Social Needs Are Associated With Greater Anticipated Needs During an Emergency and Desire for Help in Emergency Preparedness Planning.

Social Needs Are Associated With Greater Anticipated Needs During an Emergency and Desire for Help in Emergency Preparedness Planning.
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DOI:
10.1017/dmp.2022.208
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发表时间:
2022-10-14
影响因子:
2.7
通讯作者:
Kreuter, Matthew W.
Kreuter, Matthew W.
中科院分区:
医学4区
文献类型:
--
作者:
McQueen, Amy;Charles, Cindy;Staten, Jennifer;Broussard, Darrell J.;Smith, Rachel E.;Verdecias, Niko;Kreuter, Matthew W.

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Most emergency preparedness planning seeks to identify vulnerable population subgroups; however, focusing on chronic conditions alone may ignore other important characteristics such as location and poverty. Social needs were examined as correlates of anticipated needs and desire for assistance during an emergency. A retrospective, secondary analysis was conducted using assessments of 8,280 adult Medicaid beneficiaries in Louisiana, linked with medical (n=7,936) and pharmacy claims (n=7,473). The sample was 73% female; 47% Black; 34%White; mean age 41 years. Many had at least one chronic condition (75.9%), prescription (90.3%), and social need (45.2%). Across assessments, many reported food (40%), housing (34%), and transportation (33%) needs. However, far more people anticipated social needs during an emergency than in the next month. Having social needs increased the odds of anticipating any need (OR=1.5, 1.44–1.56) and desire for assistance during an emergency, even after controlling for significant covariates including older age, race, geographic region, Medicaid plan type, and prescriptions. Chronic conditions were significantly correlated with all anticipated needs in bivariate analyses, but only modestly associated (OR=1.03, 1.01–1.06) with anticipated medication needs in multivariable analyses. Identifying individuals with social needs, independent of their chronic disease status, will benefit emergency preparedness outreach efforts.
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