{"id":"https://openalex.org/W7118098112","doi":"https://doi.org/10.1093/geroni/igaf122.2997","title":"Social Connectedness as Facilitators of Healthcare Access for Older Adults Living Alone with Disabilities","display_name":"Social Connectedness as Facilitators of Healthcare Access for Older Adults Living Alone with Disabilities","publication_year":2025,"publication_date":"2025-12-01","ids":{"openalex":"https://openalex.org/W7118098112","doi":"https://doi.org/10.1093/geroni/igaf122.2997"},"language":"en","primary_location":{"id":"doi:10.1093/geroni/igaf122.2997","doi":"https://doi.org/10.1093/geroni/igaf122.2997","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igaf122.2997","pdf_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.2997/66233051/igaf122.2997.pdf","source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.2997/66233051/igaf122.2997.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066178911","display_name":"Natalie R. Turner","orcid":"https://orcid.org/0000-0002-0351-458X","observed_orcids":["https://orcid.org/0000-0002-0351-458X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natalie Turner","raw_affiliation_strings":["University of Washington, Seattle, Washington ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Washington, Seattle, Washington ,","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100737618","display_name":"Hyun\u2010Jun Kim","orcid":"https://orcid.org/0000-0002-6381-0487","observed_orcids":["https://orcid.org/0000-0002-6381-0487"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hyun-Jun Kim","raw_affiliation_strings":["University of Washington, Seattle, Washington ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Washington, Seattle, Washington ,","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013586990","display_name":"Hailey H. Jung","orcid":"https://orcid.org/0000-0002-2230-6743","observed_orcids":["https://orcid.org/0000-0002-2230-6743"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hailey Jung","raw_affiliation_strings":["University of Washington, Seattle, Washington ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Washington, Seattle, Washington ,","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078186590","display_name":"Karen I. Fredriksen\u2010Goldsen","orcid":"https://orcid.org/0000-0002-7846-349X","observed_orcids":["https://orcid.org/0000-0002-7846-349X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen Fredriksen-Goldsen","raw_affiliation_strings":["University of Washington, Seattle, Washington ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Washington, Seattle, Washington ,","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I201448701"],"apc_list":{"value":3977,"currency":"USD","value_usd":3977},"apc_paid":{"value":3977,"currency":"USD","value_usd":3977},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.55264663,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"Supplement_2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.6226000189781189,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.6226000189781189,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.29760000109672546,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13695","display_name":"Aging, Elder Care, and Social Issues","score":0.05429999902844429,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-connection","display_name":"social connectedness","score":0.8339999914169312},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.9760000109672546},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7440000176429749},{"id":"https://openalex.org/keywords/living-alone","display_name":"living alone","score":0.9319999814033508},{"id":"https://openalex.org/keywords/disability","display_name":"disability","score":0.9139999747276306},{"id":"https://openalex.org/keywords/social-networks","display_name":"social networks","score":0.7250000238418579},{"id":"https://openalex.org/keywords/routine-check-ups","display_name":"routine checkups","score":0.7179999947547913},{"id":"https://openalex.org/keywords/usual-source-of-care","display_name":"usual source of care","score":0.9990000128746033},{"id":"https://openalex.org/keywords/personal-physician","display_name":"personal physician","score":0.7559999823570251},{"id":"https://openalex.org/keywords/health-literacy","display_name":"health literacy","score":0.9789999723434448},{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.9129999876022339},{"id":"https://openalex.org/keywords/social-isolation","display_name":"social isolation","score":0.9190000295639038},{"id":"https://openalex.org/keywords/intersectionality","display_name":"intersectionality","score":0.7760000228881836}],"concepts":[{"id":"https://openalex.org/C201943243","wikidata":"https://www.wikidata.org/wiki/Q7551008","display_name":"Social connectedness","level":2,"score":0.567799985408783},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5662999749183655},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5103999972343445},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.4943999946117401},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.476500004529953},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4447000026702881},{"id":"https://openalex.org/C2780700307","wikidata":"https://www.wikidata.org/wiki/Q1373709","display_name":"Independent living","level":2,"score":0.4406000077724457},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.4219000041484833},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.41620001196861267},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.4142000079154968},{"id":"https://openalex.org/C2781164080","wikidata":"https://www.wikidata.org/wiki/Q7448186","display_name":"Self-rated