Evidence map›Paper›PMID 40097773›Full record

ArticleNature aging2025

Absence of care among community-dwelling older adults with dementia and functional limitations.

Zhuoer Lin, Yuting Qian, Thomas M Gill, Xiaohui Hou, Heather Allore, Shanquan Chen, Xi Chen

Abstract read
In one paragraph

Article in Nature aging, 2025. 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. Article
  2. Article
  3. Review
  4. Article
  5. 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

7 authors.

Zhuoer Lin *Division of Health Policy and Administration, School of Public Health, University of Illinois Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-3937-2293
Yuting Qian *Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA.
Thomas M GillDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-6450-0368
Xiaohui HouThe World Bank, Washington, DC, USA.
Heather AlloreDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-7685-8175
Shanquan ChenInternational Centre for Evidence in Disability, Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK. shanquan.chen@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-4724-4892
Xi ChenDepartment of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA. xi.chen@yale.edu.ORCID http://orcid.org/0000-0002-2058-0351

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER, CHRISTOPHER H VAN DYCK · 2020 to 2026
$30.2M
A Life Course Approach to Understanding Racial and Ethnic Disparities in Alzheimer's Disease and Related Dementias and Health CareR01AG077529 · NIA · YALE UNIVERSITY · PI Xi Chen · 2022 to 2026
$3.6M
Social Pension, Health, and Healthy AgingK01AG053408 · NIA · YALE UNIVERSITY · PI CHEN, XI · 2018 to 2021
$514k
NIA NIH HHS K01 AG053408NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG066508NIA NIH HHS R01 AG077529U.S. Department of Health & Human Services | National Institutes of Health (NIH) P30AG021342U.S. Department of Health & Human Services | National Institutes of Health (NIH) P30AG021342; P30AG066508U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AG077529; K01AG053408; P30AG021342; P30AG066508
6 · The paper itself

Abstract

Assistance with daily activities is crucial for persons living with dementia and functional limitations, yet many face substantial challenges in accessing adequate care and support. Using harmonized longitudinal survey data (2012-2018) from the United States, England, 18 European countries, Israel and China, we found that at least one-fifth of persons with dementia and functional limitations received no personal assistance for basic activities of daily living or instrumental activities of daily living, regardless of regional development level. Care gaps were widespread across both basic activities of daily living or instrumental activities of daily living limitations, as well as for informal and formal care. Disparities were evident, with less educated people more likely to lack formal care, whereas those living alone often lacked informal support, resulting in the absence of any care. Alarmingly, care availability showed no improvement over time. Our findings underscore the urgent need for policies to address inequities and ensure critical access to care services for this vulnerable population worldwide.

Indexed as

Activities of Daily LivingDementiaIndependent LivingAgedAged, 80 and overChinaEnglandEuropeFemaleHealth Services AccessibilityHumansIsraelLongitudinal StudiesMaleUnited States

Identifiers

PMID40097773
PMCPMC12003173

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.