Evidence map›Paper›PMID 41053907›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Association between older adults' socioeconomic status and their healthcare experiences, preferences, and attitudes towards deprescribing: a cross-sectional study in 14 countries.

Renata Vidonscky Lüthold, Esther Kleijer-Werkman, Katharina Tabea Jungo, Zsofia Rozsnyai, Limor Adler, Radost Assenova, Eloísa Rogero-Blanco, Markus Bleckwenn, Thomas Frese, Gilles Henrard and 13 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Renata Vidonscky LütholdInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland.
Esther Kleijer-WerkmanInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland.
Katharina Tabea JungoInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland.
Zsofia RozsnyaiInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland.
Limor AdlerDepartment of Family Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Radost AssenovaDepartment of Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Eloísa Rogero-BlancoGeneral Ricardos Health Centre, Gerencia Asistencial Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Markus BleckwennInstitute of General Practice, Faculty of Medicine, Leipzig University, Leipzig, Germany.
Thomas FreseInstitute of General Practice and Family Medicine, Martin Luther-University Halle-Wittenberg, Halle (Saale), ST, Germany.
Gilles HenrardDepartment of General Practice, Faculty of Medicine, University of Liège, Liège, Belgium.
Aisling A JenningsDepartment of General Practice, University College Cork, Cork, Ireland.
Donata KurpasDivision of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wrocław Medical University, Wrocław, Poland.
Vanja LazicHealth center Zagreb - Centar, Zagreb, Zagreb, Croatia.
Heidrun LingnerHannover Medical School, Center for Public Health and Healthcare, Department for Medical Psychology, Hannover, Germany.
Stina MannheimerInstitute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, VästraGötaland Region, Gothenburg, Sweden.
Anne Centeno NeelenInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland.
Anabela PereiraCenter for Health Technology and Services Research (CINTESIS@RISE), Department of Education and Psychology, University of Aveiro. Campus Universitário de Santiago, 3810-193, Aveiro, Portugal.
Ferdinando PetrazzuoliSezione SNaMID Caserta, Caserta, Italy.
Rosalinde K E PoortvlietDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Ágnes SzélváriDepartment of Family Medicine, Semmelweis University, Budapest, Hungary.
Dorothea M G WildInstitute of Family Medicine and General Practice, University Hospital Bonn, Bonn University, Bonn, Germany.
Sven StreitInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland.
Enriqueta Vallejo-YagüeInstitute of Primary Health Care (BIHAM), University of Bern, 3012, Bern, Switzerland. enriqueta.vallejo@unibe.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocioeconomic status (SES) can influence health outcomes. Both SES and older age are associated with polypharmacy, health literacy, and quality of care. Understanding how SES influences healthcare experiences of older adults with polypharmacy can serve to inform future interventions aiming at optimising patient care. Therefore, we investigated the association between older patients' SES and their i) attitudes towards deprescribing, ii) satisfaction with medications, iii) self-rated health, iv) health literacy, and v) trust in their general practitioner (GP).

methodsIn this cross-sectional study, older patients with polypharmacy from 14 countries completed a survey on their attitudes towards deprescribing, healthcare experiences, and sociodemographic characteristics. We compared patients' responses across high (reference), middle, and low SES groups (defined by education and financial status), and performed multilevel logistic regressions adjusted for clustering at the country level to assess the association between patients' SES and the outcomes.

resultsAmong 1,320 older adults, compared to those with high SES, patients with low SES were more likely to want a medication deprescribed (OR

conclusionOlder adults with lower SES expressed greater interest in deprescribing, lower satisfaction with medications, lower self-rated health, and lower health literacy. Our findings suggest key aspects to consider when optimising care of older adults with low SES.

Indexed as

DeprescribingOlder adultsPatient carePolypharmacySocioeconomic status

Identifiers

PMID41053907
PMCPMC12502375

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.