Evidence map›Paper›PMID 40450959›Full record

ArticleArchives of gerontology and geriatrics2025

Beyond the "European health divide": Functional limitation disparities among older adults in Central and Eastern Europe.

Shane D Burns, Liili Abuladze, Luule Sakkeus

Erratum issuedAbstract read
In one paragraph

Article in Archives of gerontology and geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

3 authors.

Shane D BurnsPopulation Studies Center, University of Michigan, Ann Arbor, MI 48109, USA. Electronic address: shanebur@umich.edu.
Liili AbuladzeEstonian Institute for Population Studies, Tallinn University, 10120 Tallinn, Estonia.
Luule SakkeusEstonian Institute for Population Studies, Tallinn University, 10120 Tallinn, Estonia.

Funding

TRAINING IN THE DEMOGRAPHY OF AGINGT32AG000221 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Sarah A. Burgard · 1992 to 2026
$15.3M
NIA NIH HHS T32 AG000221
6 · The paper itself

Abstract

objectivesCountries in Central and Eastern Europe (CEE) generally have worse health outcomes than the rest of Europe, commonly referred to as the "European health divide". Regional specificities and historical pathways can shape health outcomes later in life, although variance of older adult functional limitation within CEE is understudied.

methodsWe used wave 9 (2021-2022) data (n = 18,903) from the Survey of Health, Ageing and Retirement in Europe (SHARE) with mixed effects regression models to analyze difficulty with mobility, near vision, hearing, and episodic memory among those ages 65+ in the Baltic States (Estonia; Latvia; Lithuania), Visegrád Group (Czechia; Hungary; Poland; Slovakia), Former Yugoslavia (Croatia; Slovenia), and the Black Sea (Bulgaria; Romania) while accounting for demographic, socioeconomic, health, and social tie indicators.

resultsAge-adjustments showed the highest difficulty rates of: mobility in Romania and Hungary, near vision in Latvia and Bulgaria, hearing in Estonia and Poland, and episodic memory in Poland and Croatia. Compared to the Baltic States, odds of reporting mobility difficulty were greater in the Black Sea but accounted for by socioeconomic factors. Fully adjusted odds of reporting near vision difficulty were lower in Visegrád Group and Former Yugoslavia. Fully adjusted odds of reporting hearing difficulty were lower in Visegrád Group, Former Yugoslavia, and the Black Sea. There were no regional differences in episodic memory. DISCUSSION: Functional limitation disparities, which were largely shaped by socioeconomic factors, varied throughout CEE. These findings highlight the heterogenous health and long-term care needs of older adults throughout CEE.

Indexed as

Health Status DisparitiesMobility LimitationAgedAged, 80 and overAgingEuropeEurope, EasternFemaleHumansMaleMemory, EpisodicSocioeconomic FactorsCognitionDisablement processEducationHearingMobilityVision

Identifiers

PMID40450959
PMCPMC12175148

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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.