Back to Search
Start Over
Food Insecurity Status and Health Care Utilization Among COPD Patients: A Retrospective Study.
- Source :
-
Western Journal of Nursing Research . Oct2024, Vol. 46 Issue 10, p811-820. 10p. - Publication Year :
- 2024
-
Abstract
- Background: Government programs—targeting chronic disease patients with high health care costs—focus on clinical conditions, factors internal to the health care system, and individual patient education, not on addressing modifiable social determinants of health to reduce health care utilization. Objective: To evaluate differences in sociodemographic variables and health care utilization between patients with chronic obstructive pulmonary disease (COPD) who reported food insecurity and those who did not. Methods: This descriptive retrospective cross-sectional study used data from the electronic health records of a convenience sample of 854 participants with a discharge diagnosis of COPD or COPD with acute exacerbation, admitted via the emergency department of participating hospitals in Southern California. Chi-square (or Fisher's exact) tests and t tests were used to evaluate group differences, and multivariate (or Firth) logistic regression to identify factors that increased the odds of emergency department visits and hospitalizations. Results: Significant differences between groups were identified for food insecurity (sometimes or often vs never insecure) and age (P <.001), race (P =.022), medical insurance (P <.001), zip code (P =.022), homeless status (P <.001), smoking status (P <.001), and emergency department visits (P =.033). No significant differences were found for food insecurity and hospitalizations (P =.592). Conclusion: This study contributes to the growing body of research supporting the association of upstream social factors (food insecurity, homelessness, zip code) and downstream health outcomes (repeated emergency room visits), and how existing programs can be effectively utilized to impact downstream health outcomes such as health care utilization. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PATIENT education
*CROSS-sectional method
*DISEASE exacerbation
*SOCIAL determinants of health
*T-test (Statistics)
*FOOD security
*MEDICAL care
*STATISTICAL sampling
*LOGISTIC regression analysis
*HOSPITAL care
*HEALTH insurance
*SMOKING
*FISHER exact test
*RETROSPECTIVE studies
*HOSPITAL emergency services
*CHI-squared test
*MULTIVARIATE analysis
*AGE distribution
*DESCRIPTIVE statistics
*RACE
*OBSTRUCTIVE lung diseases
*MEDICAL records
*ACQUISITION of data
*ELECTRONIC health records
*SOCIODEMOGRAPHIC factors
*HOMELESSNESS
*DATA analysis software
*MEDICAL care costs
Subjects
Details
- Language :
- English
- ISSN :
- 01939459
- Volume :
- 46
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Western Journal of Nursing Research
- Publication Type :
- Academic Journal
- Accession number :
- 180040145
- Full Text :
- https://doi.org/10.1177/01939459241274850