameworks identify health insurance coverage as a determinant of older adults' osteoporosis diagnoses, which results in health inequities. In this research, we used the longitudinal Health and Retirement Study dataset of older United States adults, sampled biennially from 2012 to 2016. Logistic regressions estimated odds of osteoporosis diagnosis with and without a bone scan and/or hip fracture, holding insurance type, and health and demographic factors constant. Results were validated using the National Health and Nutrition Examination Survey. Probable underdiagnosing is present in older adults identifying as Black/African American and as males without a bone scan, regardless of fracture status, potentially as products of structural racism and sexism. Models including a bone scan show a reduction in disparities. These findings suggest having a bone scan is still crucial for addressing health inequities in older adults, and remedying barriers to accessing a scan is paramount.
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Registered trials
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