Evidence map›Paper›PMID 37434547›Full record

ArticleThe Gerontologist2024

Race/Ethnicity, Nativity, and Gender Disparities in Unmet Care Needs Among Older Adults in the United States.

Zhiyong Lin, Hui Liu

Open access · greenAbstract read
In one paragraph

Article in The Gerontologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
9.2field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Trends in Assisted Living and Memory Care Supply From 2019 to 2023.Journal of the American Medical Directors Association · 2025
    Article
  6. Evolution of shared care networks by race and ethnicity: findings from the National Health and Aging Trends Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Racial-Ethnic Differences in Care Networks of Older Adults: Empirical Exploration of Possible Explanations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  11. Social Isolation and Subjective Well-Being Among Older Adults: A Longitudinal Examination by Race/Ethnicity and Gender.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  12. Article
  13. Article
  14. Care Need, Caregiver Availability, and Care Receipt: Variations Across Countries and Over Time in Three Middle-Income Countries.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  15. Article
  16. Article
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

2 authors at 2 institutions in 1 country.

Zhiyong LinDepartment of Sociology, The University of Texas at San Antonio, San Antonio, Texas, USA.ORCID 0000-0002-1238-7658
Hui LiuCenter on Aging and the Life Course and Department of Sociology, Purdue University, West Lafayette, Indiana, USA.ORCID 0000-0001-5519-148X
Purdue University West Lafayette · USThe University of Texas at San Antonio · US

Funding

Program Development and Pilot CoreP30AG066614 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI KAREN L FINGERMAN · 2020 to 2026
$5.2M
Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
Marriage, Cognitive Trajectories and ADRD Risk in Late LifeR01AG061118 · NIA · PURDUE UNIVERSITY · PI LIU, HUI · 2019 to 2022
$1.1M
NIA NIH HHS P30 AG066614NIA NIH HHS P30AG066614NIA NIH HHS R01 AG061118NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough disparities in disability and the unequal distribution of care resources are widely discussed in the literature, there has been less research on disparities in experiencing unmet care needs among older adults. This study aims to investigate how unmet care needs are unevenly distributed across social groups with various intersecting identities, such as race/ethnicity, nativity, and gender, although considering their care needs and care networks, drawing on the conceptual framework of the pathway to unmet needs. RESEARCH DESIGN AND

methodsThe data for this study came from the National Health and Aging Trends Study (2011-2018), and the study sample consisted of 7,061 Medicare beneficiaries who needed assistance with daily activities. Questions about unmet care needs were in the form of consequences related to difficulty or lack of help with daily activities. Mixed-effects negative binomial regression models were used to predict rates of unmet needs.

resultsOlder adults of color, especially women, experienced higher rates of unmet care needs compared with their White and male counterparts. Although Black-White and gender differences in unmet needs were mostly explained by unequal exposures to care needs and differential care networks, Hispanic women and foreign-born Hispanic men were still at a disadvantage even after adjusting for these covariates. DISCUSSION AND IMPLICATIONS: These results emphasize the importance of adopting an intersectional approach to enhance the quality of long-term services and support for older adults facing social disadvantages.

Indexed as

EthnicityMedicareAgedAgingBlack or African AmericanFemaleHispanic or LatinoHumansMaleModels, StatisticalUnited StatesWhiteHealth disparitiesIntersectionalityLong-term careMinority aging

Identifiers

PMID37434547
PMCPMC10943507
OpenAlexW4383980384

What OpenQuestion holds

Textmetadata
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.