{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:25:05Z","timestamp":1788971105266,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,8,22]],"date-time":"2016-08-22T00:00:00Z","timestamp":1471824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R36HS023029"],"award-info":[{"award-number":["R36HS023029"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To investigate the association between sociodemographic and economic factors and the presence of simple home modifications (\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      s) among older adults in the United States.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>National Health and Aging Trends Study (2011, Round 1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community\u2010dwelling Medicare enrollees aged 65 and older (N = 6,628).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      The primary dependent variable was the reported presence or absence of simple\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      s (grab bars in the shower or near the toilet, shower seats, raised toilet seats).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the individuals sampled, 60.7% reported having at least one\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      of interest. Black (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      ) = 0.79, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) = 0.68\u20130.91) and Hispanic (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 0.60, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 0.45\u20130.78) respondents were less likely than white, non\u2010Hispanic respondents to have\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      s. Those with more education (high school graduate:\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.20, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.01\u20131.42; &gt;high school:\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.36, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.14\u20131.62) and larger social networks (\u22654 people;\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.46, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.12\u20131.89) were more likely to have at least one\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      , whereas being divorced (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 0.57, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 0.43\u20130.74) was associated with lower likelihood. Income (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.01, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 0.97\u20131.05), Medicaid enrollment (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 0.98, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 0.77\u20131.25), and living alone (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.02, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 0.85\u20131.23) were not significantly associated with the presence of\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      s.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Minorities, individuals with less education, and those with less social support are less likely to have\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      s. Awareness of these disparities and the shortcomings of the\n                      <jats:styled-content style=\"fixed-case\">HM<\/jats:styled-content>\n                      delivery system is important to clinicians and policy\u2010makers who seek to prevent falls and facilitate aging in place for all older Americans.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14252","type":"journal-article","created":{"date-parts":[[2016,8,22]],"date-time":"2016-08-22T20:52:57Z","timestamp":1471899177000},"page":"2081-2087","source":"Crossref","is-referenced-by-count":32,"title":["Variation in the Presence of Simple Home Modifications of Older Americans: Findings from the National Health and Aging Trends Study"],"prefix":"10.1111","volume":"64","author":[{"given":"Marissa R.","family":"Meucci","sequence":"first","affiliation":[{"name":"Department of Health Services Policy and Practice School of Public Health Brown University Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Gozalo","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy and Practice School of Public Health Brown University Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Dosa","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy and Practice School of Public Health Brown University Providence Rhode Island"},{"name":"Department of Medicine Warren Albert Medical School Brown University Providence Rhode Island"},{"name":"Providence Veterans Administration Medical Center Health Services Research Program Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Allen","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy and Practice School of Public Health Brown University Providence Rhode Island"},{"name":"Providence Veterans Administration Medical Center Health Services Research Program Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,22]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control and Prevention National Center for Injury Prevention and Control.Web\u2013based Injury Statistics Query and Reporting System (WISQARS)[on\u2010line]. 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