IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0189038.html
   My bibliography  Save this article

Identifying social factors amongst older individuals in linked electronic health records: An assessment in a population based study

Author

Listed:
  • Anu Jain
  • Albert J van Hoek
  • Jemma L Walker
  • Rohini Mathur
  • Liam Smeeth
  • Sara L Thomas

Abstract

Identification and quantification of health inequities amongst specific social groups is a pre-requisite for designing targeted healthcare interventions. This study investigated the recording of social factors in linked electronic health records (EHR) of individuals aged ≥65 years, to assess the potential of these data to identify the social determinants of disease burden and uptake of healthcare interventions. Methodology was developed for ascertaining social factors recorded on or before a pre-specified index date (01/01/2013) using primary care data from Clinical Practice Research Datalink (CPRD) linked to hospitalisation and deprivation data in a cross-sectional study. Social factors included: religion, ethnicity, immigration status, small area-level deprivation, place of residence (including communal establishments such as care homes), marital status and living arrangements (e.g. living alone, cohabitation). Each social factor was examined for: completeness of recording including improvements in completeness by using other linked EHR, timeliness of recording for factors that might change over time and their representativeness (compared with English 2011 Census data when available). Data for 591,037 individuals from 389 practices from England were analysed. The completeness of recording varied from 1.6% for immigration status to ~80% for ethnicity. Linkages provided the deprivation data (available for 82% individuals) and improved completeness of ethnicity recording from 55% to 79% (when hospitalisation data were added). Data for ethnicity, deprivation, living arrangements and care home residence were comparable to the Census data. For time-varying variables such as residence and living alone, ~60% and ~35% respectively of those with available data, had this information recorded within the last 5 years of the index date. This work provides methods to identify social factors in EHR relevant to older individuals and shows that factors such as ethnicity, deprivation, not living alone, cohabitation and care home residence can be ascertained using these data. Applying these methodologies to routinely collected data could improve surveillance programmes and allow assessment of health equity in specific healthcare studies.

