Table 3.
Unadjusted and adjusted prevalence ratio for each outcome by individual social need among screened Montefiore patients, April 2018-December 2019
| Housing | Access to Healthcare | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Food Insecurity | Quality | Instability | Health Transportation | Health Cost | Getting Along | Utilities Cost | Legal | Care Need | Interpersonal Violence | |
| Risk Factors | ||||||||||
| Smokinga | ||||||||||
| Model 1b | 2.18 (1.97, 2.41) | 1.66 (1.48, 1.87) | 2.18 (1.95, 2.43) | 2.34 (2.11, 2.60) | 1.91 (1.70, 2.15) | 1.99 (1.76, 2.25) | 1.97 (1.70, 2.29) | 2.24 (1.94, 2.58) | 1.31 (1.07, 1.59) | 2.02 (1.65, 2.46) |
| Model 2c | 1.74 (1.58, 1.91) | 1.39 (1.25, 1.54) | 1.70 (1.53, 1.88) | 1.82 (1.66, 1.99) | 1.58 (1.42, 1.75) | 1.63 (1.47, 1.82) | 1.58 (1.39, 1.79) | 1.70 (1.51, 1.92) | 1.26 (1.04, 1.52) | 1.59 (1.34, 1.90) |
| Model 3d | 1.28 (1.14, 1.45) | 1.01 (0.89, 1.15) | 1.21 (1.06, 1.38) | 1.41 (1.25, 1.58) | 1.04 (0.91, 1.18) | 1.23 (1.09, 1.39) | 1.13 (0.98, 1.30) | 1.15 (0.99, 1.33) | 0.85 (0.69, 1.04) | 1.00 (0.82, 1.20) |
| Alcohol/drug use disorder:e | ||||||||||
| Model 1b | 2.24 (1.98, 2.53) | 1.96 (1.72, 2.25) | 2.20 (1.92, 2.51) | 2.94 (2.62, 3.31) | 1.96 (1.70, 2.26) | 1.88 (1.61, 2.20) | 1.90 (1.57, 2.28) | 2.63 (2.23, 3.09) | 1.57 (1.25, 1.96) | 2.08 (1.63, 2.65) |
| Model 2c | 1.79 (1.60, 1.99) | 1.66 (1.47, 1.88) | 1.65 (1.46, 1.87) | 2.22 (2.00, 2.47) | 1.63 (1.43, 1.86) | 1.60 (1.39, 1.86) | 1.51 (1.26, 1.81) | 1.92 (1.65, 2.24) | 1.50 (1.20, 1.88) | 1.65 (1.33, 2.03) |
| Model 3d | 1.22 (1.05, 1.42) | 1.20 (1.04, 1.39) | 1.05 (0.89, 1.24) | 1.84 (1.59, 2.13) | 0.94 (0.79, 1.11) | 1.12 (0.93, 1.34) | 1.03 (0.85, 1.25) | 1.25 (1.05, 1.50) | 0.95 (0.75, 1.21) | 0.97 (0.76, 1.24) |
| Obesityf | ||||||||||
| Model 1b | 1.07 (1.00, 1.14) | 1.11 (1.04, 1.19) | 1.04 (0.96, 1.12) | 1.12 (1.04, 1.20) | 1.19 (1.11, 1.28) | 1.13 (1.04, 1.22) | 1.20 (1.10, 1.32) | 1.06 (0.96, 1.17) | 1.09 (0.98, 1.21) | 1.08 (0.95, 1.24) |
| Model 2c | 1.02 (0.97, 1.07) | 1.03 (0.98, 1.09) | 1.00 (0.95, 1.06) | 1.07 (1.02, 1.12) | 1.14 (1.08, 1.19) | 1.07 (1.02, 1.13) | 1.13 (1.06, 1.21) | 1.01 (0.94, 1.09) | 1.09 (1.01, 1.18) | 1.03 (0.94, 1.13) |
| Model 3d | 0.96 (0.90, 1.02) | 1.01 (0.96, 1.07) | 0.95 (0.89, 1.02) | 1.02 (0.97, 1.08) | 1.13 (1.07, 1.19) | 1.05 (0.99, 1.11) | 1.12 (1.04, 1.20) | 0.96 (0.89, 1.05) | 1.06 (0.98, 1.15) | 0.99 (0.89, 1.09) |
