{"id":"https://openalex.org/W4401157952","doi":"https://doi.org/10.1093/jamia/ocae205","title":"Assessing how frailty and healthcare delays mediate the association between sexual and gender minority status and healthcare utilization in the <i>All of Us</i> Research Program","display_name":"Assessing how frailty and healthcare delays mediate the association between sexual and gender minority status and healthcare utilization in the <i>All of Us</i> Research Program","publication_year":2024,"publication_date":"2024-07-30","ids":{"openalex":"https://openalex.org/W4401157952","doi":"https://doi.org/10.1093/jamia/ocae205","pmid":"https://pubmed.ncbi.nlm.nih.gov/39078278"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocae205","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocae205","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11631129/pdf/ocae205.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001469181","display_name":"Chelsea Wong","orcid":"https://orcid.org/0000-0003-4315-3923"},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210123879","display_name":"Hebrew SeniorLife","ror":"https://ror.org/02vptss42","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210123879"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Chelsea N Wong","raw_affiliation_strings":["Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife , Boston, MA 02131,","Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA 02445,","Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, United States","Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02445, United States"],"raw_orcid":"https://orcid.org/0000-0003-4315-3923","affiliations":[{"raw_affiliation_string":"Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife , Boston, MA 02131,","institution_ids":["https://openalex.org/I4210123879"]},{"raw_affiliation_string":"Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA 02445,","institution_ids":["https://openalex.org/I1316535847"]},{"raw_affiliation_string":"Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, United States","institution_ids":["https://openalex.org/I4210123879"]},{"raw_affiliation_string":"Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02445, United States","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101536892","display_name":"Louisa H. Smith","orcid":"https://orcid.org/0000-0001-9029-4644"},"institutions":[{"id":"https://openalex.org/I12912129","display_name":"Northeastern University","ror":"https://ror.org/04t5xt781","country_code":"US","type":"education","lineage":["https://openalex.org/I12912129"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Louisa H Smith","raw_affiliation_strings":["Department of Health Sciences, Bouv\u00e9 College of Health Sciences, Northeastern University , Boston, MA 02115,","Roux Institute, Northeastern University , Portland, ME 04101,","Roux Institute, Northeastern University, Portland, ME 04101, United States"],"raw_orcid":"https://orcid.org/0000-0001-9029-4644","affiliations":[{"raw_affiliation_string":"Department of Health Sciences, Bouv\u00e9 College of Health Sciences, Northeastern University , Boston, MA 02115,","institution_ids":["https://openalex.org/I12912129"]},{"raw_affiliation_string":"Roux Institute, Northeastern University , Portland, ME 04101,","institution_ids":["https://openalex.org/I12912129"]},{"raw_affiliation_string":"Roux Institute, Northeastern University, Portland, ME 04101, United States","institution_ids":["https://openalex.org/I12912129"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090916699","display_name":"Robert Cavanaugh","orcid":"https://orcid.org/0000-0002-2114-6565"},"institutions":[{"id":"https://openalex.org/I12912129","display_name":"Northeastern University","ror":"https://ror.org/04t5xt781","country_code":"US","type":"education","lineage":["https://openalex.org/I12912129"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert Cavanaugh","raw_affiliation_strings":["Roux Institute, Northeastern University , Portland, ME 04101,","Roux Institute, Northeastern University, Portland, ME 04101, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roux Institute, Northeastern University , Portland, ME 04101,","institution_ids":["https://openalex.org/I12912129"]},{"raw_affiliation_string":"Roux Institute, Northeastern University, Portland, ME 04101, United States","institution_ids":["https://openalex.org/I12912129"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023135047","display_name":"Dae Hyun Kim","orcid":"https://orcid.org/0000-0001-7290-6838"},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210123879","display_name":"Hebrew SeniorLife","ror":"https://ror.org/02vptss42","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210123879"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dae H Kim","raw_affiliation_strings":["Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife , Boston, MA 02131,","Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA 02445,","Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, United