Evidence map›Paper›PMID 38839560›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2024

Barriers to Healthcare and Social Service Utilization Among Rural Older Adults Who Use Drugs.

Beth Prusaczyk, Sandra Tilmon, Joshua Landman, Drake Seibert, David C Colston, Ryan Westergaard, Hannah Cooper, Judith Feinberg, Peter D Friedmann, Vivian F Go and 9 more

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Methadone Versus Buprenorphine/Naloxone: Treatment Outcome Differences Among Individuals Receiving Medications for Opioid Use Disorders in Rural Treatment Settings-A 1-Year Retrospective Cohort Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  2. Syringe Services Participants' Preferences for Wound Care, HIV/Hepatitis C Virus Screening, and Opioid Use Disorder Treatment: A Discrete Choice Experiment.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026
    Article
  3. Article
  4. Article
  5. Metro/Nonmetro Migration as a Risk Factor for Opioid Use Disorder Among Older Medicare Beneficiaries: A Longitudinal Analysis of 2013-2018 Data.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  6. 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

19 authors.

Beth PrusaczykDivision of General Medical Sciences, Department of Medicine, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.ORCID 0000-0001-8495-0836
Sandra TilmonBiological Sciences Division, University of Chicago, Chicago, IL, USA.
Joshua LandmanVanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN, USA.
Drake SeibertMedical School, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0009-0006-5976-3389
David C ColstonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Ryan WestergaardDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Hannah CooperRollins School of Public Health, Emory University, Atlanta, GA, USA.
Judith FeinbergDepartment of Medicine, School of Medicine, West Virginia University, Morgantown, WV, USA.
Peter D FriedmannDepartment of Medicine, University of Massachusetts Chan Medical School-Baystate, Springfield, MA, USA.
Vivian F GoDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Dalia KhouryRTI International, Research Triangle Park, NC, USA.
Todd KorthiusDepartment of Medicine, Oregon Health and Sciences University, Portland, OR, USA.
Sarah MixsonDepartment of Medicine, School of Medicine, University of Washington, Seattle, WA, USA.
Alexandria MoellnerDivision of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Kerry NolteCollege of Health and Human Services, University of New Hampshire, Durham, NH, USA.
Gordon SmithSchool of Public Health, West Virginia University, Morgantown, WV, USA.
April YoungCollege of Public Health, University of Kentucky, Lexington, KY, USA.
Mai T PhoDepartment of Medicine, Section of Infectious Diseases and Global Health, University of Chicago Medical Center, Chicago, IL, USA.
Wiley JenkinsDepartment of Population Science and Policy, Southern Illinois University School of Medicine, Springfield, IL, USA.

Funding

Ending transmission of HIV, HCV, and STDs and overdose in rural communities of people who inject drugs (ETHIC)UH3DA044829 · NIDA · UNIVERSITY OF CHICAGO · PI JENKINS, WILEY, PHO, MAI TUYET · 2019 to 2022
$5.2M
From Biological to Social Processes: Interdisciplinary Training in Life Course ResearchT32HD091058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT A HUMMER, Amanda L Thompson · 2017 to 2026
$4.3M
Improving Alzheimer's Disease and Related Dementias Care in Rural AreasK01AG071749 · NIA · WASHINGTON UNIVERSITY · PI Patricia Elizabeth Prusaczyk · 2022 to 2026
$558k
NIA NIH HHS K01 AG071749NIA NIH HHS L60 AG074170NICHD NIH HHS T32 HD091058NIDA NIH HHS UH3 DA044829
6 · The paper itself

Abstract

The objective of this study was to understand barriers to healthcare and social service utilization among older adults residing in rural areas who use drugs. A cross-sectional survey of persons who use opioids or inject drugs in rural counties with high overdose rates across ten states was conducted. For this analysis, participants were restricted to only the 375 individuals aged 50 and older. They were asked about barriers to utilizing healthcare and social services. Multivariate analyses were conducted. The most common barriers were a lack of transportation and a fear of stigma. The average number of barriers was 2.53. Those who were either uninsured or homeless endorsed 37% more barriers. For every five-year increase in age, the number of barriers reduced by 15%. Efforts to reduce these barriers may include expanding eligibility for transportation and housing services and leveraging trusted community members to broker linkages to providers to overcome stigma.

Indexed as

Health Services AccessibilityRural PopulationSocial WorkAgedCross-Sectional StudiesFemaleHumansIll-Housed PersonsMaleMiddle AgedMultivariate AnalysisOpioid-Related DisordersPatient Acceptance of Health CareSocial StigmaSubstance Abuse, IntravenousTransportationbarriershealthcareruralsocial servicessubstance use

Identifiers

PMID38839560
PMCPMC11560726

What OpenQuestion holds

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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.