| Chronic Disease | ||||||||||
| Hypertensiong | ||||||||||
| Model 1b | 1.06 (1.00, 1.13) | 1.13 (1.06, 1.21) | 1.07 (0.99, 1.15) | 1.17 (1.09, 1.25) | 1.07 (0.99, 1.15) | 0.86 (0.79, 0.94) | 1.03 (0.93, 1.13) | 1.10 (1.00, 1.21) | 1.09 (0.98, 1.21) | 0.99 (0.87, 1.13) |
| Model 2c | 1.08 (1.04, 1.13) | 1.09 (1.05, 1.14) | 1.08 (1.03, 1.13) | 1.12 (1.07, 1.16) | 1.12 (1.07, 1.17) | 1.06 (1.01, 1.12) | 1.08 (1.02, 1.15) | 1.08 (1.02, 1.14) | 1.08 (1.01, 1.15) | 1.07 (0.99, 1.16) |
| Model 3d | 1.02 (0.97, 1.06) | 1.05 (1.01, 1.10) | 1.01 (0.96, 1.07) | 1.06 (1.01, 1.11) | 1.06 (1.00, 1.11) | 1.01 (0.95, 1.07) | 1.02 (0.96, 1.09) | 1.00 (0.94, 1.07) | 1.02 (0.96, 1.09) | 0.99 (0.91, 1.09) |
| Diabetesh | ||||||||||
| Model 1b | 1.18 (1.09, 1.28) | 1.24 (1.14, 1.35) | 1.12 (1.03, 1.23) | 1.35 (1.24, 1.47) | 1.19 (1.08, 1.30) | 0.91 (0.81, 1.01) | 1.12 (0.99, 1.26) | 1.22 (1.08, 1.37) | 1.18 (1.03, 1.34) | 1.09 (0.92, 1.29) |
| Model 2c | 1.17 (1.10, 1.25) | 1.16 (1.09, 1.23) | 1.10 (1.02, 1.18) | 1.24 (1.16, 1.32) | 1.21 (1.12, 1.31) | 1.12 (1.02, 1.22) | 1.17 (1.07, 1.28) | 1.15 (1.05, 1.26) | 1.11 (1.01, 1.23) | 1.15 (1.01, 1.31) |
| Model 3d | 1.05 (0.97, 1.14) | 1.08 (1.01, 1.16) | 0.96 (0.88, 1.05) | 1.15 (1.06, 1.24) | 1.08 (0.99, 1.19) | 1.02 (0.92, 1.12) | 1.06 (0.96, 1.17) | 1.03 (0.92, 1.14) | 1.00 (0.90, 1.12) | 1.01 (0.87, 1.10) |
| Asthmai | ||||||||||
| Model 1b | 1.37 (1.25, 1.50) | 1.79 (1.64, 1.96) | 1.36 (1.22, 1.50) | 1.70 (1.55, 1.86) | 1.63 (1.48, 1.80) | 1.38 (1.24, 1.54) | 1.53 (1.35, 1.74) | 1.53 (1.35, 1.74) | 1.33 (1.15, 1.55) | 1.42 (1.19, 1.70) |
| Model 2c | 1.26 (1.16, 1.36) | 1.54 (1.43, 1.65) | 1.29 (1.18, 1.41) | 1.51 (1.40, 1.63) | 1.50 (1.39, 1.62) | 1.25 (1.14, 1.38) | 1.43 (1.28, 1.59) | 1.43 (1.29, 1.58) | 1.24 (1.09, 1.39) | 1.26 (1.08, 1.47) |
| Model 3d | 0.95 (0.86, 1.05) | 1.37 (1.27, 1.48) | 0.98 (0.88, 1.09) | 1.25 (1.14, 1.37) | 1.24 (1.12, 1.36) | 1.03 (0.93, 1.15) | 1.18 (1.05, 1.33) | 1.11 (0.98, 1.25) | 0.98 (0.86, 1.11) | 0.94 (0.80, 0.00) |
| Mental/behavioral | ||||||||||
| Depressionj | ||||||||||
| Model 1b | 1.99 (1.86, 2.12) | 1.88 (1.75, 2.02) | 2.01 (1.87, 2.16) | 2.10 (1.96, 2.25) | 1.85 (1.71, 1.99) | 2.62 (2.44, 2.82) | 1.85 (1.68, 2.04) | 2.07 (1.89, 2.28) | 1.83 (1.64, 2.04) | 2.58 (2.30, 2.89) |
