Evidence map›Paper›PMID 39843380›Full record

ArticleBMJ open2025

Which unmet social care needs have the biggest impact on healthy ageing? An analysis of data from the English Longitudinal Study of Ageing.

Gemma F Spiers, Laurie E Davies, David Sinclair, Michelle M C Tan, Andrew Kingston, Barbara Hanratty

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Gemma F SpiersNewcastle University, Newcastle upon Tyne, UK gemma-frances.spiers@newcastle.ac.uk.ORCID http://orcid.org/0000-0003-2121-4529
Laurie E DaviesNewcastle University, Newcastle upon Tyne, UK.
David SinclairNewcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-3468-7475
Michelle M C TanNewcastle University, Newcastle upon Tyne, UK.
Andrew KingstonNewcastle University, Newcastle upon Tyne, UK.
Barbara HanrattyNewcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-3122-7190

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimUnmet need for social care is linked to numerous adverse health outcomes. Understanding which unmet needs have the biggest impact on healthy ageing could help resource-stretched services prioritise care. To address this evidence gap, our analysis aimed to explore the association between selected individual unmet care needs and an indicator of healthy ageing. DESIGN AND DATA: Cross-sectional analysis of data from the English Longitudinal Study of Ageing (Wave 9). A total of 6109 people aged 50 years or over, with complete data items, formed the basis for this analysis. MEASURES: Absolute unmet need for help with each: walking 100 yards and climbing one flight of steps (mobility); managing money, managing medication, doing housework and shopping for groceries (instrumental activities of daily living (IADLs)); and dressing, walking across a room, bathing or showering, eating, using the toilet and getting in and out of bed (activities of daily living (ADLs)). Our outcome measure was poor self-rated health .

resultsAssociations between poor self-rated health and most unmet ADL, IADL and mobility needs were not statistically significant. People with an unmet need for support with managing money were nine times more likely to report poor self-rated health than those whose support needs were met in this domain (OR=9.23, 95% CI: 2.12 to 40.23). In a comparison of people with met and unmet needs, individuals with met needs had higher levels of dependency than those with unmet needs.

conclusionsSome unmet needs may be especially consequential for older people's health. However, shortcomings in current data limit a clear and confident assessment of this. Our analysis highlights the importance of data on the level of need to better understand the link between unmet care needs and healthy ageing.

Indexed as

Activities of Daily LivingAgingHealth Services Needs and DemandHealthy AgingNeeds AssessmentAgedAged, 80 and overCross-Sectional StudiesEnglandFemaleHealth StatusHumansLongitudinal StudiesMaleMiddle AgedAgedHealth EquityHealth Services for the Aged

Identifiers

PMID39843380
PMCPMC11758690

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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.