Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh (KN Ray, AK Ettinger, N Dwarakanath, SV Mistry, D Chaves-Gnecco, KA Alston, L Ripper, DR Lavage, and E Miller), Pittsburgh, Pa.
Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh (KN Ray, AK Ettinger, N Dwarakanath, SV Mistry, D Chaves-Gnecco, KA Alston, L Ripper, DR Lavage, and E Miller), Pittsburgh, Pa.
Acad Pediatr. 2021 May-Jun;21(4):677-683. doi: 10.1016/j.acap.2020.10.004. Epub 2020 Oct 14.
To identify unmet health and social resource needs during a county-wide coronavirus disease 19 (COVID-19) stay-at-home order and phased re-opening in Western Pennsylvania.
With public health, social service, and community partners connected through an ongoing academic-community collaborative, we developed and fielded a weekly repeated cross-sectional electronic survey assessing usage of and unmet need for health and social service resources. Using 10 weeks of surveys (April 3-June 11, 2020) by Allegheny County residents, we examined variation in responses by week and by sociodemographic characteristics using chi-square tests. We shared written reports weekly and discussed emerging trends with community partners.
Participants ranged from 229 to 1001 per week. Unmet need for at least 1 health or health-related social need resource varied by week, ranging from 55% (95% confidence interval [CI] 50%-59%) of participants in week 2 to 43% (95% CI 37%-49%) of participants in week 9 (P = .006). Increased use of at least 1 resource ranged from 53% (95% CI 47%-58%) of participants in week 3 to 36% (95% CI 31%-42%) in week 9 (P < .001). Unmet need for food and financial assistance peaked early during the stay-at-home order, while unmet need for mental health care rose later. Unmet need for food assistance varied significantly by race and ethnicity and by household prepandemic income.
Over half of families with children reported unmet health or social service needs during the first month of a county-wide COVID-19 stay-at-home order. Unmet needs varied with race, ethnicity, and income and with duration of the stay-at-home order.
识别宾夕法尼亚州西部全县范围内的新型冠状病毒疾病（COVID-19）居家令和分阶段重新开放期间未满足的健康和社会资源需求。
通过公共卫生、社会服务和社区合作伙伴之间的持续学术社区合作，我们开发并进行了一项每周重复的横断面电子调查，评估健康和社会服务资源的使用情况和未满足的需求。我们使用了来自阿勒格尼县居民的 10 周调查（2020 年 4 月 3 日至 6 月 11 日），通过卡方检验检查了按周和按社会人口统计学特征的反应变化。我们每周分享书面报告，并与社区合作伙伴讨论新兴趋势。
参与者每周从 229 到 1001 人不等。至少有 1 种健康或与健康相关的社会需求资源未得到满足的情况因周而异，从第 2 周的 55%（95%置信区间[CI]50%-59%）到第 9 周的 43%（95%CI 37%-49%）不等（P =.006）。至少使用 1 种资源的比例从第 3 周的 53%（95%CI 47%-58%）增加到第 9 周的 36%（95%CI 31%-42%）（P<.001）。居家令早期，食品和经济援助的未满足需求达到高峰，而心理健康护理的未满足需求则后来上升。食品援助的未满足需求在种族和民族以及家庭大流行前收入方面差异显著。
在全县范围内的 COVID-19 居家令实施的第一个月，超过一半有孩子的家庭报告了健康或社会服务需求未得到满足。未满足的需求因种族、民族和收入以及居家令的持续时间而有所不同。