States","Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02445, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife , Boston, MA 02131,","institution_ids":["https://openalex.org/I4210123879"]},{"raw_affiliation_string":"Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA 02445,","institution_ids":["https://openalex.org/I1316535847"]},{"raw_affiliation_string":"Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, United States","institution_ids":["https://openalex.org/I4210123879"]},{"raw_affiliation_string":"Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02445, United States","institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049332762","display_name":"Carl G. Streed","orcid":"https://orcid.org/0000-0003-3075-253X"},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carl G Streed","raw_affiliation_strings":["GenderCare Center, Boston Medical Center , Boston, MA 02118,","Section of General Internal Medicine, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine , Boston, MA 02118,","GenderCare Center, Boston Medical Center, Boston, MA 02118, United States","Section of General Internal Medicine, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA 02118, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"GenderCare Center, Boston Medical Center , Boston, MA 02118,","institution_ids":["https://openalex.org/I1286490081"]},{"raw_affiliation_string":"Section of General Internal Medicine, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine , Boston, MA 02118,","institution_ids":["https://openalex.org/I111088046"]},{"raw_affiliation_string":"GenderCare Center, Boston Medical Center, Boston, MA 02118, United States","institution_ids":["https://openalex.org/I1286490081"]},{"raw_affiliation_string":"Section of General Internal Medicine, Department of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA 02118, United States","institution_ids":["https://openalex.org/I111088046"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021856306","display_name":"Farzana Kapadia","orcid":"https://orcid.org/0000-0003-3459-767X"},"institutions":[{"id":"https://openalex.org/I57206974","display_name":"New York University","ror":"https://ror.org/0190ak572","country_code":"US","type":"education","lineage":["https://openalex.org/I57206974"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Farzana Kapadia","raw_affiliation_strings":["D , New York, NY 10003,","epartment of Epidemiology, New York University School of Global Public Health , New York, NY 10003,","Department of Epidemiology, New York University School of Global Public Health, New York, NY 10003, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"D , New York, NY 10003,","institution_ids":[]},{"raw_affiliation_string":"epartment of Epidemiology, New York University School of Global Public Health , New York, NY 10003,","institution_ids":["https://openalex.org/I57206974"]},{"raw_affiliation_string":"Department of Epidemiology, New York University School of Global Public Health, New York, NY 10003, United States","institution_ids":["https://openalex.org/I57206974"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072936885","display_name":"Brianne Olivieri\u2010Mui","orcid":"https://orcid.org/0000-0001-6739-2019"},"institutions":[{"id":"https://openalex.org/I12912129","display_name":"Northeastern University","ror":"https://ror.org/04t5xt781","country_code":"US","type":"education","lineage":["https://openalex.org/I12912129"]},{"id":"https://openalex.org/I4210123879","display_name":"Hebrew SeniorLife","ror":"https://ror.org/02vptss42","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210123879"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brianne Olivieri-Mui","raw_affiliation_strings":["Department of Health Sciences, Bouv\u00e9 College of Health Sciences, Northeastern University , Boston, MA 02115,","Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife , Boston, MA 02131,","Roux Institute, Northeastern University , Portland, ME 04101,","Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, United States","Roux Institute, Northeastern University, Portland, ME 04101, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Sciences, Bouv\u00e9 College of Health Sciences, Northeastern University , Boston, MA 02115,","institution_ids":["https://openalex.org/I12912129"]},{"raw_affiliation_string":"Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife , Boston, MA 02131,","institution_ids":["https://openalex.org/I4210123879"]},{"raw_affiliation_string":"Roux Institute, Northeastern University , Portland, ME 04101,","institution_ids":["https://openalex.org/I12912129"]},{"raw_affiliation_string":"Department of Medicine, Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA 02131, United States","institution_ids":["https://openalex.org/I4210123879"]},{"raw_affiliation_string":"Roux Institute, Northeastern University, Portland, ME 04101, United