Youth Perspectives on Their Medical Team?s Role in Screening for and Addressing Social Determinants of Health

被引:7
作者
Chang, Claire [1 ]
Ceci, Christina [2 ]
Uberoi, Megha [3 ]
Waselewski, Marika [2 ]
Chang, Tammy [2 ,4 ,5 ]
机构
[1] Univ Michigan, Med Sch, Ann Arbor, MI USA
[2] Univ Michigan, Dept Family Med, Med Sch, Ann Arbor, MI USA
[3] Univ Michigan, Sch Publ Hlth, Ann Arbor, MI USA
[4] Univ Michigan, Inst Healthcare Policy & Innovat, Ann Arbor, MI USA
[5] Univ Michigan, Dept Family Med, 2800 Plymouth Rd Bldg 14,Room G128, Ann Arbor, MI 48109 USA
关键词
Social determinants of health; Adolescents; Screening; Patient preference; Medical team; FOOD INSECURITY; TRIAL; ACCEPTABILITY; CARE;
D O I
10.1016/j.jadohealth.2021.12.016
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: Little is known about adolescents' and young adults' desires and preferences surrounding healthcare-based social determinants of health (SDOHs) interventions. To assess these preferences, we surveyed youth regarding their perspectives on their medical team's role in addressing SDOHs. Methods: We conducted a national text message survey of youth aged 14e24 years. The survey asked five open-ended questions about SDOHs and SDOH interventions. Qualitative data were analyzed independently by two investigators using thematic analysis. Prevalence of codes was summarized using descriptive statistics. Results: Among 1,156 participants, 1,038 responded to at least one survey question (response rate 1/4 89.8%). Respondents were 19.2 (standard deviation: 2.4) years old on average, 48.9% male, 62.1% non-Hispanic white, and 38.9% qualified for free or reduced lunch. A large majority of our sample (81%) indicated that they think it is important for their doctor or medical team to ask about SDOHs. The most commonly reported barrier to seeking or receiving SDOH assistance was embarrassment (30%). Youth wanted their providers to help with SDOHs not only by providing information about resources (25%) and referrals (13%) but also by offering general advice (22%) and listening (11%). Approximately half (51%) of our sample preferred to receive information about SDOH assistance in person. Discussion: Most youth believe it is important for their medical teams to ask about and address SDOHs. Implementation of healthcare-based SDOH interventions for youth should optimize opportunities for face-to-face discussions about assistance during clinical encounters.(C) 2021 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码:928 / 933
页数:6
相关论文
共 35 条
[1]   Payment Innovations to Drive Improvements in Pediatric Care-The Integrated Care for Kids Model [J].
Alley, Dawn E. ;
Ashford, Nina C. ;
Gavin, Ashley M. .
JAMA PEDIATRICS, 2019, 173 (08) :717-718
[3]  
Association of State and Territorial Health Officials, 2018, INTR MULT INT COLL A
[4]   Food Insecurity Screening in Pediatric Primary Care: Can Offering Referrals Help Identify Families in Need? [J].
Bottino, Clement J. ;
Rhodes, Erinn T. ;
Kreatsoulas, Catherine ;
Cox, Joanne E. ;
Fleegler, Eric W. .
ACADEMIC PEDIATRICS, 2017, 17 (05) :497-503
[5]   The Social Determinants of Health: It's Time to Consider the Causes of the Causes [J].
Braveman, Paula ;
Gottlieb, Laura .
PUBLIC HEALTH REPORTS, 2014, 129 :19-31
[6]   Application of Audio Computer-Assisted Self-Interviews to Collect Self-Reported Health Data: An Overview [J].
Brown, J. L. ;
Swartzendruber, A. ;
DiClemente, R. J. .
CARIES RESEARCH, 2013, 47 :40-45
[7]   Implementing an EHR-based Screening and Referral System to Address Social Determinants of Health in Primary Care [J].
Buitron de la Vega, Pablo ;
Losi, Stephanie ;
Martinez, Linda Sprague ;
Bovell-Ammon, Allison ;
Garg, Arvin ;
James, Thea ;
Ewen, Alana M. ;
Stack, Marna ;
DeCarvalho, Heloisa ;
Sandel, Megan ;
Mishuris, Rebecca G. ;
Deych, Stella ;
Pelletier, Patrick ;
Kressin, Nancy R. .
MEDICAL CARE, 2019, 57 (06) :S133-S139
[8]   Part II: A Qualitative Study of Social Risk Screening Acceptability in Patients and Caregivers [J].
Byhoff, Elena ;
De Marchis, Emilia H. ;
Hessler, Danielle ;
Fichtenberg, Caroline ;
Adler, Nancy ;
Cohen, Alicia J. ;
Doran, Kelly M. ;
de Cuba, Stephanie Ettinger ;
Fleegler, Eric W. ;
Gavin, Nicholas ;
Huebschmann, Amy G. ;
Lindau, Stacy Tessler ;
Tung, Elizabeth L. ;
Raven, Maria ;
Jepson, Susan ;
Johnson, Wendy ;
Olson, Ardis L. ;
Sandel, Megan ;
Sheward, Richard S. ;
Gottlieb, Laura M. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2019, 57 (06) :S38-S46
[9]   Provider and Staff Feedback on Screening for Social and Behavioral Determinants of Health for Pediatric Patients [J].
Byhoff, Elena ;
Garg, Arvin ;
Pellicer, Michelle ;
Diaz, Yareliz ;
Yoon, Grace H. ;
Charns, Martin P. ;
Drainoni, Mari-Lynn .
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 2019, 32 (03) :297-306
[10]   Addressing Social Determinants to Improve Patient Care and Promote Health Equity: An American College of Physicians Position Paper [J].
Daniel, Hilary ;
Bornstein, Sue S. ;
Kane, Gregory C. .
ANNALS OF INTERNAL MEDICINE, 2018, 168 (08) :577-+