{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T21:02:28Z","timestamp":1787086948317,"version":"build-2736575974"},"reference-count":76,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004425","name":"asian development bank","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004425","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>This study examined various factors, including social support as a mediating one, influencing subjective unmet needs (SUN) in Vietnamese older people during the COVID-19 pandemic. Using logistic regression models with a national survey on older persons, we identified determinants of SUN, and then further explored how social support moderated the association between experiencing SUN and chronic diseases. We found that about 25% of Vietnamese older persons experienced SUN during the pandemic, in which more advanced age, living alone, lack of healthcare insurance and having chronic diseases were risk factors, while higher education, better wealth, and stronger social support played as protective factors. Particularly, social support was found a significantly moderated factor between SUN and chronic diseases. Based on these findings, we argued that it would be imperative to strengthen healthcare system at the grassroot level so as to improve accessible and adequate care for older persons, especially those with chronic diseases. Also, enhancing social support via solidary family and community members, particularly in times of crisis, was recommended to address older persons\u2019 healthcare needs.<\/jats:p>","DOI":"10.1177\/00469580241304247","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:53:56Z","timestamp":1732841636000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Mediating Role of Social Support on Unmet Healthcare Needs in Vietnamese Older People During the COVID-19"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6296-0563","authenticated-orcid":false,"given":"Long Thanh","family":"Giang","sequence":"first","affiliation":[{"name":"National Economics University, Hanoi, Vietnam"},{"name":"Institute of Social and Medical Studies, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thu Dai","family":"Bui","sequence":"additional","affiliation":[{"name":"Institute of Social and Medical Studies, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dung Duc","family":"Le","sequence":"additional","affiliation":[{"name":"Institute of Social and Medical Studies, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Van Thi","family":"Truong","sequence":"additional","affiliation":[{"name":"Institute of Social and Medical Studies, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anh Lan","family":"To","sequence":"additional","affiliation":[{"name":"Institute of Social and Medical Studies, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,28]]},"reference":[{"issue":"1","key":"bibr1-00469580241304247","first-page":"35","volume":"28","author":"Ginneken E","year":"2022","journal-title":"Eurohealth"},{"key":"bibr2-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31356-8"},{"issue":"3","key":"bibr3-00469580241304247","first-page":"86","volume":"13","author":"Fekadu G","year":"2021","journal-title":"Int J Physiol Pathophysiol Pharmacol"},{"key":"bibr4-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckac136"},{"key":"bibr5-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-020-00270-8"},{"key":"bibr6-00469580241304247","volume":"10","author":"Allain-Dupr\u00e9 D","year":"2020","journal-title":"OECD Policy Responses Coronavirus (COVID-19)"},{"key":"bibr7-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3877"},{"key":"bibr8-00469580241304247","first-page":"483","volume-title":"Handbook of Aging and the Social Sciences","volume":"2016","author":"Quesnel-Vall\u00e9e A"},{"key":"bibr9-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2020.05.005"},{"key":"bibr10-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.25889"},{"key":"bibr11-00469580241304247","doi-asserted-by":"publisher","DOI":"10.3855\/jidc.12600"},{"key":"bibr12-00469580241304247","unstructured":"World Health Organization (WHO). Older people & COVID-19. 2024. Accessed March 23, 2024. https:\/\/www.who.int\/teams\/social-determinants-of-health\/demographic-change-and-healthy-ageing\/covid-19"},{"key":"bibr13-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30061-X"},{"key":"bibr14-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.10.027"},{"key":"bibr15-00469580241304247","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18179177"},{"key":"bibr16-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14633-4"},{"key":"bibr17-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-023-00758-x"},{"key":"bibr18-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-021-00631-9"},{"key":"bibr19-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-07563-9"},{"key":"bibr20-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.98.2.310"},{"key":"bibr21-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/61.1.P25"},{"key":"bibr22-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1037\/0882-7974.11.1.34"},{"key":"bibr23-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s11205-015-1224-y"},{"key":"bibr24-00469580241304247","unstructured":"Ministry of Health VM, Asian Development Bank (ADB), Japan Fund for Poverty Reduction (JFPR), and Institute of Social and Medical Studies (ISMS). Survey on Older Person and Social Health Insurance 2019: Key findings. 2021. Ministry of Health: Hanoi (unpublished)."},{"key":"bibr25-00469580241304247","volume-title":"The Population and Housing Census 2019: Key Findings","author":"General Statistics Office, Vietnam (GSO)","year":"2020"},{"key":"bibr26-00469580241304247","unstructured":"Vietnam National Assembly. The Law on the Elderly (in Vietnamese). 2009. Accessed March 23, 2024. https:\/\/vanban.chinhphu.vn\/default.aspx?pageid=27160&docid=92321"},{"key":"bibr27-00469580241304247","unstructured":"UNFPA. Income security for older persons in Viet Nam: Social Pensions. 2014. Accessed March 23, 2024. https:\/\/vietnam.unfpa.org\/en\/publications\/income-security-older-persons-viet-nam-social-pensions"},{"key":"bibr28-00469580241304247","volume-title":"Joint Annual Health Review 2016: Towards Healthy Aging in Vietnam","author":"Ministry of Health, Vietnam &amp; Health Partnership Group","year":"2018"},{"key":"bibr29-00469580241304247","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.12.03065"},{"key":"bibr30-00469580241304247","unstructured":"Worldometer. Coronavirus in Vietnam. 