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

Journal Article (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

  • PMC6478500

Electronic International Standard Serial Number (EISSN)

  • 1548-6869

International Standard Serial Number (ISSN)

  • 1049-2089

Digital Object Identifier (DOI)

  • 10.1353/hpu.2018.0060


  • eng