Advertisement

Prevalence of Social Determinants of Health and Associations of Social Needs Among United States Adults, 2011–2014

  • Eun Ji KimEmail author
  • Sara Abrahams
  • Omolara Uwemedimo
  • Joseph Conigliaro
Concise Research Report

INTRODUCTION

Social determinants of health (SDHs) are conditions arising from where people are born, live, learn, work, and age and account for 80% of health outcomes.1,2 The prevalence of different SDH has been examined, but most studies used community data or examined one specific SDH need.3,4 To better understand the significance of the SDH at a national level, it is important to examine the prevalence of different SDHs and how individual SDH needs correlate with one another. Using the National Health and Nutrition Examination Survey (NHANES), we examined the prevalence of low education, low income, no health insurance, food insecurity, poor housing, and limited/no employment individually, and whether the presence of one SDH need is associated with the presence of another.

METHODS

We used the 2011–2014 NHANES, a biennial nationally representative survey.5 We included all adults 18 years or older (n = 11,977) and excluded 160 participants with invalid/incomplete responses to...

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

References

  1. 1.
    Marmot M. Social determinants of health inequalities. Lancet. 2005;365(9464):1099–1104.CrossRefGoogle Scholar
  2. 2.
    Schroeder SA. Shattuck Lecture. We can do better--improving the health of the American people. N Engl J Med 2007;357(12):1221–1228.CrossRefGoogle Scholar
  3. 3.
    Uwemedimo OT, May H. Disparities in Utilization of Social Determinants of Health Referrals Among Children in Immigrant Families. Front Pediatr 2018;6:207.CrossRefGoogle Scholar
  4. 4.
    Kohn MJ, Bell JF, Grow HM, Chan G. Food insecurity, food assistance and weight status in US youth: new evidence from NHANES 2007-08. Pediatr Obes 2014;9(2):155–166.CrossRefGoogle Scholar
  5. 5.
    National Health and Nutrition Examination Survey (NHeANES). 2011-2015; http://www.cdc.gov/nchs/nhanes/. Accessed July 11, 2019.
  6. 6.
    Gottlieb L, Cottrell EK, Park B, Clark KD, Gold R, Fichtenberg C. Advancing Social Prescribing with Implementation Science. J Am Board Fam Med 2018;31(3):315–321.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  1. 1.Division of General Internal MedicineDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellLake SuccessUSA
  2. 2.Department of PediatricsDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellLake SuccessUSA

Personalised recommendations