States","institution_ids":["https://openalex.org/I12912129"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5001469181"],"corresponding_institution_ids":["https://openalex.org/I1316535847","https://openalex.org/I136199984","https://openalex.org/I4210123879"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":1.3847,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.81050181,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":98},"biblio":{"volume":"31","issue":"12","first_page":"2916","last_page":"2923"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.7595999836921692,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.7595999836921692,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.03680000081658363,"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"}},{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.02250000089406967,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.7680341005325317},{"id":"https://openalex.org/keywords/association","display_name":"Association (psychology)","score":0.6316140294075012},{"id":"https://openalex.org/keywords/sexual-minority","display_name":"Sexual minority","score":0.5364298224449158},{"id":"https://openalex.org/keywords/gerontology","display_name":"Gerontology","score":0.5005784034729004},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.4315423369407654},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.38054829835891724},{"id":"https://openalex.org/keywords/sexual-orientation","display_name":"Sexual orientation","score":0.23472684621810913},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.1501178741455078},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.11194252967834473},{"id":"https://openalex.org/keywords/psychotherapist","display_name":"Psychotherapist","score":0.06942254304885864}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.7680341005325317},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.6316140294075012},{"id":"https://openalex.org/C2778973849","wikidata":"https://www.wikidata.org/wiki/Q589656","display_name":"Sexual minority","level":3,"score":0.5364298224449158},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5005784034729004},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4315423369407654},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.38054829835891724},{"id":"https://openalex.org/C2777997956","wikidata":"https://www.wikidata.org/wiki/Q17888","display_name":"Sexual orientation","level":2,"score":0.23472684621810913},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1501178741455078},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.11194252967834473},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.06942254304885864},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000072339","descriptor_name":"Sexual and Gender Minorities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000073496","descriptor_name":"Frailty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocae205","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocae205","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:39078278","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39078278","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11631129","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11631129","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11631129/pdf/ocae205.pdf","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,"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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:11631129","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11631129","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11631129/pdf/ocae205.pdf","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,"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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[{"score":0.6499999761581421,"display_name":"Gender equality","id":"https://metadata.un.org/sdg/5"}],"awards":[{"id":"https://openalex.org/G1247094761","display_name":null,"funder_award_id":"K01AG077972","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G1290595004","display_name":"SouthEast Enrollment Center (SEEC) ","funder_award_id":"3ot2od026551-01s5","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G1497740631","display_name":"Illinois Precision Medicine Consortium ","funder_award_id":"1ot2od026557-01","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G166838440","display_name":"All of Us Wisconsin ","funder_award_id":"3ot2od026555-01s1","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G243167032","display_name":"New York City Consortium for Precision Medicine","funder_award_id":"3ot2od026556-01s6","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G365837557","display_name":null,"funder_award_id":"T32AG023480","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G372699598","display_name":"Trans-America Consortium of the Health Care Systems Research Network for the All of Us Research Program","funder_award_id":"3ot2od026550-01s2","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G4387050564","display_name":"The New England Precision Medicine Consortium of the All of Us Research Program","funder_award_id":"3ot2od026553-01s5","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G5046677128","display_name":"California