health","level":2,"score":0.3799999952316284},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.35089999437332153},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.33149999380111694},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.3215999901294708},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3070000112056732},{"id":"https://openalex.org/C9701087","wikidata":"https://www.wikidata.org/wiki/Q1283504","display_name":"Social engagement","level":2,"score":0.30469998717308044},{"id":"https://openalex.org/C2780176501","wikidata":"https://www.wikidata.org/wiki/Q5690755","display_name":"Health and Retirement Study","level":2,"score":0.302700012922287},{"id":"https://openalex.org/C2780001913","wikidata":"https://www.wikidata.org/wiki/Q1516555","display_name":"Intersectionality","level":2,"score":0.28769999742507935},{"id":"https://openalex.org/C4727928","wikidata":"https://www.wikidata.org/wiki/Q17164759","display_name":"Social network (sociolinguistics)","level":3,"score":0.2736999988555908},{"id":"https://openalex.org/C2780600951","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic condition","level":3,"score":0.2709999978542328},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.2567000091075897},{"id":"https://openalex.org/C130064352","wikidata":"https://www.wikidata.org/wiki/Q853725","display_name":"Social relation","level":2,"score":0.251800000667572}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/geroni/igaf122.2997","doi":"https://doi.org/10.1093/geroni/igaf122.2997","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igaf122.2997","pdf_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.2997/66233051/igaf122.2997.pdf","source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12760532","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12760532/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Innov Aging","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/geroni/igaf122.2997","doi":"https://doi.org/10.1093/geroni/igaf122.2997","is_oa":true,"landing_page_url":"https://doi.org/10.1093/geroni/igaf122.2997","pdf_url":"https://academic.oup.com/innovateage/article-pdf/9/Supplement_2/igaf122.2997/66233051/igaf122.2997.pdf","source":{"id":"https://openalex.org/S2735557189","display_name":"Innovation in Aging","issn_l":"2399-5300","issn":["2399-5300"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310311647","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/P4310311647"],"host_organization_lineage_names":["University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Innovation in Aging","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.7578999996185303,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"score":0.8791025280952454,"display_name":"Quality education","id":"https://metadata.un.org/sdg/4"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W7118098112.pdf"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Older":[1],"adults":[2,173],"with":[3,27,34,176,187,190,199,208,249],"disabilities":[4,28,35],"experience":[5],"challenges":[6],"accessing":[7],"healthcare,":[8],"resulting":[9],"in":[10,94],"preventable":[11],"morbidity":[12],"and":[13,51,60,66,84,91,106,125,132,142,157,212,219],"mortality.":[14],"Of":[15],"particular":[16],"concern":[17],"is":[18,184,205],"the":[19,46,56,63,74,114,120,225,232],"disproportionate":[20],"prevalence":[21],"of":[22,32,76,81,104,166,182,216,227,231],"living":[23,41,133,174,197,220,247],"alone":[24,42,175,198,248],"among":[25,195,242],"people":[26,33],"\u2013":[29],"over":[30],"30%":[31],"live":[36],"alone.":[37],"While":[38],"reflecting":[39],"autonomy,":[40],"can":[43],"contribute":[44],"to":[45,117],"disablement":[47],"process,":[48],"social":[49,77,233],"isolation,":[50],"increased":[52],"healthcare":[53,96,126,240],"needs.":[54],"Using":[55],"Network":[57],"Episode":[58],"Model":[59],"data":[61],"from":[62],"Health":[64],"Equity":[65],"Intersectionality":[67],"Study":[68],"(n":[69],"=":[70],"260),":[71],"we":[72],"examine":[73,118],"role":[75],"connections":[78],"as":[79,87,89],"facilitators":[80],"health":[82,155,188,210],"information":[83,160],"service":[85],"navigation":[86],"well":[88],"individual":[90],"structural":[92],"factors":[93],"predicting":[95],"access":[97,127,241],"measured":[98],"by":[99,129],"routine":[100,168],"checkups,":[101],"usual":[102,180],"source":[103,181],"care,":[105],"having":[107,147],"a":[108,163,179,202,228],"personal":[109,203],"doctor.":[110],"We":[111],"further":[112],"estimate":[113],"interaction":[115],"effects":[116],"if":[119],"relationships":[121],"between":[122],"these":[123],"predictors":[124],"differ":[128],"disability":[130,217],"status":[131,218],"arrangements.":[134,221],"Logistic":[135],"regression":[136],"analyses,":[137],"controlling":[138],"for":[139,154,171],"chronic":[140],"conditions":[141],"sociodemographic":[143],"characteristics,":[144],"reveal":[145],"that":[146,235],"more":[148,193],"core":[149],"confidants":[150],"who":[151],"provide":[152],"support":[153],"needs":[156],"share":[158],"health-related":[159],"significantly":[161,185],"predicts":[162],"higher":[164],"likelihood":[165],"receiving":[167],"check-ups,":[169],"especially":[170],"older":[172,243],"disabilities.":[177,200,250],"Having":[178,201],"care":[183],"associated":[186,207],"literacy,":[189],"this":[191],"relationship":[192],"pronounced":[194],"those":[196,246],"doctor":[204],"positively":[206],"both":[209],"literacy":[211],"help-seeking":[213],"behaviors":[214],"regardless":[215],"Our":[222],"findings":[223],"inform":[224],"development":[226],"conceptual":[229],"model":[230],"dynamics":[234],"either":[236],"facilitate":[237],"or":[238],"impede":[239],"adults,":[244],"particularly":[245]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2026-01-03T00:00:00"}
