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

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  • Additional Information
    • Author(s):
    • Abstract:
      OBJECTIVES To characterize the cumulative risk factors of social and behavioral determinants of health (SDoH) and examine their association with self‐rated general health, functional limitations, and use of health services among US older adults. DESIGN Cross‐sectional analysis of the 2013‐2014 National Health and Nutrition Examination Survey. SETTING Nationally representative health interview survey in the United States. PARTICIPANTS Survey respondents aged 65 or older (n = 1,306 unweighted). MEASUREMENTS A cumulative risk score of SDoH, developed by the National Academy of Medicine expert panel, was assessed using validated measures. Outcome variables included self‐rated general health, functional limitations (eg, activities of daily living), and use of health services (eg, usual source of care and overnight hospitalization). We quantified the cumulative risk score of SDoH in older adults and used multivariable‐adjusted logistic and Poisson regression analyses to assess the association of SDoH with self‐rated health, functional limitations, and use of health services, adjusting for other covariates. RESULTS: About 25.7% of older adults, representative of 11.0 million people nationwide, reported having three or more cumulative SDoH risk factors. These older adults were more likely to have functional limitations (eg, activities of daily living) and less likely to report their general health as "very good" or "excellent" than those with two or fewer cumulative SDoH risk factors (P <.001 for each). Each additional cumulative SDoH risk factor was associated with increased odds of not having a usual source of care (adjusted odds ratio = 1.57; 95% confidence interval = 1.09‐2.27). CONCLUSION: The SDoH index score may be a useful tool to predict access to care and quality of care in older adults. J Am Geriatr Soc 68:1731‐1738, 2020. ABSTRACT FROM AUTHOR (Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.)
    • Accession Number:
      HEALTH & social status; SOCIAL factors; ODDS ratio; functional limitations; health services use; self‐rated health; social determinants of health
    • Publication Information:
      Publication Type: Journal Article ISSN: 0002-8614
    • Accession Number:
      EP145116440
  • Citations
    • ABNT:
      RHEE, T. G. et al. Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults. Journal of the American Geriatrics Society, [s. l.], v. 68, n. 8, p. 1731–1738, 2020. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440. Acesso em: 19 out. 2020.
    • AMA:
      Rhee TG, Marottoli RA, Cooney LM, Fortinsky RH. Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults. Journal of the American Geriatrics Society. 2020;68(8):1731-1738. Accessed October 19, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440
    • APA:
      Rhee, T. G., Marottoli, R. A., Cooney, L. M., & Fortinsky, R. H. (2020). Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults. Journal of the American Geriatrics Society, 68(8), 1731–1738.
    • Chicago/Turabian: Author-Date:
      Rhee, Taeho Greg, Richard A. Marottoli, Leo M. Cooney, and Richard H. Fortinsky. 2020. “Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults.” Journal of the American Geriatrics Society 68 (8): 1731–38. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440.
    • Harvard:
      Rhee, T. G. et al. (2020) ‘Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults’, Journal of the American Geriatrics Society, 68(8), pp. 1731–1738. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440 (Accessed: 19 October 2020).
    • Harvard: Australian:
      Rhee, TG, Marottoli, RA, Cooney, LM & Fortinsky, RH 2020, ‘Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults’, Journal of the American Geriatrics Society, vol. 68, no. 8, pp. 1731–1738, viewed 19 October 2020, .
    • MLA:
      Rhee, Taeho Greg, et al. “Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults.” Journal of the American Geriatrics Society, vol. 68, no. 8, Aug. 2020, pp. 1731–1738. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440.
    • Chicago/Turabian: Humanities:
      Rhee, Taeho Greg, Richard A. Marottoli, Leo M. Cooney, and Richard H. Fortinsky. “Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults.” Journal of the American Geriatrics Society 68, no. 8 (August 1, 2020): 1731–38. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440.
    • Vancouver/ICMJE:
      Rhee TG, Marottoli RA, Cooney LM, Fortinsky RH. Associations of Social and Behavioral Determinants of Health Index with Self‐Rated Health, Functional Limitations, and Health Services Use in Older Adults. Journal of the American Geriatrics Society [Internet]. 2020 Aug 1 [cited 2020 Oct 19];68(8):1731–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=gnh&AN=EP145116440