Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults

2020 ◽  
Vol 68 (8) ◽  
pp. 1731-1738 ◽  
Author(s):  
Taeho Greg Rhee ◽  
Richard A. Marottoli ◽  
Leo M. Cooney ◽  
Richard H. Fortinsky
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Functional Limitations ◽  
Determinants Of Health ◽  
Health Index ◽  
Health Services Use ◽  
Behavioral Determinants ◽  
Self Rated Health ◽  
Services Use

scholarly journals Black–White Disparities in Social and Behavioral Determinants of Health Index and Their Associations with Self-rated Health and Functional Limitations in Older Adults

2020 ◽  
Author(s):  
Taeho Greg Rhee ◽  
Kathy Lee ◽  
Jean J Schensul
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Functional Limitations ◽  
Cumulative Risk ◽  
The United States ◽  
Determinants Of Health ◽  
Risk Scores ◽  
Behavioral Determinants ◽  
Black And White ◽  
Self Rated Health

Abstract Background To characterize cumulative risk scores of social and behavioral determinants of health (SDoH) and examine their association with self-rated general health and functional limitations between non-Hispanic black and white older adults in the United States. Method We used data from the 2013–2014 National Health and Nutrition Examination Survey (NHANES), with a nationally representative sample of black and white adults aged 65 or older (n = 954 unweighted). We quantified the cumulative risk scores of SDoH (eg, food insecurity, education and poverty), ranging from 0 (no risk at all) to 8 (highest risk), and used multivariable-adjusted logistic and Poisson regression analyses to assess the association of SDoH by racial group with self-rated health and functional limitations, adjusting for other covariates. Results Black older adults had a higher mean cumulative risk score than white counterparts (2.3 ± 2.1 vs 1.5 ± 1.0; p < .001). Black older adults were more likely to report lower self-rated health than white older adults in each of SDoH domains (p < .01 for each). In multivariable-adjusted analyses, black older adults were more likely to report lower self-rated health than white older adults (p < .01 for all) regardless of SDoH risk factors. However, those with high SDoH risk factors (ie, ≥3 risk factors) were more likely to report functional limitations than those in the low-risk group (ie, <3 risk factors) in both racial groups (p < .01 for all). Conclusion SDoH-related black–white disparities remain persistent in older age. In particular, SDoH index scores for black and white older adults were differentially associated with functional limitations. Addressing SDoH should be an important consideration in reducing gaps in black–white disparities of functioning.

scholarly journals The Clinical Frailty Scale and Health Services Use for Older Adults in the Emergency Department

2020 ◽  
Author(s):  
Peter Serina ◽  
Alexander X. Lo ◽  
Masha Kocherginsky ◽  
Elizabeth Gray ◽  
Lee A. Lindquist ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Health Services ◽  
Health Services Use ◽  
Clinical Frailty Scale ◽  
Services Use

Mortality, Health Services Use, and Health Behavior in a Cohort of Well Older Adults

1999 ◽  
Vol 47 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Judith A. Malmgren ◽  
Thomas D. Koepsell ◽  
Diane P. Martin ◽  
Paula Diehr ◽  
Andrea Z. LaCroix
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Health Behavior ◽  
Health Services Use ◽  
Services Use

Health services use by older adults in an urban public health system

2005 ◽  
Vol 23 (2) ◽  
pp. 233-234 ◽  
Author(s):  
Kevin M. Terrell ◽  
Carey D. Chisholm ◽  
Roland B. McGrath ◽  
Anthony J. Perkins ◽  
Amna B. Buttar ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Health Services ◽  
Health System ◽  
Public Health System ◽  
Health Services Use ◽  
Services Use

Accuracy of Self-Reported Health Services Use and Patterns of Care Among Urban Older Adults

Medical Care ◽  
1999 ◽  
Vol 37 (7) ◽  
pp. 662-670 ◽  
Author(s):  
Daniel B. Wallihan ◽  
Timothy E. Stump ◽  
Christopher M. Callahan
Keyword(s):  
Older Adults ◽  
Health Services ◽  
Patterns Of Care ◽  
Health Services Use ◽  
Reported Health ◽  
Services Use

Assisted self-report of health-services use showed excellent reliability in a longitudinal study of older adults

2007 ◽  
Vol 60 (10) ◽  
pp. 1040-1045 ◽  
Author(s):  
Marie-France Dubois ◽  
Michel Raîche ◽  
Réjean Hébert ◽  
N'Deye Rokhaya Gueye
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Health Services ◽  
Self Report ◽  
Health Services Use ◽  
Services Use
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