Burden of unmet health-related social needs in an academic adult primary care practice in San Francisco California.
Health disparities
Health equity
Health-related social needs
Primary care
Social care
Journal
BMC primary care
ISSN: 2731-4553
Titre abrégé: BMC Prim Care
Pays: England
ID NLM: 9918300889006676
Informations de publication
Date de publication:
25 08 2023
25 08 2023
Historique:
received:
12
09
2022
accepted:
15
08
2023
medline:
28
8
2023
pubmed:
26
8
2023
entrez:
25
8
2023
Statut:
epublish
Résumé
Unmet health-related social needs can influence health outcomes and increase healthcare utilization. There is growing interest in integrating social needs care into healthcare delivery. We conducted an assessment of health-related social needs in an academic adult primary care practice in San Francisco, California. We recruited a random convenience sample of adult English-, Chinese- or Spanish-speaking patients from clinic waiting rooms at the study sites to complete a self-administered, anonymous survey. We used the Accountable Health Communities Health-Related Social Needs Screening Tool for these domains: housing instability, food insecurity, transportation problems, utility help needs, interpersonal safety, financial strain, and family/community support. We conducted univariate and multivariate analyses adjusting for age, sex and survey language. 679 patients completed the survey. Respondents were 57% female and mean age of 58 ± 18 years old. 54% of patients had at least one unmet health-related social need. The most prevalent health-related social needs were financial strain (35%), at least one issue with housing conditions (27%), and food insecurity (23%). Respondents completing the survey in Spanish had significantly higher odds of reporting food insecurity (AOR 3.97, 95%CI 1.86, 8.46), transportation problems (AOR 3.13, 95%CI 1.32, 7.43), and need for support with activities of daily living (AOR 4.58, 95%CI 2.04, 10.25) than respondents completing the survey in English. The burden of unmet health-related social needs was considerable in this adult primary care practice. These findings can support a case for integrating health-related social need screening and social care in the delivery of primary care in the United States to advance health equity.
Identifiants
pubmed: 37626286
doi: 10.1186/s12875-023-02125-2
pii: 10.1186/s12875-023-02125-2
pmc: PMC10463763
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
166Subventions
Organisme : NIMHD NIH HHS
ID : K23 MD015089
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR001870
Pays : United States
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Health Aff (Millwood). 2013 Mar;32(3):544-51
pubmed: 23459734
Can Fam Physician. 2017 Nov;63(11):e476-e482
pubmed: 29138172
Health Hum Rights. 2023 Jun;25(1):9-21
pubmed: 37266309
Asia Pac J Public Health. 2023 May;35(4):276-283
pubmed: 37070630
Am J Public Health. 2013 Dec;103 Suppl 2:S294-301
pubmed: 24148051
Am J Public Health. 2017 Nov;107(11):1812-1817
pubmed: 28933929
Public Health Nutr. 2018 Jun;21(9):1737-1742
pubmed: 29388533
J Am Board Fam Med. 2018 May-Jun;31(3):351-363
pubmed: 29743219
J Gen Intern Med. 2007 Nov;22 Suppl 2:362-7
pubmed: 17957427
JAMA. 2001 Jan 10;285(2):200-6
pubmed: 11176814
J Community Health. 2020 Jun;45(3):488-491
pubmed: 31630308
Am J Health Promot. 2020 Sep;34(7):779-790
pubmed: 32489104
Prev Chronic Dis. 2021 Aug 12;18:E78
pubmed: 34387188
Health Soc Care Community. 2021 Sep;29(5):1538-1549
pubmed: 33170535
J Gen Intern Med. 2006 Jul;21(7):786-91
pubmed: 16808783
AMA J Ethics. 2017 Mar 1;19(3):263-271
pubmed: 28323607
Pediatrics. 2010 Jul;126(1):e26-32
pubmed: 20595453
J Gen Intern Med. 2020 Dec;35(12):3726-3729
pubmed: 31808129
JAMA. 2017 Nov 21;318(19):1855-1856
pubmed: 29164244
J Health Care Poor Underserved. 2015 May;26(2):321-7
pubmed: 25913331
Fam Med. 1998 Jul-Aug;30(7):508-12
pubmed: 9669164