Social Risks Among Primary Care Patients in a Large Urban Health System
Social Risks Among Primary Care Patients in a Large Urban Health System
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DOI：
10.1016/j.amepre.2019.11.011
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发表时间：
2020-04-01
影响因子：
5.5
通讯作者：
Rehm, Colin D.
中科院分区：
文献类型：
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作者：
Heller, Caroline G.;Parsons, Amanda S.;Rehm, Colin D.
导言：卫生系统越来越有兴趣通过社会风险筛查解决健康的社会决定因素。本研究的目的是了解在大型城市卫生系统中常规筛查的初级保健患者中社会风险的数量和类型以及人群亚组的变异性。方法：2018年4月至12月期间，共有24，633名初级保健患者在纽约布朗克斯的卫生系统内的19个门诊站点完成了10项筛查。对总体和人群亚组的任何社会风险和特定社会风险的患病率进行了估计。Wald检验用于确定亚组的统计学显著差异。对2019年冬季/春季的数据进行了分析。结果：20%的患者至少存在1种社会风险。最常报告的风险包括住房质量（6.5%）和粮食不安全（6.1%）。中年（30 - 59岁）受访者（24.7%，95% CI = 23.6%，25.7%）与18 - 29岁受访者（17.7%，95% CI = 16.4%，19.2%，p
Introduction: Health systems are increasingly interested in addressing the social determinants of health via social risk screening. The objective of this study is to understand the variability in the number and types of social risks overall and in population subgroups among primary care patients routinely screened in a large urban health system.Methods: Between April and December 2018, a total of 24,633 primary care patients completed a 10-item screener across 19 ambulatory sites within a health system in the Bronx, NY. The prevalence of any social risk and specific social risks was estimated overall and for population subgroups. Wald tests were used to determine statistically significant differences by subgroup. Data were analyzed in winter/spring 2019.Results: Twenty percent of patients presented with at least 1 social risk. The most frequently reported risks included housing quality (6.5%) and food insecurity (6.1%). Middle-aged (30-59 years) respondents (24.7%, 95% CI=23.6%, 25.7%) compared with those aged 18-29 years (17.7%, 95% CI=16.4%, 19.2%, p