Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra Blvd, Hempstead, NY, 11549, USA.
Institute of Health Innovations and Outcomes Research, Feinstein Institutes for Medical Research, 600 Community Drive Suite 403, Manhasset, NY, 11030, USA.
BMC Res Notes. 2021 Aug 5;14(1):299. doi: 10.1186/s13104-021-05720-7.
The purpose of this study is to examine the prevalence of social needs by English proficiency using data from Northwell Health's social determinants of health screening program. The screening program evaluates 12 domains of social needs: material need, employment, medical-legal assistance, health insurance, public benefits, health literacy, transportation, medical care, utilities, housing quality, food security, and housing insecurity. We have identified patients to have limited English proficiency if they have selected a language other than English as their primary language.
The study population includes 92,958 individuals; of these, 83,445 (89.8%) patients are English proficient, and 9513 (10.2%) patients have limited English proficiency. A higher percentage of patients with limited English proficiency has social needs, including material need, employment, medical-legal assistance, health insurance, public benefit, health literacy, medical care, utility bill, poor housing quality, and food insecurity (all p-values < 0.05). In multivariable logistic regression models adjusting for sociodemographic information, LEP status (odds ratio = 1.36 [1.25-1.49]) has been associated with having social needs. These findings suggest that system-wide SDH screening and referral programs should identify ways to ensure capturing social needs among patients with limited English proficiency.
本研究旨在利用 Northwell Health 的健康决定因素社会评估计划的数据，通过英语熟练程度来考察社会需求的普遍性。该评估计划评估了 12 个社会需求领域：物质需求、就业、医疗法律援助、医疗保险、公共福利、健康素养、交通、医疗保健、水电费、住房质量、食品安全和住房不安全。如果患者选择英语以外的语言作为其主要语言，则认为其英语水平有限。
本研究人群包括 92958 人；其中，83445 名（89.8%）患者英语熟练，9513 名（10.2%）患者英语水平有限。英语水平有限的患者更有可能存在社会需求，包括物质需求、就业、医疗法律援助、医疗保险、公共福利、健康素养、医疗保健、水电费、住房质量差和食品安全问题（均 p 值<0.05）。在调整社会人口统计学信息的多变量逻辑回归模型中，英语水平有限的状态（比值比=1.36 [1.25-1.49]）与存在社会需求相关。这些发现表明，全系统的 SDH 筛查和转介计划应确定如何确保为英语水平有限的患者捕捉社会需求的方法。
