Social and Behavioral Factors in Sickle Cell Disease: Employment Predicts Decreased Health Care Utilization.
Published
Journal Article
THE PURPOSE: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.
Full Text
Duke Authors
Cited Authors
- Williams, H; Silva, RNS; Cline, D; Freiermuth, C; Tanabe, P
Published Date
- January 2018
Published In
Volume / Issue
- 29 / 2
Start / End Page
- 814 - 829
PubMed ID
- 29805142
Pubmed Central ID
- 29805142
Electronic International Standard Serial Number (EISSN)
- 1548-6869
International Standard Serial Number (ISSN)
- 1049-2089
Digital Object Identifier (DOI)
- 10.1353/hpu.2018.0060
Language
- eng