Evidence map›Paper›PMID 41952924›Full record

ArticleCureus2026

Social Determinants of Health and Access to Orthopedic Care Among Seniors in Little Havana.

Klaudia Greer, Devon Foster, Jonathan Brutti, Zachary Grand, Blake Padgett, Onelia Lage

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Klaudia GreerDepartment of Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Devon FosterDepartment of Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Jonathan BruttiDepartment of Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Zachary GrandDepartment of Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Blake PadgettDepartment of Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Onelia LageDepartment of Medical Education, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLittle Havana, Miami, Florida, is a predominantly Hispanic neighborhood with many adults and seniors aged 65 and older at risk for osteoarthritis, osteoporosis, and associated fractures. Despite this need, access to orthopedic care is limited by socioeconomic, linguistic, and transportation barriers. This study aims to descriptively characterize community-specific social determinants of health, hip fracture hospitalization rates, and local orthopedic service availability among seniors in Little Havana to identify potential gaps in service availability and inform future research and quality-improvement efforts.

methodsA descriptive, cross-sectional analysis was conducted using publicly available, aggregate-level data from Statistical Atlas and Miami-Dade Matters. The study population comprised adults and seniors aged ≥65 years residing in six Little Havana zip codes (33125, 33128, 33129, 33130, 33135, and 33136). Variables included insurance coverage, poverty rates, English proficiency, transportation access, hip fracture hospitalization rates, and orthopedic clinic distribution. Data were summarized across zip codes using means and standard deviations and descriptively compared with Miami-Dade County averages. No inferential statistical testing was performed.

resultsPublic health data showed that seniors in Little Havana had higher rates of foreign-born status (62.6% ± 10.7% vs. 54.1% countywide) and limited English proficiency (66.5% ± 22.4% vs. 54.1% countywide). The adult uninsured rate was 31.1% ± 9.2%, compared with 21.8% countywide, and 39.8% ± 13.7% of seniors lived in poverty, compared with 21.2% countywide. Transportation barriers were notable, with 23.3% ± 10.1% of households lacking a vehicle. Hip fracture hospitalization rates were substantially higher than county levels (female residents: 462.4 vs. 254.2; male residents: 350.8 vs. 122.5 per 100,000). Only seven orthopedic centers serve the neighborhood, with none in the highest need zip code.

conclusionAdults and seniors in Little Havana are disproportionately affected by social determinants of health that may limit access to orthopedic care, including inadequate insurance coverage, lack of transportation, language barriers, and gaps in local service availability. These findings identify key areas where targeted interventions may help reduce disparities and improve orthopedic outcomes in this population, such as expanding insurance coverage, strengthening translation services, improving transportation support, and increasing the availability of local orthopedic care.

Indexed as

access to carehispanic populationorthopedicsseniorssocial determinants of health

Identifiers

PMID41952924
PMCPMC13056266

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.