Evidence map›Paper›PMID 40036606›Full record

ArticleThe Gerontologist2025

Informal Care Receiving Among Older Adults: The Role of Multimorbidity and Intersectional Social Position.

Ruotong Liu, Corey L Nagel, Siting Chen, Heather G Allore, Ana R Quiñones

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Prevalence, Risk Factors, and Multimorbidity Patterns in Climacteric Women with Hypertension.International journal of environmental research and public health · 2025
    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

5 authors.

Ruotong LiuDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0002-4861-7160
Corey L NagelCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0003-3725-500X
Siting ChenOHSU-PSU School of Public Health, Portland, Oregon, USA.ORCID 0000-0002-1875-9248
Heather G AlloreDepartment of Internal Medicine, Yale University, New Haven, Connecticut, USA.ORCID 0000-0001-7685-8175
Ana R QuiñonesDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0001-6554-7734

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER · 2020 to 2026
$30.2M
Multimorbidity Combinations and Dementia Onset Among Race/Ethnic Older AdultsRF1AG058545 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI QUINONES, ANA ROMAN · 2019 to 2019
$3.6M
NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG066508NIA NIH HHS RF1 AG058545NIH HHS RF1AG058545Yale Alzheimer's Disease Research Center P30AG066508Yale Claude D. Pepper Older Americans Independence Center P30AG021342
6 · The paper itself

Abstract

BACKGROUND AND

objectivesOlder adults with distinct multimorbidity combinations may require varying intensities of informal care and these needs may vary in important ways by race/ethnicity and sex. This study aims to examine informal care-receiving characteristics among older adults with varying multimorbidity patterns and race/ethnicity-sex characteristics. RESEARCH DESIGN AND

methodsA total of 4,875 participants from the National Health and Aging Trends Study were included. Five clinically informed multimorbidity categories (no condition(s), somatic-only, depression without cognitive impairment, cognitive impairment without depression, both depression, and cognitive impairment) and 6 intersectional groups (non-Hispanic White female, non-Hispanic White male, non-Hispanic Black female, non-Hispanic Black male, Hispanic female, and Hispanic male) were assessed. Negative binomial regression was applied to explore the associations among multimorbidity groups, race/ethnicity and sex combinations, and informal care-receiving characteristics.

resultsCompared with the somatic-only multimorbidity group, individuals with no condition(s) received assistance with fewer ADL/IADL activities, whereas the cognitive impairment multimorbidity group received assistance with more ADL/IADL activities. Across race/ethnicity-sex groups, non-Hispanic White and Black males received assistance with fewer ADL/IADL activities, and no statistical significance was found for non-Hispanic Black females or Hispanics compared with non-Hispanic White female counterparts. Sensitivity analysis examining assistance with only ADL activities revealed the same pattern. DISCUSSION AND IMPLICATIONS: The study highlighted the complexities of informal care-receiving characteristics among older adults, particularly among those with cognitive difficulties, and the ways in which race/ethnicity and sex are associated with care-receiving patterns. The findings highlight a need for person- and family-centered interventions sensitive to the diverse needs of care-recipients and caregivers.

Indexed as

MultimorbidityPatient CareActivities of Daily LivingAgedAged, 80 and overBlack or African AmericanCognitive DysfunctionDepressionEthnicityFemaleHispanic or LatinoHumansMaleSex FactorsUnited StatesWhiteCaregivingCognitive impairmentMultimorbidity

Identifiers

PMID40036606
PMCPMC12036326

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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.