Precision Medicine Research Program Consortium","funder_award_id":"3ot2od026552-01s6","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G5481407036","display_name":"University of Arizona-Banner Health All of Us Research Program ","funder_award_id":"1ot2od026549-01","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G59327","display_name":"Southern All of Us Network","funder_award_id":"3ot2od026548-01s7","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G6273652","display_name":null,"funder_award_id":"K24AG073527","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G654465150","display_name":"All of Us Pennsylvania","funder_award_id":"3ot2od026554-01s6","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"pdf":true,"grobid_xml":false},"content_urls":{"pdf":"https://content.openalex.org/works/W4401157952.pdf"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W1993211119","https://openalex.org/W2125568653","https://openalex.org/W2135156671","https://openalex.org/W2141082564","https://openalex.org/W2148554754","https://openalex.org/W2151262602","https://openalex.org/W2164186760","https://openalex.org/W2203781811","https://openalex.org/W2594387876","https://openalex.org/W2734698766","https://openalex.org/W2770246496","https://openalex.org/W2792412523","https://openalex.org/W2889017266","https://openalex.org/W2945781458","https://openalex.org/W2946518457","https://openalex.org/W2973113902","https://openalex.org/W3008919234","https://openalex.org/W3046937265","https://openalex.org/W3081904447","https://openalex.org/W3165488072","https://openalex.org/W4205170775","https://openalex.org/W4207021997","https://openalex.org/W4214661405","https://openalex.org/W4223586124","https://openalex.org/W4226026504","https://openalex.org/W4324321257","https://openalex.org/W4385185713","https://openalex.org/W4391167501","https://openalex.org/W4391744508"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2748952813","https://openalex.org/W2352440174","https://openalex.org/W4309440960","https://openalex.org/W2931662336","https://openalex.org/W2077865380","https://openalex.org/W3006817050","https://openalex.org/W4401768695","https://openalex.org/W2765597752","https://openalex.org/W4403842418"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"understand":[2],"how":[3],"frailty":[4,48,63],"and":[5,14,21,55,62,105,138,184,226],"healthcare":[6,22,50,56,60,227,232],"delays":[7,51,233],"differentially":[8],"mediate":[9],"the":[10,29,78,93,149,179,218,241],"association":[11,150,180],"between":[12,151,181],"sexual":[13],"gender":[15],"minority":[16],"older":[17],"adults":[18,122],"(OSGM)":[19],"status":[20,54,110,153,183],"utilization.":[23,57],"MATERIALS":[24],"AND":[25],"METHODS:":[26],"Data":[27],"from":[28,92],"All":[30,95],"of":[31,80,96,126,220,243],"Us":[32,97],"Research":[33],"Program":[34],"participants":[35],"\u226550":[36],"years":[37],"old":[38],"were":[39,64],"analyzed":[40],"using":[41,66],"marginal":[42],"structural":[43],"modelling":[44],"to":[45,76,119,223,237,246],"assess":[46],"if":[47],"or":[49,83],"mediated":[52,148,178],"OSGM":[53,58,121,152,182,215,252],"status,":[59],"delays,":[61],"assessed":[65],"survey":[67],"data.":[68],"Electronic":[69],"health":[70,85,225],"record":[71],"(EHR)":[72],"data":[73],"was":[74],"used":[75],"measure":[77],"number":[79],"medical":[81,127,154,197,212],"visits":[82,128,140,155,169,198],"mental":[84],"(MH)":[86],"visit":[87,186],"days,":[88],"following":[89],"12":[90],"months":[91],"calculated":[94],"Frailty":[98,147,207],"Index.":[99],"Analyses":[100],"adjusted":[101],"for":[102,211,251],"age,":[103],"race":[104],"ethnicity,":[106],"income,":[107],"HIV,":[108],"marital":[109],"\u00b1":[111],"general":[112],"MH":[113,115,139,168,185,238,249],"(only":[114],"analyses).":[116],"RESULTS:":[117],"Compared":[118],"non-OSGM,":[120],"have":[123],"higher":[124],"rates":[125],"(adjusted":[129],"rate":[130],"ratio":[131],"[aRR]:":[132],"1.14;":[133],"95%":[134,143,162,191],"CI:":[135,144,174,203],"1.03,":[136,161],"1.24)":[137],"(aRR:":[141],"1.85;":[142],"1.07,":[145],"2.91).":[146],"(Controlled":[156],"direct":[157],"effect":[158],"[Rcde]":[159],"aRR:":[160,171,189,200],"CI":[163,192],"[0.87,":[164],"1.22]),":[165],"but":[166,195],"not":[167,196],"(Rcde":[170,188,199],"0.37":[172],"[95%":[173,202],"0.06,":[175],"1.47]).":[176],"Delays":[177],"days":[187],"2.27,":[190],"[1.15,":[193],"3.76]),":[194],"1.06":[201],"0.97,":[204],"1.17]).":[205],"DISCUSSION:":[206],"represents":[208],"a":[209,235],"need":[210],"care":[213,250],"among":[214],"adults,":[216],"highlighting":[217],"importance":[219],"addressing":[221],"it":[222],"improve":[224],"utilization":[228],"disparities.":[229],"In":[230],"contrast,":[231],"are":[234],"barrier":[236],"care,":[239],"underscoring":[240],"necessity":[242],"targeted":[244],"strategies":[245],"ensure":[247],"timely":[248],"adults.":[253]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2024,"cited_by_count":1}],"updated_date":"2026-08-06T08:24:18.245995","created_date":"2024-07-31T00:00:00"}
