Evidence map›Paper›PMID 39869439›Full record

ArticleThe Gerontologist2025

An Intersectional Perspective on Digital Health: Longitudinal Narratives and Observations With Older and Middle-Aged Women Experiencing Homelessness.

Sophie Nadia Gaber, Elisabet Mattsson, Anna Klarare, Joanna Dawes, Penny Rapaport, Women’s Advisory Board for Inclusion Health

Abstract read
In one paragraph

Article in The Gerontologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Sophie Nadia GaberDepartment of Women's and Children's Health, Healthcare Services and e-Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-5804-0433
Elisabet MattssonDepartment of Women's and Children's Health, Healthcare Services and e-Health, Uppsala University, Uppsala, Sweden.
Anna KlarareDepartment of Women's and Children's Health, Healthcare Services and e-Health, Uppsala University, Uppsala, Sweden.
Joanna DawesInstitute of Epidemiology and Health Care, UCL Collaborative Centre for Inclusion Health, University College London, London, England.
Penny RapaportDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, England.
Women’s Advisory Board for Inclusion Health

Funding

Academic Faculty at Marie Cederschiöld University College, Sweden 2021.4Department of Health and Social CareNIHRNIHR Academy
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPeople experiencing homelessness and older people encounter barriers as health and social care services are increasingly delivered online, however, there is limited knowledge about how this relates to older and middle-aged women experiencing homelessness, especially those from minoritized and/or migrant communities. We aimed to explore how technology, including digital health, can help or hinder older and middle-aged women to navigate paths through and out of homelessness. RESEARCH DESIGN AND

methodsThis 16-month qualitative longitudinal study utilized narrative interviews and participant observations with seven older and two middle-aged women experiencing homelessness, in London, England. Additionally, we observed interactions between the women experiencing homelessness and 2 information and communications technology class facilitators. We collected and analyzed data using a narrative, interpretative approach. An advisory board of women with lived experiences of homelessness supported the interpretation of findings and development of practice and policy recommendations.

resultsWe present our findings as 3 composite narrative vignettes co-constructed with the participants: (1) "No, I'm not taking this telephone appointment"; (2) "Technology doesn't judge you"; and (3) "You have to be a digital person now." The findings illuminate determinants of digital health equity related to aging, gender, and migration status among older and middle-aged women experiencing homelessness. DISCUSSION AND IMPLICATIONS: Using an intersectional lens, we provide recommendations about how to better align digital health to the needs of older and middle-aged women experiencing homelessness. The findings will inform intervention development.

Indexed as

Digital HealthHealth Services AccessibilityIll-Housed PersonsPatient Acceptance of Health CareFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicLondonLongitudinal StudiesMiddle AgedPersonal Narratives as TopicQualitative Researchdigital divideeHealthhomelessqualitative researchWomen’s health

Identifiers

PMID39869439
PMCPMC11973565

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.