Suggested Citation

  • Anu Jain & Albert J van Hoek & Jemma L Walker & Rohini Mathur & Liam Smeeth & Sara L Thomas, 2017. "Identifying social factors amongst older individuals in linked electronic health records: An assessment in a population based study," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-17, November.
    • Handle: RePEc:plo:pone00:0189038
    DOI: 10.1371/journal.pone.0189038
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0189038
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0189038&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0189038?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Julianne Holt-Lunstad & Timothy B Smith & J Bradley Layton, 2010. "Social Relationships and Mortality Risk: A Meta-analytic Review," PLOS Medicine, Public Library of Science, vol. 7(7), pages 1-1, July.
    2. Benedetta Pongiglione & Bianca L De Stavola & George B Ploubidis, 2015. "A Systematic Literature Review of Studies Analyzing Inequalities in Health Expectancy among the Older Population," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-21, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Neha Pathak & Claire X. Zhang & Yamina Boukari & Rachel Burns & Rohini Mathur & Arturo Gonzalez-Izquierdo & Spiros Denaxas & Pam Sonnenberg & Andrew Hayward & Robert W. Aldridge, 2021. "Development and Validation of a Primary Care Electronic Health Record Phenotype to Study Migration and Health in the UK," IJERPH, MDPI, vol. 18(24), pages 1-14, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Maria Alzira Pimenta Dinis & Helder Fernando Pedrosa Sousa & Andreia de Moura & Lilian M. F. Viterbo & Ricardo J. Pinto, 2019. "Health Behaviors as a Mediator of the Association Between Interpersonal Relationships and Physical Health in a Workplace Context," IJERPH, MDPI, vol. 16(13), pages 1-9, July.
    2. Santini, Ziggi Ivan & Jose, Paul E. & Koyanagi, Ai & Meilstrup, Charlotte & Nielsen, Line & Madsen, Katrine R. & Koushede, Vibeke, 2020. "Formal social participation protects physical health through enhanced mental health: A longitudinal mediation analysis using three consecutive waves of the Survey of Health, Ageing and Retirement in E," Social Science & Medicine, Elsevier, vol. 251(C).
    3. Fernando L Vázquez & Patricia Otero & J Antonio García-Casal & Vanessa Blanco & Ángela J Torres & Manuel Arrojo, 2018. "Efficacy of video game-based interventions for active aging. A systematic literature review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-24, December.
    4. Regina Kuppen & Mirjam de Leede & Jolanda Lindenberg & David van Bodegom, 2023. "Collective Prevention of Non-Communicable Diseases in an Ageing Population with Community Care," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    5. Joanne Brooke & Maria Clark, 2020. "Older people’s early experience of household isolation and social distancing during COVID‐19," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4387-4402, November.
    6. Clément Meier & Jürgen Maurer, 2022. "Buddy or burden? Patterns, perceptions, and experiences of pet ownership among older adults in Switzerland," European Journal of Ageing, Springer, vol. 19(4), pages 1201-1212, December.
    7. Jintao Li & Yan Dai & Cynthia Changxin Wang & Jun Sun, 2022. "Assessment of Environmental Demands of Age-Friendly Communities from Perspectives of Different Residential Groups: A Case of Wuhan, China," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
    8. Nakagomi, Atsushi & Tsuji, Taishi & Saito, Masashige & Ide, Kazushige & Kondo, Katsunori & Shiba, Koichiro, 2023. "Social isolation and subsequent health and well-being in older adults: A longitudinal outcome-wide analysis," Social Science & Medicine, Elsevier, vol. 327(C).
    9. Haywantee Ramkissoon, 2021. "Social Bonding and Public Trust/Distrust in COVID-19 Vaccines," Sustainability, MDPI, vol. 13(18), pages 1-6, September.
    10. Paulette M. Yamada & Joe Priest, 2022. "Utilizing a Team Kinesiology Model to Support Rehabilitative Care in Patients," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    11. Alexander Langenkamp, 2021. "Lonely Hearts, Empty Booths? The Relationship between Loneliness, Reported Voting Behavior and Voting as Civic Duty," Social Science Quarterly, Southwestern Social Science Association, vol. 102(4), pages 1239-1254, July.
    12. Escarce, José J. & Rocco, Lorenzo, 2018. "Immigration and the Health of Older Natives in Western Europe," GLO Discussion Paper Series 228, Global Labor Organization (GLO).
    13. Timothy B Smith & Connor Workman & Caleb Andrews & Bonnie Barton & Matthew Cook & Ryan Layton & Alexandra Morrey & Devin Petersen & Julianne Holt-Lunstad, 2021. "Effects of psychosocial support interventions on survival in inpatient and outpatient healthcare settings: A meta-analysis of 106 randomized controlled trials," PLOS Medicine, Public Library of Science, vol. 18(5), pages 1-25, May.
    14. Zilun Xiao & Yufang Zhao & Yingcan Zheng & Yan Bao & Chao Zhang, 2022. "The Effect of Group Identification on Death Anxiety: The Chain Mediation Role of Close Relationships and Self-Esteem," IJERPH, MDPI, vol. 19(16), pages 1-9, August.
    15. Escarce, José J. & Rocco, Lorenzo, 2021. "Effect of immigration on depression among older natives in Western Europe," The Journal of the Economics of Ageing, Elsevier, vol. 20(C).
    16. Cristina Liébana-Presa & Elena Andina-Díaz & María-Mercedes Reguera-García & Iván Fulgueiras-Carril & David Bermejo-Martínez & Elena Fernández-Martínez, 2018. "Social Network Analysis and Resilience in University Students: An Approach from Cohesiveness," IJERPH, MDPI, vol. 15(10), pages 1-13, September.
    17. Sinha, Kompal & Davillas, Apostolos & Jones, Andrew M. & Sharma, Anurag, 2021. "Do socioeconomic health gradients persist over time and beyond income? A distributional analysis using UK biomarker data," Economics & Human Biology, Elsevier, vol. 43(C).
    18. Rosenberg, Rachel, 2019. "Social networks of youth transitioning from foster care to adulthood," Children and Youth Services Review, Elsevier, vol. 107(C).
    19. Satoru Kanamori & Yuko Kai & Jun Aida & Katsunori Kondo & Ichiro Kawachi & Hiroshi Hirai & Kokoro Shirai & Yoshiki Ishikawa & Kayo Suzuki & The JAGES Group, 2014. "Social Participation and the Prevention of Functional Disability in Older Japanese: The JAGES Cohort Study," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-10, June.
    20. Xiang Kang & Mingxi Du & Siqin Wang & Haifeng Du, 2022. "Exploring the Effect of Health on Migrants’ Social Integration in China," IJERPH, MDPI, vol. 19(8), pages 1-20, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0189038. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.