Article Figures & Data
Figures
- Appendix 1.
Your Current Life Situation Screening Tool
Tables
Total Characteristic n (%) Sex Female 17,857 (54.3) Male 14,987 (45.6) Unknown 17 (0.1) Race/ethnicity Asian 984 (3.0) Black 1,388 (4.2) Hispanic 2,137 (6.5) American Indian/Alaskan Native 407 (1.2) Mixed Race/Other 785 (2.4) Unknown 483 (1.5) White 27,084 (82.4) Age, years 18 to 29 2,493 (7.6) 30 to 39 2,496 (7.6) 40 to 49 3,168 (9.6) 50 to 59 4,829 (14.7) 60 to 69 7,098 (21.6) 70 to 79 7,295 (22.2) 80 and older 5,482 (16.7) Insurance type Commercial 10,428 (31.7) Medicaid 3,139 (9.6) Medicare 16,805 (51.1) Uninsured 2,489 (7.6) Neighborhood Deprivation Index (NDI), mean ± SD −0.14 ± 0.69 Elixhauser score Missing 1,007 (3.1) 0 3,111 (9.5) 1 to 3 12,034 (36.6) >3 16,709 (50.9) YCLS Respondent Patient (self) 25,178 (76.6) Family member, friend, or caregiver 3,646 (11.1) Patient with someone's help 3,809 (11.6) Skip/prefer not to answer 228 (0.7) Needed language interpreter 1,124 (3.4) Social risks Housing instability 4,372 (13.3) Food insecurity 3,632 (11.1) Transportation hardship 2,491 (7.6) Medical financial hardship 2,790 (8.5) Requests for help Housing 2,884 (8.8) Food 2,105 (6.4) Transportation 1,863 (5.7) Medical financial 4,482 (13.6) SD, standard deviation; YCLS, Your Current Life Situation.
- Table 2.
Request for Help Among Patients Who Reported Having Social Risks by Social Risk Domain
Requests For Help By Social Risk Domain, n (%) Housing instability (N = 4,372) No 1,756 (40.2) Yes 2,616 (59.8) Food insecurity (N = 3,632) No 1,756 (48.4) Yes 1,876 (51.7) Transportation hardship (N = 2,491) No 1,012 (40.6) Yes 1,479 (59.4) Medical financial hardship (N = 2,790) No 512 (18.4) Yes 2,278 (81.7) - Table 3.
Results of Multivariable Logistic Regression of Risk/Help Concordance by Social Risk Domain
Housing Instability Risk/Help Concordance Food Insecurity Risk/Help Concordance Transportation Hardship Risk/Help Concordance Medical Financial Hardship Risk/Help Concordance Parameter Level OR 95% CI P value OR 95% CI P value OR 95% CI P value OR 95% CI P value Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit Intercept 0.31 0.21 0.46 <.0001 0.22 0.13 0.38 <.0001 0.96 0.58 1.58 .88 4.37 2.33 8.20 <.0001 Age, years 18 to 29 1.59 1.21 2.00 ***<.001 1.65 0.99 2.76 *.05 0.55 0.35 0.86 *.005 1.07 0.57 2.00 .81 30 to 39 2.36 1.60 3.46 ***<.0001 1.66 1.02 2.72 *.04 0.54 0.35 0.83 **.004 1.02 0.55 1.86 .97 40 to 49 3.01 2.07 4.38 ***<.0001 1.96 1.19 3.23 .008 0.55 0.36 0.85 **.006 1.26 0.70 2.24 .44 50 to 59 2.65 1.92 3.65 ***<.0001 1.83 1.14 2.94 **.01 0.72 0.48 1.06 .09 1.60 0.95 2.71 .07 60 to 69 2.10 1.57 2.28 **.001 1.56 0.99 2.74 *.05 0.75 0.458 1.05 .09 1.80 1.12 2.88 **.01 70 to 79 1.81 1.33 2.47 **.0002 1.23 0.77 1.96 .38 0.78 0.57 1.08 .14 1.12 0.75 1.90 .45 80 and older Reference Reference Reference Reference Sex F 1.08 0.92 1.2 .32 1.107 0.96 1.27 .154 1.27 1.07 1.50 .005 1.10 0.90 1.36 .332 M Reference Reference Reference Reference Race/ethnicity Asian 0.92 0.60 1.42 .773 1.49 0.08 2.26 .058 1.02 0.57 1.84 .928 0.96 0.54 1.72 .902 Black 1.56 1.21 2.00 ***.0006 1.44 1.11 1.86 **.005 1.07 0.78 1.46 .647 1.27 0.84 1.94 .248 Hispanic 1.19 0.92 1.54 .177 1.66 1.25 2.21 ***<.001 1.43 0.95 2.16 .090 1.58 0.999 2.51 .051 Mixed Race/Other 0.97 0.67 1.42 .907 1.17 0.90 1.708 .399 1.02 0.64 1.63 .907 2.12 1.00 4.48 *.048 Unknown 0.73 0.45 1.20 .226 0.68 0.42 1.12 .134 0.561 0.28 1.10 .095 0.83 0.42 1.62 .591 White Reference Reference Reference Reference Needs interpreter Yes 1.52 1.06 2.17 *.020 1.70 1.17 2.48 **.005 1.50 0.92 2.44 .103 1.78 1.001 3.18 *.049 No Reference Reference Reference Reference Insurance Medicaid 1.65 1.34 2.03 ***<.0001 1.37 1.13 1.67 ***.001 2.03 1.57 2.61 ***<.0001 0.56 0.40 0.78 ***<.001 Medicare 0.93 0.73 1.18 .573 1.45 1.15 1.82 **.001 1.77 1.30 2.42 ***<.001 0.87 0.62 1.21 .426 Uninsured 1.29 1.02 1.63 *.033 1.16 0.92 1.47 .205 1.58 1.12 2.23 **.008 1.06 0.76 1.49 .703 Commercial Reference Reference Reference Reference Elixhauser score 1 to 3 0.95 0.74 1.23 .726 0.95 0.74 1.22 .734 1.34 0.96 1.87 .083 0.91 0.63 1.31 .628 >3 1.04 0.79 1.38 .733 1.11 0.86 1.43 .4095 1.11 0.79 1.55 .530 0.64 0.43 0.95 *.027 0 Reference Reference Reference Reference YCLS respondent Family member, friend, or caregiver of member 0.70 0.55 0.89 **.004 0.96 0.71 1.31 .8264 0.79 0.58 1.07 .138 1.577 1.01 2.44 *.041 Member with someone's help 0.82 0.65 1.02 .087 0.87 0.68 1.11 .2741 0.59 0.43 0.804 ***<.001 0.964 0.69 1.33 .824 Skip/prefer not to answer 0.24 0.08 0.69 **.008 0.69 0.22 2.15 .5323 1.05 0.37 2.96 .926 0.36 0.10 1.28 .115 Patient (self) Reference Reference Reference Reference NDI 1.14 1.03 1.25 **.006 1.11 1.01 1.22 *.018 1.22 1.08 1.37 **.001 1.14 0.99 1.32 .059 Housing instability 1.92 1.63 2.26 ***<.0001 0.77 0.61 0.98 *.034 0.85 0.66 1.09 .208 Food insecurity 2.55 2.22 2.93 ***<.0001 1.26 1.02 1.56 *.030 0.87 0.68 1.10 .252 Transportation hardship 1.31 1.12 1.54 ***<.001 1.37 1.16 1.61 ***.0001 0.91 0.71 1.17 .482 Medical financial hardship 1.12 0.96 1.31 .121 1.22 1.04 1.42 *.012 1.11 0.90 1.37 .306 Housing Instability Discordant N = 1,756 Food Insecurity Discordant (N = 1,756) Transportation Hardship Discordant (N = 1,012) Medical Financial Hardship Discordant (N = 512) n (%) n (%) n (%) n (%) Housing instability 570 (32.46) 347 (34.29) 170 (33.20) Food insecurity 207 (11.79) 211 (20.85) 134 (26.17) Transportation hardship 220 (12.53) 242 (13.78) 94 (18.36) Medical financial hardship 607 (34.57) 690 (39.29) 378 (37.35)
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