{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T18:02:30Z","timestamp":1785348150797,"version":"3.55.0"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["P2C HD042828"],"award-info":[{"award-number":["P2C HD042828"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between living alone and receipt of routine checkups among older adults with disabilities in the United States and explore the role of social determinants of health (SDOH) in explaining this relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Using 2023 Behavioral Risk Factor Surveillance System data, we analyzed adults aged 60+ with disabilities (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 56,619). Adjusted logistic regressions examined the association between living arrangement and annual routine checkups. Indirect effects of nine SDOH were tested.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Older adults with disabilities living alone had significantly lower odds of an annual routine checkup compared to those cohabitating. The relationship between living alone and routine checkups showed significant indirect pathways through housing instability, transportation barriers, stress, and reduced social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings underscore living alone as an important marker of routine checkup disparities and suggest that efforts to reduce disparities must consider the material and psychosocial conditions that structure how individuals engage with healthcare.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643261472015","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:20:43Z","timestamp":1785129643000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Living Alone and Routine Checkup Disparities Among Older Adults With Disabilities in the United States: The Mediating Role of Social Determinants of Health"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6381-0487","authenticated-orcid":false,"given":"Hyun-Jun","family":"Kim","sequence":"first","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7557-0054","authenticated-orcid":false,"given":"Brittany","family":"Jones-Cobb","sequence":"additional","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon M.","family":"Torres","sequence":"additional","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Turner","sequence":"additional","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40985-018-0094-7"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt118"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.21853\/JHD.2022.180"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv037"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264316685843"},{"key":"e_1_3_5_7_1","volume-title":"Review of changes to the measurement of disability in the 2008 American community survey","author":"Brault M. W.","year":"2009","unstructured":"Brault M. W. (2009). Review of changes to the measurement of disability in the 2008 American community survey. U.S. Census Bureau. https:\/\/www.census.gov\/content\/dam\/Census\/library\/working-papers\/2009\/demo\/2008acs-disability.pdf."},{"key":"e_1_3_5_8_1","volume-title":"Persons with a disability: Labor force characteristics\u20142024 (USDL-25-0247)","author":"Bureau of Labor Statistics","year":"2025","unstructured":"Bureau of Labor Statistics. (2025). Persons with a disability: Labor force characteristics\u20142024 (USDL-25-0247). U.S. Department of Labor. https:\/\/www.bls.gov\/news.release\/pdf\/disabl.pdf."},{"key":"e_1_3_5_9_1","unstructured":"Centers for Disease Control and Prevention. (2018). A data users\u2019 guide to the disability questions included in the behavioral risk factor surveillance system. https:\/\/www.cdc.gov\/brfss\/data_documentation\/pdf\/BRFSS_Data_Users_Guide_on_Disability_Questions_2018-508.pdf"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40471-022-00313-9"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01416-3"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jth.2020.100994"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218811922"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1508270"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd21.240362"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-010-9210-8"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10834-022-09838-z"},{"key":"e_1_3_5_18_1","volume-title":"American\u2019s families and living arrangements: 2022","author":"Hemez P. 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