Expressed and unexpressed social needs in low-income adults in the U.S.
Expressed and unexpressed social needs in low-income adults in the U.S.
复制标题
美国低收入成年人表达和未表达的社会需求
DOI：
10.1111/hsc.13265
复制
发表时间：
2021-09
影响因子：
2.4
通讯作者：
Kreuter MW
中科院分区：
文献类型：
--
作者：
Verdecias N;Garg R;Steensma J;McQueen A;Greer R;Kreuter MW
许多医疗机构现在都在例行筛查患者的社会需求，如食物和住房。在很大程度上还不清楚，在没有筛查的情况下，他们确定的需求是否会由患者表达。为了更好地了解表达的和未表达的社交需求，我们对1397名低收入成年人进行了社交需求筛查，他们在2017年6月至2019年10月期间拨打了密苏里州的2-1-1帮助热线，寻求社会需求的帮助。合并来自筛选者和2-1-1的数据，我们发现筛选者识别了大约一半参与者的所有表达到2-1-1的社交需求，并且平均识别出至少一个没有表达到2-1-1的社交需求(即，未表达的需求)。某些社会需求(水电费支付援助、住房)比未表达的可能性大得多，而其他需求(儿童保育、就业、人身安全)几乎普遍未表达。在回归分析中，有某些已表达的需求显著增加了有某些未表达的需求的几率。例如，从2-1-1寻求交通帮助的人对食物(OR=3.19；95%CI=1.45-7.02)和医疗保健(OR=2.18；95%CI=1.06-4.48)的未表达需求的几率高于不表达交通需求的人。从2-1-1寻求就业帮助的人在个人安全(OR=3.04；95%CI=1.20-7.68)和医疗保健(OR=2.58；95%CI=1.15-5.77)方面的未表达需求的几率高于未表达就业需求的人。对医疗保健(筛查检测已表达和未表达的需求)和社会服务组织(某些请求可能是其他需求的标记)的影响进行了讨论。
Many healthcare organizations are now routinely screening patients for social needs such as food and housing. It is largely unknown whether the needs they identify would have been expressed by the patient in the absence of screening. To better understand expressed and unexpressed social needs, we administered a social needs screener to 1,397 low-income adults who called a 2-1-1 helpline in Missouri seeking assistance with social needs between June 2017 and October 2019. Merging data from the screener and 2-1-1, we found that the screener identified all of the social needs expressed to 2-1-1 for about half the participants, and on average identified at least one social need not expressed to 2-1-1 (i.e., unexpressed needs). Certain social needs (utility payment assistance, housing) were much more likely to be expressed than unexpressed, while others (childcare, employment, personal safety) were almost universally unexpressed. In regression analyses, having certain expressed needs significantly increased the odds of having certain unexpressed needs. For example, those seeking transportation assistance from 2-1-1 had greater odds of unexpressed needs for food (OR=3.19; 95% CI = 1.45-7.02) and healthcare (OR=2.18; 95% CI = 1.06-4.48) than those not expressing transportation needs. Those seeking employment assistance from 2-1-1 had greater odds of unexpressed needs for personal safety (OR=3.04; 95% CI = 1.20-7.68) and healthcare (OR=2.58; 95% CI = 1.15-5.77) than those not expressing employment needs. Implications for healthcare (screening detects expressed and unexpressed needs) and social service organizations (certain requests may be markers for other needs) are discussed.
登录
查看更多内容
影响因子：
12.7
作者：
Blazer, DG;Sachs-Ericsson, N;Hybels, CF
通讯作者：
Hybels, CF
影响因子：
9.7
作者：
Horwitz, Leora I.;Chang, Carol;Knickman, James R.
通讯作者：
Knickman, James R.
影响因子：
4.2
作者：
Thompson, Tess;Kreuter, Matthew W.;Boyum, Sonia
通讯作者：
Boyum, Sonia
影响因子：
5.5
作者：
Andermann A
通讯作者：
Andermann A
DOI：
10.1377/hlthaff.2019.01256
发表时间：
2020-04
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Kreuter M;Garg R;Thompson T;McQueen A;Javed I;Golla B;Caburnay C;Greer R
通讯作者：
Greer R