2021
DOI: 10.1089/pop.2020.0107
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How Do Social Needs Cluster Among Low-Income Individuals?

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Cited by 25 publications
(28 citation statements)
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References 30 publications
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“…We also compared our findings with Medicaid insurance status as a baseline assumption and potential proxy for HRSN status. Previous studies have found strong associations between Medicaid coverage, social needs, and healthcare utilization and outcomes 64 . Finally, we used state of the art Gradient Boosting Decision Tree ML approaches whose hyperparameters where automatically tuned with Bayesian optimization without using a non-overlapping test set.…”
Section: Discussionmentioning
confidence: 90%
“…We also compared our findings with Medicaid insurance status as a baseline assumption and potential proxy for HRSN status. Previous studies have found strong associations between Medicaid coverage, social needs, and healthcare utilization and outcomes 64 . Finally, we used state of the art Gradient Boosting Decision Tree ML approaches whose hyperparameters where automatically tuned with Bayesian optimization without using a non-overlapping test set.…”
Section: Discussionmentioning
confidence: 90%
“…34 However, these patients also have well-documented difficulties accessing healthcare resources. 29,35 Prospective studies of HRSN screening in non-healthcaresystem-based populations are needed to gain a more accurate picture of the health risks associated increased need and the values of screening for those needs for population health. Interestingly, the AHC Model evaluation report found substantially higher rates of social needs in patients screened versus available community-level data (e.g., County Health Rankings).…”
Section: Discussionmentioning
confidence: 99%
“…Because participants were identified when calling 2-1-1, they likely have at least one acute social need they are trying to address. In one study comparing 2-1-1 callers to other low-income populations (e.g., Medicaid plan members), 2-1-1 callers reported about twice as many unmet social needs [ 44 ]. Thus, it is not clear how representative this sample is relative to all low-income smokers in the U.S.…”
Section: Discussionmentioning
confidence: 99%
“…Social needs were assessed using 10 items based on Segal's Personal Empowerment Scale [ 42 ], studies by Blazer and colleagues [ 43 ], and used in prior trials and large studies [ 44 ]. Items assessed the likelihood that, in the next month, the respondent would: (1) have a place to stay; (2) be able to pay their current electric, gas or water bill in full; (3) have enough food to feed themselves and others in their home; (4) have reliable transportation to get to appointments, meetings, work, and getting the things they need for daily living; (5) have enough money for necessities like food, shelter and clothing; (6) have enough money to deal with unexpected expenses; (7) be threatened physically by another person; and (8) have trouble finding or paying for childcare.…”
Section: Methodsmentioning
confidence: 99%