ArticleGeriatric nursing (New York, N.Y.)
Exploring social determinants of healthcare and cognition levels among diverse older adults.
Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Comprehensive social determinants of health and brain health in midlife.The journal of prevention of Alzheimer's disease · 2026Article
- Neighborhood environmental deprivation predicts the generalized neurocognitive deficit in schizophrenia.Schizophrenia research · 2026Article
- Overall and Avoidable Healthcare Utilization among Heterogeneous Hispanic/Latino Ethnic Groups with Cognitive Impairment in the Study of Latinos-Investigation of Neurocognitive Aging (SOL-INCA).Journal of racial and ethnic health disparities · 2026Article
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6 authors.
Funding
Abstract
backgroundThe purpose was to investigate the impact of social determinants of health on healthcare utilization among older adults in two cognition groups: normal and dementia/impaired cognition.
methodsWe used cross-sectional data from the Health and Retirement Study (N = 16,339) to assess healthcare utilization: hospital stay, nursing home stay, hospice care, and doctor visits. The respondents were classified into two cognition groups using the Langa-Weir approach.
resultsA cohort comparison between normal (mean age = 66.1) and dementia/impaired cognition (mean age = 71.9) groups revealed dementia/impaired group included more individuals from racial and ethnic minorities (42.7 % Black/Other, 20.8 % Hispanic) compared to the normal cognition (24.7 % Black/Other, 12.1 % Hispanic). They experienced longer hospital, nursing home, and hospice stays and varied doctor visit frequencies. These differences were influenced by race, age, marital status, education, and rurality.
conclusionSocial determinants of health play an important role in predicting disparities in healthcare utilization among older adults across cognition levels.
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Registered trials
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