{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:08:40Z","timestamp":1787018920394,"version":"build-2736575974"},"reference-count":36,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR002494"],"award-info":[{"award-number":["UL1TR002494"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010001","name":"Federal Office of Rural Health Policy","doi-asserted-by":"publisher","award":["U1CRH03717-13-00"],"award-info":[{"award-number":["U1CRH03717-13-00"]}],"id":[{"id":"10.13039\/100010001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study identifies differences in unmet mobility needs among older adults living in rural versus urban areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from Round 9 of the National Health and Aging Trends Study (NHATS), limiting our analyses to respondents who had not moved since baseline (average housing tenure of 27\u00a0years; n = 3343). We conducted bivariate and multivariate analyses to detect rural\/urban differences in unmet mobility needs, adjusting for socio-demographics, health status, and housing characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Rural residence was associated with higher odds of any unmet mobility needs for older adults aging in place (adjusted odds ratio: 1.64, 95% confidence interval: 1.10\u20132.44, p &lt; .05). The relationship between rurality and unmet needs for help with mobility limitations remained significant in fully adjusted models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Rural older adults aging in place have greater unmet needs for help with mobility limitations. This study highlights several important gaps in supporting rural older adults aging in place.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643231151777","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T12:00:59Z","timestamp":1673524859000},"page":"623-631","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Unmet Needs for Help With Mobility Limitations Among Older Adults Aging in Place: The Role of Rurality"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0273-0387","authenticated-orcid":false,"given":"Carrie","family":"Henning-Smith","sequence":"first","affiliation":[{"name":"Rural Health Research Center, Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3648-9085","authenticated-orcid":false,"given":"Megan","family":"Lahr","sequence":"additional","affiliation":[{"name":"Rural Health Research Center, Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Mulcahy","sequence":"additional","affiliation":[{"name":"Rural Health Research Center, Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"MacDougall","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Minnesota, Saint Paul, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,12]]},"reference":[{"key":"bibr1-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1080\/03601277.2013.802191"},{"key":"bibr2-08982643231151777","unstructured":"Barriers to Affordable Rural Housing. 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July 10, 2019, National Rural Housing Coalition website: http:\/\/ruralhousingcoalition.org\/overcoming-barriers-to-affordable-rural-housing\/"},{"key":"bibr3-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00910"},{"key":"bibr4-08982643231151777","volume-title":"Designated health professional shortage areas","author":"Bureau of Health Workforce","year":"2021"},{"key":"bibr5-08982643231151777","volume-title":"Chronic disease and Cognitive Decline - a Public health issue","author":"Centers for Disease Control and Prevention","year":"2020"},{"key":"bibr6-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2022.00483"},{"key":"bibr7-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1080\/01634372.2019.1639094"},{"key":"bibr8-08982643231151777","volume-title":"Urban influence codes-documentation","author":"Cromartie J.","year":"2019"},{"key":"bibr9-08982643231151777","volume-title":"Rural aging occurs in different places for very different reasons","author":"Cromartie J.","year":"2021"},{"key":"bibr10-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1111\/j.1549-0831.2012.00084.x"},{"key":"bibr11-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1177\/1044207318788889"},{"key":"bibr12-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.05409"},{"key":"bibr13-08982643231151777","volume-title":"Nursing homes are closing across rural America, Scattering residents - the New York times","author":"Healy J.","year":"2019"},{"key":"bibr14-08982643231151777","volume-title":"Social cohesion and social engagement among older adults aging in place: Rural\/urban differences","author":"Henning-Smith C.","year":"2022"},{"key":"bibr15-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1177\/01640275211032387"},{"key":"bibr16-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12344"},{"key":"bibr17-08982643231151777","volume-title":"Preferences for long-term care arrangements among rural and urban older adults","author":"Henning-Smith C.","year":"2021"},{"key":"bibr18-08982643231151777","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnx019"},{"key":"bibr19-08982643231151777","volume-title":"Unmet need for personal care assistance among rural and urban older adults","author":"Henning-Smith C.","year":"2019"},{"key":"bibr20-08982643231151777","volume-title":"Housing in rural America","author":"Housing Assistance Council","year":"2008"},{"issue":"5","key":"bibr21-08982643231151777","first-page":"845","volume":"59","author":"Kasper J. 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