Unmet needs and service shortfalls for community-dwelling minority older adults
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Updated: Nov 2, 2026

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
1School of Global Health Management and Informatics, University of Central Florida, Orlando, FL, USA.
Introduction:
As the population ages and becomes increasingly diverse, poverty among older adults is also on the rise. Person-Environment (P-E) Fit Theory emphasizes the importance of aligning older adults' needs with the resources available in their communities. This study seeks to identify unmet needs and explore barriers to accessing resources among low-income, minority, community-dwelling older adults in Florida.
Methods:
Using a mixed-methods design, we administered the Social Needs Screening Tool to community-dwelling older adults and conducted a focus group with community workers who facilitated the survey. Quantitative data were analyzed descriptively, while qualitative data were examined using inductive content analysis.
Results:
A total of 306 individuals participated in the survey, with an average age of 72 years. Participants were predominantly female (63%) and Black (87.6%). Findings revealed that 70% of uninsured individuals lacked a regular doctor. Additionally, 36% reported food insecurity, 20% faced housing insecurity, and 42% expressed financial concerns. Focus group discussions highlighted themes such as perceived unmet needs, limited available resources, and the importance of building community support networks.
Conclusion:
This study highlights the role of informal networks and demonstrates the importance of community-based systems in promoting independent living. As the population ages, failing to address social inequities may intensify challenges for vulnerable communities.
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