Social Needs and Health-Related Outcomes Among Medicaid Beneficiaries

Social Needs and Health-Related Outcomes Among Medicaid Beneficiaries
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DOI:
10.1177/1090198118822724
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发表时间:
2019-06-01
影响因子:
4.2
通讯作者:
Kreuter, Matthew W.
Kreuter, Matthew W.
中科院分区:
医学3区
文献类型:
--
作者:
Thompson, Tess;McQueen, Amy;Kreuter, Matthew W.

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未满足的社会需求-包括食物,住房和公用事业-与负面的健康结果有关,但大多数先前的研究都检查了与单一未满足需求的健康关联,或者分析了沿着一个或多个维度(例如,老年人或慢性病患者)。我们研究了来自美国35个州的医疗补助受益人样本中未满足的社会需求与心理社会和健康相关结果之间的关联。在2016-2017年,1,214人完成了关于社会需求,人口统计,健康相关和心理社会结果的在线调查。评估社会需求的七个项目构成了一个指数,其中得分越高表明未满足需求的程度越高。参与者有资格,如果他们>= 18岁,并有医疗补助。样本主要是女性(87%)。大多数人(71%)至少有一个孩子
Unmet social needs-including food, housing, and utilities-have been associated with negative health outcomes, but most prior research has examined the health associations with a single unmet need or analyzed samples that were homogeneous along one or more dimensions (e.g., older adults or patients with chronic health conditions). We examined the association between unmet social needs and psychosocial and health-related outcomes in a sample of Medicaid beneficiaries from 35 U.S. states. In 2016-2017, 1,214 people completed an online survey about social needs, demographics, and health-related and psychosocial outcomes. Seven items assessing social needs formed an index in which higher scores indicated higher levels of unmet needs. Participants were eligible if they were >= 18 years and had Medicaid. The sample was predominantly female (87%). Most (71%) lived with at least one child