Linking Neighborhood Context and Health in Community-Dwelling Older Adults in the Medicare Advantage Program.

ABSTRACT:

Objectives

To examine whether neighborhood context moderates the relationship between multiple chronic conditions (MCCs) and function in Medicare Advantage (MA) beneficiaries.

Design

Cross-sectional study.

Setting

Medicare Health Outcome Survey Cohort 16 baseline data from 2013.

Participants

MA beneficiaries aged 65 and older (N=187,434).

Measurements

We defined disadvantaged neighborhoods as those with an Area Deprivation Index greater than the 85^th percentile. MCCs was defined as having 2 or more chronic conditions. The primary outcome was any self-reported functional limitations with a basic or instrumental activity of daily living. We used survey-weighted multivariate linear probability regression to examine whether the neighborhood disadv

SUBMITTER: Jung D 

PROVIDER: S-EPMC6105383 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature