Disparities in Patient Family Social Determinants of Health in a Large Urban Pediatric Health System.
J Pediatr Health Care
; 38(2): 172-183, 2024.
Article
em En
| MEDLINE
| ID: mdl-38429029
ABSTRACT
INTRODUCTION:
This analysis sought to identify disparities in social determinants of health (SDOH) outcomes at a Texas pediatric hospital.METHODS:
This retrospective study used electronic health records of pediatric patients families surveyed August -December 2022. Outcomes for health literacy, social support, food, transportation, energy, digital, and housing insecurity, and tobacco exposure were analyzed across demographic categories.RESULTS:
Among 15,294 respondents to the survey (mean child age, 8.73 years; 43.68% Hispanic, 29.73% non-Hispanic White, 18.27% non-Hispanic Black, 6.79% other race/ethnicity; 53.95% male), 50.25% of respondents reported at least one SDOH, whereas 23.39% reported two or more SDOH. The most prevalent SDOH was lack of social support (3,456, 23.91%). Hispanic, non-Hispanic Black, and other race/ethnicity respondents, non-English speakers, and public insurance users had higher odds of reporting almost all SDOH in logistic regression models adjusted for age, race/ethnicity, language, gender, and insurance type.DISCUSSION:
Race/ethnicity, language, and insurance type disparities were identified for all SDOH.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Pediatria
/
Determinantes Sociais da Saúde
/
Disparidades Socioeconômicas em Saúde
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Pediatr Health Care
Ano de publicação:
2024
Tipo de documento:
Article