ArticleBMJ health & care informatics2024
Impact of a pandemic shock on unmet medical needs of middle-aged and older adults in 10 countries.
Article in BMJ health & care informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Factors Associated with Unmet Healthcare Needs in Serbia Before and During the COVID-19 Pandemic: Analysis Based on EU-SILC Data.Healthcare (Basel, Switzerland) · 2026Article
- National trends in the unmet healthcare needs among patients with hypertension or type 2 diabetes mellitus in Korea from 2009 to 2023.Scientific reports · 2025Article
- Identifying determinants of unmet healthcare needs in South Korea: a comparison of machine learning approaches for precision public health.BMC public health · 2025Article
- Unmet Healthcare Needs Among People with Herpes Zoster - 25 PLADs, China, 2019-2024.China CDC weekly · 2025Article
- What was associated with suicide planning in middle-aged and older adults during the COVID-19 lockdown?Archives of public health = Archives belges de sante publique · 2025Article
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Authors and funding
5 authors.
Funding
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Abstract
objectiveThe objective is to explore the impact of the pandemic shock on the unmet medical needs of middle-aged and older adults worldwide.
methodsThe COVID-19 pandemic starting in 2020 was used as a quasiexperiment. Exposure to the pandemic was defined based on an individual's context within the global pandemic. Data were obtained from the Integrated Values Surveys. A total of 11 932 middle-aged and older adults aged 45 years and above from 10 countries where the surveys conducted two times during 2011 and 2022 were analysed. We used logistic regression models with the difference-in-difference method to estimate the impact of pandemic exposure on unmet medical needs by comparing differences before and after the pandemic across areas with varying degrees of severity.
resultsAmong the 11 932 middle-aged and older adults, 3647 reported unmet medical needs, with a pooled unmet rate of 30.56% (95% CI: 29.74% to 31.40%). The pandemic significantly increased the risk of unmet medical needs among middle-aged and older adults (OR: 2.33, 95% CI: 1.94 to 2.79). The deleterious effect of the pandemic on unmet medical needs was prevalent among middle-aged adults (2.53, 2.00 to 3.20) and older adults (2.00, 1.48 to 2.69), as well as among men (2.24, 1.74 to 2.90) and women (2.34, 1.82 to 3.03). The results remained robust in a series of sensitivity analyses.
conclusionThese findings suggest that efforts should be made by policymakers and healthcare professionals to balance healthcare resources to adequately address the comprehensive healthcare demands of individuals regarding multiple health issues, taking into account the challenges posed by pandemics.
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