Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.
to determine frequency of health care encounters among people with sickle cell disease (SCD) seeking treatment for a vaso-occlusive crisis (VOC). Health care encounters are categorized by visit type (day hospital, ED visit, hospitalization), prevalence of self-reported behavioral and social factors, and any associations between behavioral and social factors and health care encounters. Ninety-five people with SCD were enrolled in a prospective descriptive study in North Carolina. Patients were interviewed concerning behavioral-social factors, and a report of health care encounters was produced, generated by ICD codes associated with VOCs between October 2011 and March 2014. Among 95 patients, there were a total of 839 day hospital and 1,990 ED visits, and 1,101 hospital admissions. Prevalent behavioral and social factors were depression (29%), anxiety (34%), illicit drug use (6%); unstable home situation (17%); and unemployment (81%). Employment and stable home were significantly associated with decreased frequency of health care encounters.
Duke Scholars
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- Young Adult
- United States
- Socioeconomic Factors
- Public Health
- Prospective Studies
- Patient Acceptance of Health Care
- Middle Aged
- Male
- Humans
- Female
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Young Adult
- United States
- Socioeconomic Factors
- Public Health
- Prospective Studies
- Patient Acceptance of Health Care
- Middle Aged
- Male
- Humans
- Female