Evidence map›Paper›PMID 41007604›Full record

ArticleInternational journal of environmental research and public health2025

Associations of Place-Based Factors with Service Use and Consumer-Reported Unmet Service Needs Among Older Adults Using Publicly Funded Home- and Community-Based Services in the United States.

Tetyana P Shippee, Romil R Parikh, Nicholas Musinguzi, Benjamin W Langworthy, Jack M Wolf, Stephanie Giordano, Eric Jutkowitz

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 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

7 authors.

Tetyana P ShippeeDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.
Romil R ParikhDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0001-6087-0583
Nicholas MusinguziDivision of Biostatistics and Health Data Science, School of Public Health, University of Minnesota, Minneapolis, MN 55414, USA.
Benjamin W LangworthyDivision of Biostatistics and Health Data Science, School of Public Health, University of Minnesota, Minneapolis, MN 55414, USA.
Jack M WolfDivision of Biostatistics and Health Data Science, School of Public Health, University of Minnesota, Minneapolis, MN 55414, USA.ORCID 0000-0002-8919-8740
Stephanie GiordanoHuman Services Research Institute, Cambridge, MA 02140, USA.
Eric JutkowitzDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.

Funding

Person-Reported and Health Care Utilization Outcomes of Home and Community Based Care Recipients With and Without Alzheimer's Disease and its Related DementiasRF1AG069771 · NIA · UNIVERSITY OF MINNESOTA · PI JUTKOWITZ, ERIC, SHIPPEE, TETYANA P. · 2020 to 2023
$2.4M
Microsimulation Modeling to Compare the Effectiveness and Cost-Effectiveness of Nondrug Interventions to Manage Clinical Symptoms in Racially/Ethnically Diverse Persons with DementiaR01AG060871 · NIA · BROWN UNIVERSITY · PI JUTKOWITZ, ERIC · 2019 to 2022
$1.7M
Person-Reported and Health Care Utilization Outcomes of Home and Community Based Care Recipients With and Without Alzheimer's Disease and its Related DementiasR01AG069771 · NIA · UNIVERSITY OF MINNESOTA · PI JUTKOWITZ, ERIC, SHIPPEE, TETYANA P. · 2024 to 2024
$514k
NIA NIH HHS 1R01AG069771-01 / 1RF1AG069771-01 / 1R01AG060871 / 3RF1AG069771-01S1NIA NIH HHS R01 AG060871NIA NIH HHS R01 AG069771NIA NIH HHS RF1 AG069771
6 · The paper itself

Abstract

Access to home- and community-based services (HCBS) is critical for aging in place; yet many older adults continue to experience unmet needs. While individual-level factors are better-studied, less is known about how neighborhood-level place-based factors (PBFs, e.g., poverty, housing conditions, transportation, and internet access) shape access to and adequacy of HCBS. This study addresses that gap by examining the added explanatory value of PBFs in predicting HCBS use and unmet needs. We analyzed data from 6558 community-dwelling adults aged ≥ 65 years using the 2022-2023 National Core Indicators-Aging & Disability Adult Consumer Survey. Outcomes included use of six HCBS types, consumer-reported unmet needs for each type, and overall unmet HCBS needs. PBFs were measured at the ZIP code level using the 2016-2020 American Community Survey. Nested logistic regression models estimated incremental variance (McFadden's R

Indexed as

Community Health ServicesHealth Services AccessibilityHealth Services Needs and DemandHome Care ServicesIndependent LivingAgedAged, 80 and overFemaleHumansMaleNeighborhood CharacteristicsUnited Statesaging in placeenvironmenthome healthcarelong-term services and supportsneighborhoodsocial determinants of health

Identifiers

PMID41007604
PMCPMC12469763

What OpenQuestion holds

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LicenceCC BY
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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.