| Model 2c | 1.70 (1.62, 1.79) | 1.56 (1.47, 1.65) | 1.79 (1.69, 1.88) | 1.75 (1.66, 1.84) | 1.65 (1.56, 1.75) | 2.34 (2.23, 2.45) | 1.64 (1.52, 1.76) | 1.86 (1.74, 1.98) | 1.63 (1.51, 1.77) | 2.16 (2.00, 2.34) |
| Model 3d | 1.17 (1.10, 1.25) | 1.11 (1.04, 1.19) | 1.16 (1.09, 1.24) | 1.22 (1.14, 1.30) | 1.07 (1.00, 1.15) | 1.82 (1.71, 1.93) | 1.11 (1.02, 1.20) | 1.09 (1.01, 1.19) | 1.08 (0.99, 1.18) | 1.16 (1.05, 1.27) |
| Elevated PHQ2k | ||||||||||
| Model 1b | 3.02 (2.81, 3.24) | 2.66 (2.46, 2.87) | 3.03 (2.81, 3.27) | 3.04 (2.82, 3.27) | 2.80 (2.59, 3.03) | 3.66 (3.38, 3.95) | 2.64 (2.38, 2.92) | 2.94 (2.66, 3.24) | 2.69 (2.41, 3.01) | 3.61 (3.20, 4.07) |
| Model 2c | 2.56 (2.42, 2.72) | 2.22 (2.09, 2.36) | 2.63 (2.47, 2.79) | 2.51 (2.36, 2.67) | 2.48 (2.32, 2.64) | 3.21 (3.03, 3.40) | 2.31 (2.13, 2.50) | 2.56 (2.38, 2.75) | 2.39 (2.18, 2.61) | 3.04 (2.80, 3.30) |
| Model 3d | 1.40 (1.30, 1.51) | 1.28 (1.18, 1.39) | 1.31 (1.21, 1.43) | 1.31 (1.21, 1.42) | 1.25 (1.15, 1.36) | 1.98 (1.83, 2.14) | 1.18 (1.08, 1.30) | 1.05 (0.96, 1.16) | 1.22 (1.10, 1.35) | 1.14 (1.01, 1.20) |
Defined as those reporting being a current smoker in latest smoking survey in 1 year prior to the screener; excludes 7.5% not surveyed;
Unadjusted;
Adjusted for age, sex, race/ethnicity, preferred language, health insurance, block-group poverty and public housing status;
Adjusted for each individual social need, age, sex, race/ethnicity, preferred language, health insurance, block-group poverty and public housing status;
Defined as those with a diagnosis for the following: F11.x–F16.x, F18.x, F19.x, Z71.5, Z72.2, F10, E52, G62.1, I42.6, K29.2, K70.0, K70.3, K70.9, T51.x, Z50.2, Z71.4, Z72.1 in two years prior to screener;
Defined as those with BMI≥30 kg/m2, based on latest BMI value in 1 year prior to screener; excludes 2.1% without BMI measurement;
Defined as those with I10.x diagnosis in two years prior to screener;
Defined as those with E10.X, E11.X, E12.X, E13.X, E14.X diagnosis codes in two years prior to screener;
Defined as those with J45.X diagnosis codes in two years prior to screener;
Defined as those with F20.4, F31.3–F31.5, F32.x, F33.x, F34.1, F41.X, F43.2 diagnosis codes in two years prior to screener;
Defined as those with a score ≥2, based on latest PHQ-2 score in 1 year prior to screener; excludes 7.5% of sample not screened in year prior