Table 3.
Associations Between Unmet Social Needs and Chronic Diseases, All Claims in the Past Year
| Unmet social needs |
|||||||||
|---|---|---|---|---|---|---|---|---|---|
| N | M (SD) | 0 | M (SD) | 1 | M (SD) | 2+ | M (SD) | F P value | |
| Sum Prescriptions | 10267 | 11.63 (9.65) | 4586 | 10.37 (9.02) | 2927 | 12.52 (9.95) | 2754 | 12.77 (10.10) | <.0001 |
| Number of Unique Prescribers | 10267 | 4.48 (3.65) | 4586 | 4.10 (3.41) | 2927 | 4.68 (3.67) | 2754 | 4.90 (3.93) | <.0001 |
| Sum ECI | 10267 | 2.80 (2.63) | 4586 | 2.42 (2.56) | 2927 | 3.06 (2.69) | 2754 | 3.18 (2.58) | <.0001 |
| N | % | 0 | % | 1 | % | 2+ | % | χ2 P value | |
|---|---|---|---|---|---|---|---|---|---|
|
Cardiovascular Diseases
| |||||||||
| Congestive heart failure |
|
|
|
|
|
|
|
|
.0109 |
| Yes |
821 |
8.00 |
326 |
39.7 |
259 |
31.6 |
236 |
28.8 |
|
| No |
9446 |
92.0 |
4260 |
45.1 |
2668 |
28.2 |
2518 |
26.7 |
|
| Cardiac arrhythmias |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
1605 |
15.6 |
626 |
39.0 |
496 |
30.9 |
483 |
30.1 |
|
| No |
8662 |
84.4 |
3960 |
45.7 |
2431 |
28.1 |
2271 |
26.2 |
|
| Hypertension |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
4816 |
46.9 |
1870 |
38.8 |
1511 |
31.4 |
1435 |
29.8 |
|
| No |
5451 |
53.1 |
2716 |
49.8 |
1416 |
26.0 |
1319 |
24.2 |
|
|
Endocrine/Metabolic Disorders
| |||||||||
| Diabetes Type 1 & 2 without complications |
|
|
|
|
|
<.0001 |
|||
| Yes |
2320 |
22.6 |
916 |
39.5 |
734 |
31.6 |
670 |
28.9 |
|
| No |
7947 |
77.4 |
3670 |
46.2 |
2193 |
27.6 |
2084 |
26.2 |
|
| Diabetes Type 1 & 2 with complications |
|
|
|
|
|
|
<.0001 |
||
| Yes |
1981 |
19.3 |
796 |
40.2 |
646 |
32.6 |
539 |
27.2 |
|
| No |
8286 |
80.7 |
3790 |
45.7 |
2281 |
27.5 |
2215 |
26.7 |
|
| Obesity |
|
|
|
|
|
|
|
|
.0046 |
| Yes |
1761 |
17.2 |
725 |
41.2 |
541 |
30.7 |
495 |
28.1 |
|
| No |
8506 |
82.9 |
3861 |
45.4 |
2386 |
28.1 |
2259 |
26.6 |
|
| Fluid and electrolyte disorders |
.0018 |
||||||||
| Yes |
1436 |
14.0 |
584 |
40.7 |
421 |
29.3 |
431 |
30.0 |
|
| No |
8831 |
86.0 |
4002 |
45.3 |
2506 |
28.4 |
2323 |
26.3 |
|
| Hypothyroidism |
|
|
|
|
|
|
|
|
.0094 |
| Yes |
781 |
7.6 |
345 |
44.2 |
255 |
32.7 |
181 |
23.2 |
|
| No |
9486 |
92.4 |
4241 |
44.7 |
2672 |
28.2 |
2573 |
27.1 |
|
|
Other chronic conditionsa
| |||||||||
| Neurological disorders |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
707 |
6.9 |
265 |
37.5 |
241 |
34.1 |
201 |
28.4 |
|
| No |
9560 |
93.1 |
4321 |
45.2 |
2686 |
28.1 |
2553 |
26.7 |
|
| Chronic pulmonary disease |
<.0001 |
||||||||
| Yes |
1986 |
19.3 |
732 |
36.9 |
633 |
31.9 |
621 |
31.3 |
|
| No |
8281 |
80.7 |
3854 |
46.5 |
2294 |
27.7 |
2133 |
25.8 |
|
| Liver disease |
|
|
|
|
|
|
|
|
.0007 |
| Yes |
795 |
7.7 |
304 |
38.2 |
248 |
31.2 |
243 |
30.6 |
|
| No |
9472 |
92.3 |
4282 |
45.2 |
2679 |
28.3 |
2511 |
26.5 |
|
| Chronic peptic ulcer disease |
.0310 |
||||||||
| Yes |
122 |
1.2 |
41 |
33.6 |
38 |
31.2 |
43 |
35.3 |
|
| No |
10145 |
98.8 |
4545 |
44.8 |
2889 |
28.5 |
2711 |
26.7 |
|
| HIV/AIDS |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
337 |
3.3 |
113 |
33.5 |
97 |
28.8 |
127 |
37.7 |
|
| No |
9930 |
96.7 |
4473 |
45.1 |
2830 |
28.5 |
2627 |
26.5 |
|
| Rheumatoid arthritis/collagen vascular diseases |
.0022 |
||||||||
| Yes |
304 |
3.0 |
106 |
34.9 |
100 |
32.9 |
98 |
32.2 |
|
| No |
9963 |
97.0 |
4480 |
45.0 |
2827 |
28.4 |
2656 |
26.7 |
|
|
Psychiatric and Substance Use Disorders
| |||||||||
| Psychoses |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
708 |
6.9 |
216 |
30.5 |
212 |
29.9 |
280 |
39.6 |
|
| No |
9559 |
93.1 |
4370 |
45.7 |
2715 |
28.4 |
2474 |
25.9 |
|
| Depression |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
2555 |
24.9 |
877 |
34.3 |
794 |
31.1 |
884 |
34.6 |
|
| No |
7712 |
75.1 |
3709 |
48.1 |
2133 |
27.7 |
1870 |
24.3 |
|
| Alcohol abuse |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
617 |
6.0 |
201 |
32.6 |
173 |
28.0 |
243 |
39.4 |
|
| No |
9650 |
94.0 |
4385 |
45.4 |
2754 |
28.5 |
2511 |
26.0 |
|
| Drug abuse |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
1112 |
10.8 |
351 |
31.6 |
307 |
27.6 |
454 |
40.8 |
|
| No |
9155 |
89.2 |
4235 |
46.3 |
2620 |
28.6 |
2300 |
25.1 |
|
| Tobacco dependenceb |
|
|
|
|
|
|
|
|
<.0001 |
| Yes |
2488 |
24.3 |
918 |
36.9 |
736 |
29.6 |
834 |
33.5 |
|
| No | 7779 | 75.8 | 3668 | 47.2 | 2191 | 28.2 | 1920 | 24.7 | |
a
Hematologic and oncologic diagnoses in the ECI, including lymphoma, metastatic cancer, solid tumor without metastasis, blood loss anemia, deficiency anemias, coagulation deficiency, and weight loss, were not significantly associated with social needs and were removed from the table. Additionally, peripheral vascular disease, valvular disease, pulmonary circulation disorder, renal failure, and paralysis were not significantly associated with social needs and were removed from the table.
b
Not included in the ECI.
ECI, Elixhauser Comorbidity Index; M, mean; SD, standard deviation.