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Table 2 Summary of all social determinants and their associations and patterns of home care use

From: Social factors influencing utilization of home care in community-dwelling older adults: a scoping review

Social Determinant

(Descriptor)

Home Care Propensity Evaluation (Associated, Uncertain, Not Associated)

If Associated, Pattern of Home Care Utilization

(More, Equivocal, Less)

Home Care Intensity Evaluation (Associated, Uncertain, Not Associated)

If Associated, Pattern of Home Care Utilization (More, Equivocal, Less)

Level in Socio-Ecological Model - Individual

 Age (Older)

Associated

More

Associated

More

 Gender (Women)

Uncertain

Not Associated

 Education (Higher)

Not associated

Associated

More

 Ethnicity/ Race (White)

Associated

More

 Self Assessed Health (Worse)

Associated

More

Not Associated

 Insurance

Associated

H

 Personal Finances (Lower)

Uncertain

Associated

Equivocal

 Immigration (Born in Country of Study)

Uncertain

 Housing Type (Own)

Associated

Less

Associated

Equivocal

 Housing Problems (Present)

Associated

More

 Internet Use (High Frequency)

Not Associated

Uncertain

 Health Behaviours (Smoking, Alcohol, Seatbelts, Exercise)

Not Associated

 Loneliness

Not Associated

 Employment (Retired)

 Language (French Speaking)

 Transportation (Driving)

 Knowledge (Home Care)

Level in Socio-Ecological Model - Relationships

 Living Arrangements (Alone)

Uncertain

Associated

More

 Marital Status (Married)

Associated

Less

Uncertain

 Household Finances (Lower)

Associated

Equivocal

Not Associated

 Children (Presence)

Associated

Equivocal

Not Associated

 Informal Caregiving (Available)

Associated

Less

Not Associated

 Other Family Members

Not Associated

Uncertain

 Caregiver Burden (Higher)

Not Associated

 Social Network (Strong)

Associated

Less

 Food Security (Insecure)

Uncertain

Level in Socio-Ecological Model – Community

 Urban vs. Rural (Urban Living)

Associated

Equivocal

 Region

H

H

H

H

 Community Programs

H

H

H

H

 Racial Composition

 Neighbourhood Problems

Level in Socio-Ecological Model - Society

 Payment Scheme for Home Care

H

H

H

H

 Supply and Demand Factors

H

H

H

H

 Organization of Home Care Services

H

H

H

H

 Culture

H

H

H

H

  1. Notes: Inadequate number of studies to perform evaluation of consistency across studies = □
  2. Measures of social factors or comparison groups too heterogeneous for evaluations across all studies (see results section for thematic synthesis) = H