Language:

Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System

Journal of general internal medicine : JGIM, 2018-05, Vol.33 (5), p.644-650 [Peer Reviewed Journal]

Society of General Internal Medicine 2017 ;Journal of General Internal Medicine is a copyright of Springer, (2017). All Rights Reserved. ;ISSN: 0884-8734 ;EISSN: 1525-1497 ;DOI: 10.1007/s11606-017-4255-z ;PMID: 29299816

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System
Author: Charkhchi, Paniz ; Fazeli Dehkordy, Soudabeh ; Carlos, Ruth C.
Subjects: Adolescent ; Adult ; Anxiety ; Cancer ; Cardiovascular diseases ; Chronic conditions ; Chronic Disease - economics ; Chronic Disease - epidemiology ; Chronic illnesses ; Cross-Sectional Studies ; Demographics ; Demography ; Female ; Food ; Food security ; Food Supply - statistics & numerical data ; Health care ; Health care access ; Health risks ; Health Services Accessibility - statistics & numerical data ; Health Surveys ; Housing ; Housing - statistics & numerical data ; Humans ; Internal Medicine ; Lung diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Research ; Poverty ; Poverty - psychology ; Poverty - statistics & numerical data ; Regression analysis ; Regression models ; Risk analysis ; Risk Factors ; Risk taking ; Social Determinants of Health ; Surveillance ; United States - epidemiology ; Young Adult
Is Part Of: Journal of general internal medicine : JGIM, 2018-05, Vol.33 (5), p.644-650
Description: Background The proportion of the United States population with chronic illness continues to rise. Understanding the determinants of quality of care—particularly social determinants—is critical to the provision of care in this population. Objective To estimate the prevalence of housing and food insecurity among persons with common chronic conditions and to assess the independent effects of chronic illness and sociodemographic characteristics on (1) housing and food insecurity, and (2) health care access hardship and health status. Design Cross-sectional study. Participants We used data from the 11 states and one territory that completed the social context module of the 2015 Behavioral Risk Factor Surveillance System (BRFSS). Main Measures We estimated the prevalence of housing and food insecurity among patients with cancer, stroke, cardiovascular disease, and chronic lung disease. Logistic regression models were used to assess the independent effects of housing and food insecurity, chronic conditions, and demographics on health care access and health status. Key Results Among the chronically ill, 36.71% (95% CI: 35.54–37.88) experienced housing insecurity and 30.60% (95% CI: 29.49–31.71) experienced food insecurity. Cardiovascular and lung disease increased the likelihood of housing (OR 1.69, 95% CI: 1.07–2.66 and OR 1.71, 95% CI: 1.12–2.60, respectively) and food insecurity (OR 1.75, 95% CI: 1.12–2.73 and OR 1.78, 95% CI: 1.20–2.63, respectively). Housing and food insecurity significantly increased the risk of health care access hardship. Being insured or having an income level above 200% of the federal poverty level significantly reduced the likelihood of access hardship, while female gender significantly increased the likelihood. Conclusions Chronic illness independently affects housing and food insecurity. In turn, food and housing anxiety leads to reduced access to care, likely due to cost concerns, and correlates with poorer health. A more complete understanding of the pathways by which chronic illness influences social determinants and clinical outcomes is needed.
Publisher: New York: Springer US
Language: English
Identifier: ISSN: 0884-8734
EISSN: 1525-1497
DOI: 10.1007/s11606-017-4255-z
PMID: 29299816
Source: Open Access: PubMed Central
AUTh Library subscriptions: ProQuest Central
GFMER Free Medical Journals
MEDLINE

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System

Society of General Internal Medicine 2017 ;Journal of General Internal Medicine is a copyright of Springer, (2017). All Rights Reserved. ;ISSN: 0884-8734 ;EISSN: 1525-1497 ;DOI: 10.1007/s11606-017-4255-z ;PMID: 29299816

Searching Remote Databases, Please Wait