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Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.

Publication ,  Journal Article
Williams, H; Silva, RNS; Cline, D; Freiermuth, C; Tanabe, P
Published in: Journal of health care for the poor and underserved
January 2018

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.

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Published In

Journal of health care for the poor and underserved

DOI

EISSN

1548-6869

ISSN

1049-2089

Publication Date

January 2018

Volume

29

Issue

2

Start / End Page

814 / 829

Related Subject Headings

  • Young Adult
  • United States
  • Socioeconomic Factors
  • Public Health
  • Prospective Studies
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Humans
  • Female
 

Citation

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Chicago
ICMJE
MLA
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Williams, H., Silva, R. N. S., Cline, D., Freiermuth, C., & Tanabe, P. (2018). Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization. Journal of Health Care for the Poor and Underserved, 29(2), 814–829. https://doi.org/10.1353/hpu.2018.0060
Williams, Hants, RN Susan Silva, David Cline, Caroline Freiermuth, and Paula Tanabe. “Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.Journal of Health Care for the Poor and Underserved 29, no. 2 (January 2018): 814–29. https://doi.org/10.1353/hpu.2018.0060.
Williams H, Silva RNS, Cline D, Freiermuth C, Tanabe P. Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization. Journal of health care for the poor and underserved. 2018 Jan;29(2):814–29.
Williams, Hants, et al. “Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.Journal of Health Care for the Poor and Underserved, vol. 29, no. 2, Jan. 2018, pp. 814–29. Epmc, doi:10.1353/hpu.2018.0060.
Williams H, Silva RNS, Cline D, Freiermuth C, Tanabe P. Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization. Journal of health care for the poor and underserved. 2018 Jan;29(2):814–829.
Journal cover image

Published In

Journal of health care for the poor and underserved

DOI

EISSN

1548-6869

ISSN

1049-2089

Publication Date

January 2018

Volume

29

Issue

2

Start / End Page

814 / 829

Related Subject Headings

  • Young Adult
  • United States
  • Socioeconomic Factors
  • Public Health
  • Prospective Studies
  • Patient Acceptance of Health Care
  • Middle Aged
  • Male
  • Humans
  • Female