Unmet Needs for Help With Mobility Limitations Among Older Adults Aging in Place: The Role of Rurality

Henning‐Smith, Carrie; Lahr, Megan; Mulcahy, John; MacDougall, Hannah

doi:10.1177/08982643231151777

Cited by 10 publications

(7 citation statements)

References 22 publications

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“…The link between these SDH and overall health and well-being in later life is a clear indicator for community-level intervention to improve older adults' efforts to age in community and have their needs met. Health services and concerns about quality schools and activities for teenagers may demonstrate the community-oriented nature in rural areas 46. That is, older adults recognize the importance of enhancing the infrastructure of a community for all residents and that includes caring about the quality of community for youth, which was evident because half of the top 6 indicators related to children/youth (ie, reflecting the concept of generativity).…”

Section: Discussionmentioning

confidence: 99%

Health and Social Determinants Associated With Delay of Care Among Community-Dwelling Rural Older Adults

Decker,

Weaver

2023

Family &Amp; Community Health

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Background: Delaying health care has the capacity to increase morbidity and premature mortality among individuals with chronic and acute health conditions, particularly for those living in rural areas. Objective: The objective of this study was to identify social determinants of health that are associated with delay of care (DOC) among older adults residing in rural areas across the inland northwest. Method: We conducted descriptive, bivariate, and regression analyses using data from a needs assessment designed to identify health needs and service delivery gaps among an economically diverse 8-county region. Result: Most respondents (aged 60+ years) were white, female, with health insurance coverage (n = 1226, mean = 71). Overall, 35% experienced DOC. We used logistic regression to determine the influence of age, sex, health conditions, distance from medical facility, income, and perceived quality of neighborhood on DOC. Individuals with younger age (P = .017), more chronic conditions (P < .001), lower income (P < .001), and lower perceived quality of neighborhood (P = .008) were more likely to experience DOC. Conclusion: These findings highlight risk factors associated with DOC, which can inform prevention efforts championed by community-based organizations, health care providers, and policy makers. Future research is needed to investigate compounding long-term effects of DOC, especially among individuals living in rural areas.

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Section: Discussionmentioning

confidence: 99%

Health and Social Determinants Associated With Delay of Care Among Community-Dwelling Rural Older Adults

Decker,

Weaver

2023

Family &Amp; Community Health

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“…Many TGD people call rural areas home and demonstrate resilience and resourcefulness within those settings (Lahr et al, 2022). In addition, research demonstrates greater social cohesion in the form of “knowing each other well” in rural areas as compared with urban areas (Henning-Smith et al, 2022). However, very little representative research has examined barriers to care among rural TGD populations.…”

Section: New Contributionsmentioning

confidence: 99%

Access to Health Care for Transgender and Gender-Diverse Adults in Urban and Rural Areas in the United States

MacDougall,

Henning-Smith,

Gonzales

et al. 2023

Med Care Res Rev

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The objective of this study is to examine access to care based on gender identity in urban and rural areas, focusing on transgender and gender diverse (TGD) populations. Data on TGD ( n = 1,678) and cisgender adults ( n = 403,414) from the 2019 to 2020 Behavioral Risk Factor Surveillance System were used. Outcome measures were four barriers to care. We conducted bivariate and multivariable logistic regressions to assess associations between access, rurality, and gender identity. Bivariate results show that TGD adults were significantly more likely to experience three barriers to care. In multivariable models, TGD adults were more likely to delay care due to cost in the full sample (adjusted odds ratio [AOR]: 2.00, p < .001), rural subsample (AOR: 2.14, p < .01), and urban subsample (AOR: 1.97, p < .01). This study revealed greater barriers to care for TGD adults, with the most frequent barriers found among rural TGD adults. Increased provider awareness and structural policy changes are needed to achieve health equity for rural TGD populations.

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“…Living arrangements are a personal choice for older rural adults ( 35 ). They prefer to stay at home and in the community ( 36 ), with aging in place ( 37 ). Spouses can provide daily care and emotional support ( 34 ), and living arrangements and support from children can affect the health of older rural adults ( 38 ).…”

Section: Introductionmentioning

confidence: 99%

Physical activity's impact on rural older adult health: The multiple mediating effects of education, income, and psychological capital

Sun

2023

Front. Public Health

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IntroductionThis study aims to explore the influence mechanism of rural older adult health. By examining the mediating roles of education, income, and psychological capital in physical activity's impact on health, this study provides a reference for lifestyle interventions to improve the health level of rural older adults.MethodsThe analysis was conducted on a sample of 1778 rural older adults from CGSS2017, and data were analyzed using PROCESS V4.2 for multiple mediating effects.ResultsThe findings indicate that physical activity impacts rural older adult health through multiple mediating pathways. The mediating role includes seven paths, comprising the independent effects of three mediating variables of income, education, and psychological capital, and the chain mediating effects generated together.DiscussionBased on the influence mechanism of health on rural older adults, optimizing policy focus and developing a precise, interconnected, and sustainable health security system for older adults is necessary. These research results are of practical significance for advancing healthy aging in rural areas.

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Unmet Needs for Help With Mobility Limitations Among Older Adults Aging in Place: The Role of Rurality

Cited by 10 publications

References 22 publications

Health and Social Determinants Associated With Delay of Care Among Community-Dwelling Rural Older Adults

Health and Social Determinants Associated With Delay of Care Among Community-Dwelling Rural Older Adults

Access to Health Care for Transgender and Gender-Diverse Adults in Urban and Rural Areas in the United States

Physical activity's impact on rural older adult health: The multiple mediating effects of education, income, and psychological capital

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