Harrison Cecelia, Brooks Madeline, Goldstein Jennifer N
The Value Institute, ChristianaCare.
Dela J Public Health. 2020 Jul 1;6(2):72-78. doi: 10.32481/djph.2020.07.019. eCollection 2020 Jul.
The COVID-19 crisis highlights the importance of screening for and managing adverse social determinants of health (SDoH). Many of the same SDoH items that put individuals at increased risk of COVID-19 infection have increased dramatically due to the economic repercussions of slowing the viral spread.
This is a review of 3 studies conducted by the Health Services Research Core in the Value Institute at ChristianaCare. The studies had 3 overarching goals: 1) to conduct a survey of primary care providers in Delaware to determine their current methods for collection of social determinants data, 2) to validate a 2-item screening tool for food insecurity, and 3) to assess the geographic distribution of patients with food insecurity.
Our studies have demonstrated the importance of screening for SDoH by highlighting the inconsistent data collection of SDoH items, examining the prevalence of food insecurity and validating a standardized instrument for rapid data collection, as well as displaying geospatial differences in food insecurity prevalence across New Castle County, DE.
The COVID-19 pandemic has increased the prevalence of these social determinants in our communities. Therefore, it is imperative to employ screening and geospatial strategies to address the SDoH implications of the novel coronavirus.
新冠疫情凸显了筛查和管理健康的不良社会决定因素（SDoH）的重要性。由于减缓病毒传播所带来的经济影响，许多使个人感染新冠病毒风险增加的相同SDoH项目大幅增加。
这是对克里斯蒂安娜医疗中心价值研究所卫生服务研究核心开展的3项研究的综述。这些研究有3个总体目标：1）对特拉华州的初级保健提供者进行调查，以确定他们目前收集社会决定因素数据的方法；2）验证一种用于粮食不安全的两项筛查工具；3）评估粮食不安全患者的地理分布。
我们的研究通过强调SDoH项目数据收集的不一致性、检查粮食不安全的患病率、验证一种用于快速数据收集的标准化工具，以及展示特拉华州纽卡斯尔县粮食不安全患病率的地理空间差异，证明了筛查SDoH的重要性。
新冠疫情增加了我们社区中这些社会决定因素的患病率。因此，必须采用筛查和地理空间策略来应对新型冠状病毒对SDoH的影响。
