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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

â–¡

â–¡

 Self Assessed Health (Worse)

Associated

More

Not Associated

–

 Insurance

Associated

H

â–¡

â–¡

 Personal Finances (Lower)

Uncertain

–

Associated

Equivocal

 Immigration (Born in Country of Study)

Uncertain

–

â–¡

â–¡

 Housing Type (Own)

Associated

Less

Associated

Equivocal

 Housing Problems (Present)

Associated

More

â–¡

â–¡

 Internet Use (High Frequency)

Not Associated

–

Uncertain

–

 Health Behaviours (Smoking, Alcohol, Seatbelts, Exercise)

Not Associated

–

â–¡

â–¡

 Loneliness

Not Associated

–

â–¡

â–¡

 Employment (Retired)

â–¡

â–¡

â–¡

â–¡

 Language (French Speaking)

â–¡

â–¡

â–¡

â–¡

 Transportation (Driving)

â–¡

â–¡

â–¡

â–¡

 Knowledge (Home Care)

â–¡

â–¡

â–¡

â–¡

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

–

â–¡

â–¡

 Social Network (Strong)

Associated

Less

â–¡

â–¡

 Food Security (Insecure)

Uncertain

–

â–¡

â–¡

Level in Socio-Ecological Model – Community

 Urban vs. Rural (Urban Living)

Associated

Equivocal

â–¡

â–¡

 Region

H

H

H

H

 Community Programs

H

H

H

H

 Racial Composition

â–¡

â–¡

â–¡

â–¡

 Neighbourhood Problems

â–¡

â–¡

â–¡

â–¡

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