Truman Laura, Calero Patricia, Etland Caroline, Milo Razel B, Connelly Cynthia D
Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, CA, USA.
SAGE Open Nurs. 2025 May 15;11:23779608251344038. doi: 10.1177/23779608251344038. eCollection 2025 Jan-Dec.
Research shows low health confidence predicts poor involvement in self-care and is associated with increased use of costly healthcare services. To improve overall health and reduce health inequities, the relevance and urgency of identifying the relationship between social determinants of health and health confidence are great.
This study explored relationships between social determinants of health and health confidence in adults at an urgent care center in southern California.
The descriptive cross-sectional study collected data via survey from 240 English- and Spanish-speaking adults (18-93 years) receiving care for any medical condition between 15 and 17 August 2022. Patients in need of immediate medical attention were excluded. The survey encompassed The , sociodemographic questions, and a single health confidence question. Bivariate analysis identified significant differences in health confidence for a logistic regression model.
Forty-seven percent ( = 107) of participants reported low confidence in managing their health and well-being. Low health confidence was observed in those with unmet needs ( = 4.16, = .042), and varying levels of stress ( = 13.76, = .008). Low health confidence was common in low-income ( = 2.23, = .028) and greater social risk groups ( = 19.7, < .001). Participants in contact with friends or family 1 to 5 times per week (vs. >5 times) were more likely to report low health confidence; those with high levels of stress were more likely to report low health confidence (vs. no stress).
This study highlights the insidious prevalence of social determinants of health and the impact of social isolation and stress on health confidence, providing the basis for implementing standardized social determinants of health screening.
研究表明，健康信心低预示着自我护理参与度低，且与昂贵医疗服务的使用增加有关。为了改善整体健康状况并减少健康不平等现象，确定健康的社会决定因素与健康信心之间的关系具有重大的相关性和紧迫性。
本研究探讨了南加州一家紧急护理中心成年人群体中健康的社会决定因素与健康信心之间的关系。
这项描述性横断面研究于2022年8月15日至17日通过调查收集了240名讲英语和西班牙语的成年人（18 - 93岁）的数据，这些成年人因任何医疗状况接受治疗。需要立即就医的患者被排除在外。该调查涵盖了社会人口学问题和一个单一的健康信心问题。双变量分析确定了逻辑回归模型中健康信心的显著差异。
47%（n = 107）的参与者表示在管理自身健康和幸福方面信心不足。在有未满足需求的人群（β = 4.16，p = 0.042）以及不同压力水平的人群（β = 13.76，p = 0.008）中观察到健康信心较低。低收入人群（β = 2.23，p = 0.028）和社会风险较高的群体（β = 19.7，p < 0.001）中健康信心较低很常见。每周与朋友或家人联系1至5次的参与者（与>5次相比）更有可能报告健康信心较低；压力水平高的人更有可能报告健康信心较低（与无压力相比）。
本研究突出了健康的社会决定因素的潜在普遍性以及社会孤立和压力对健康信心的影响，为实施标准化的健康社会决定因素筛查提供了依据。
