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Social Determinants of Health and Health-Related Social Needs Among Adults With Chronic Diseases in the United States, Behavioral Risk Factor Surveillance System, 2022
ORIGINAL RESEARCH — Volume 21 — November 14, 2024
PEER REVIEWED
Figure.
Leading SDOH/HRSN measures associated with 9 chronic diseases among US adults in 39 states, the District of Columbia, and 2 US territories, Behavioral Risk Factor Surveillance System, 2022. Adjusted prevalence ratios (APRs) were adjusted for demographic variables and disease-specific risk factors, ie, current smoking, physical activity, alcohol use, obesity, and diabetes for coronary heart disease, and stroke; current smoking, physical activity, alcohol use, and obesity for diabetes, chronic respiratory disease, cancer, current asthma, arthritis, and depression; and current smoking, physical inactivity, and alcohol use for obesity. Abbreviations: CHD, coronary heart disease; SDOH/HRSN, social determinants of health/health-related social needs; SNAP, Supplemental Nutrition Assistance Program.
| Chronic disease and SDOH/HRSN measure | APR (95% CI) |
|---|---|
| CHD | |
| Cost barrier for needed medical care | 1.44 (1.30–1.59) |
| Receiving food stamps or SNAP | 1.35 (1.24–1.47) |
| Mental Stress | 1.34 (1.23–1.46) |
| Stroke | |
| Lack of reliable transportation | 1.34 (1.18–1.53) |
| Food insecurity | 1.30 (1.13–1.51) |
| Receiving food stamps or SNAP | 1.30 (1.14–1.47) |
| Diabetes | |
| Life dissatisfaction | 1.15 (1.05–1.25) |
| Receiving food stamps or SNAP or food insecurity | 1.13 (1.05–1.21) |
| Experiencing threat to shut off utility services | 1.13 (1.02–1.24) |
| Chronic respiratory disease | |
| Cost barrier for needed medical care | 1.34 (1.23–1.46) |
| Mental stress | 1.28 (1.19–1.39) |
| Lack of reliable transportation | 1.23 (1.14–1.34) |
| Cancer | |
| Mental stress | 1.27 (1.17–1.38) |
| Life dissatisfaction | 1.24 (1.10–1.39) |
| Cost barrier for needed medical care | 1.21 (1.08–1.35) |
| Obesity | |
| Receiving food stamps or SNAP | 1.20 (1.15–1.25) |
| Life dissatisfaction | 1.08 (1.03–1.14) |
| Experiencing threat to shut off utility services | 1.07 (1.02–1.12) |
| Current asthma | |
| Mental stress | 1.35 (1.26–1.44) |
| Receiving food stamps or SNAP | 1.29 (1.19–1.39) |
| Lack of reliable transportation | 1.25 (1.15–1.36) |
| Arthritis | |
| Mental stress | 1.33 (1.29–1.38) |
| Cost barrier for needed medical care | 1.22 (1.17–1.28) |
| Receiving food stamps or SNAP | 1.16 (1.11–1.21) |
| History of depression | |
| Mental stress | 1.83 (1.77–1.90) |
| Social isolation/loneliness | 1.82 (1.76–1.89) |
| Life dissatisfaction | 1.32 (1.26–1.37) |
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