2024. Accessed March 23, 2024. https:\/\/www.worldometers.info\/coronavirus\/country\/viet-nam\/#google_vignette"},{"key":"bibr31-00469580241304247","unstructured":"Ministry of Health. B\u1ed9 Y t\u1ebf: S\u1ed1 m\u1eafc, t\u1eed vong do COVID-19 li\u00ean t\u1ee5c gi\u1ea3m t\u1ea1i TP HCM v\u00e0 nhi\u1ec1u t\u1ec9nh (in Vietnamese). 2021. Accessed March 23, 2024. https:\/\/moh.gov.vn\/tin-noi-bat\/-\/asset_publisher\/3Yst7YhbkA5j\/content\/bo-y-te-so-mac-tu-vong-do-covid-19-lien-tuc-giam-tai-tp-hcm-va-nhieu-tinh"},{"key":"bibr32-00469580241304247","volume-title":"Rapid Assessment of the Socio-Economic Impact of COVID-19 on Persons with Disabilities in Vietnam","author":"UNDP VietNam","year":"2020"},{"key":"bibr33-00469580241304247","first-page":"253","volume":"3","author":"Kahn RL.","year":"1980","journal-title":"Life Span Dev Behav"},{"key":"bibr34-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-197805000-00001"},{"key":"bibr35-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1080\/0887044040512331333960"},{"key":"bibr36-00469580241304247","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17062004"},{"key":"bibr37-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.2.250"},{"key":"bibr38-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1177\/0898264311418503"},{"key":"bibr39-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1177\/0022146510395592"},{"key":"bibr40-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1111\/cfs.12098"},{"key":"bibr41-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1002\/gps.4260"},{"key":"bibr42-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czl029"},{"key":"bibr43-00469580241304247","volume-title":"Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation","author":"Wagstaff A","year":"2007"},{"key":"bibr44-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2019.103989"},{"key":"bibr45-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2018.12.011"},{"key":"bibr46-00469580241304247","volume-title":"Health Econometrics Using Stata","volume":"3","author":"Deb P","year":"2017"},{"key":"bibr47-00469580241304247","doi-asserted-by":"publisher","DOI":"10.2307\/2346405"},{"key":"bibr48-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-006-9018-6"},{"key":"bibr49-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04208-2"},{"issue":"537","key":"bibr50-00469580241304247","first-page":"271","volume":"57","author":"Kharicha K","year":"2007","journal-title":"Br J Gen Pract"},{"key":"bibr51-00469580241304247","doi-asserted-by":"publisher","DOI":"10.4236\/health.2019.1111117"},{"key":"bibr52-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2004.00044.x"},{"key":"bibr53-00469580241304247","doi-asserted-by":"publisher","DOI":"10.25133\/JPSSv27n2.0012"},{"key":"bibr54-00469580241304247","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111115"},{"key":"bibr55-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1111\/1475-4932.12184"},{"key":"bibr56-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.11.053"},{"key":"bibr57-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S206"},{"key":"bibr58-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.01.010"},{"key":"bibr59-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031816-044628"},{"key":"bibr60-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s12062-018-9218-6"},{"key":"bibr61-00469580241304247","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20126097"},{"key":"bibr62-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X19001843"},{"key":"bibr63-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1177\/11786329211017426"},{"key":"bibr64-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0000000000000696"},{"key":"bibr65-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1177\/0898264308324626"},{"key":"bibr66-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-006-9056-5"},{"key":"bibr67-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0073462"},{"issue":"2","key":"bibr68-00469580241304247","first-page":"113","volume":"1","author":"Le D","year":"2016","journal-title":"Int J Ageing Dev Ctries"},{"key":"bibr69-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1007\/s12062-018-9223-9"},{"issue":"1","key":"bibr70-00469580241304247","first-page":"2525941","volume":"2016","author":"Somrongthong R","year":"2016","journal-title":"Biomed Res Int"},{"key":"bibr71-00469580241304247","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-6-200509200-00007"},{"key":"bibr72-00469580241304247","doi-asserted-by":"publisher","DOI":"10.1177\/089826439100300101"},{"key":"bibr73-00469580241304247","unstructured":"Giang TL, Bui DT. Health insurance reform and support to the poor in HEMA provinces (unpublished project evaluation report). \u2018Health Care Support to the Poor of the Northern Uplands and Central Highlands\u2019 (HEMA); 2013."},{"key":"bibr74-00469580241304247","unstructured":"Giang TL, Bui DT, Truong TV, To LA. Impact evaluation of free access on Social Health Insurance (SHI) health services at District level (unpublished project evaluation report). Social Health Insurance Project (SHIP); 2020."},{"issue":"3","key":"bibr75-00469580241304247","first-page":"235","volume":"13","author":"Giang TL","year":"2020","journal-title":"Local Administration J"},{"key":"bibr76-00469580241304247","unstructured":"United Nations Population Fund (UNFPA) & HelpAge International (HAI). The impact of COVID-19 on older persons: Vietnam analytical brief. 2020. Accessed February 20, 2024. https:\/\/ageingasia.org\/wp-content\/uploads\/2020\/10\/Vietnam-Analytical-Brief-September-2020.pdf"}],"container-title":["INQUIRY: The Journal of Health Care Organization, Provision, and Financing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580241304247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00469580241304247","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00469580241304247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:09:57Z","timestamp":1777460997000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00469580241304247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":76,"alternative-id":["10.1177\/00469580241304247"],"URL":"https:\/\/doi.org\/10.1177\/00469580241304247","relation":{},"ISSN":["0046-9580","1945-7243"],"issn-type":[{"value":"0046-9580","type":"print"},{"value":"1945-7243","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"00469580241304247"}}