Rhode Island medical journal (2013) · 2026
Assessing Public Health and Preventative Health Needs of Underserved Communities in Rhode Island.
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Chan Philip A, Fenn Natalie, Malyuta Yelena, Erbe Maximillian, Leonard Morgan, McGuire Daniel, Santana Sussy, Westrom Katherine, Almonte Alexi, Salhaney Peter, Perler Bryce, Maguire-Wilkerson Amanda, Tao Jun, Nunn Amy S
Аннотация
BACKGROUND: In the United States, significant disparities exist in preventative health among underserved communities, including African American/Black (AA/B), Hispanic/Latino (H/L) and lesbian/gay/bisexual/transgender/ queer (LGBTQ+) individuals. We explored the influence of social determinants of health (SDOH) on preventative health outcomes in these groups.
METHODS: We conducted a comprehensive cross-sectional needs assessment at safety-net health clinics in Providence, Rhode Island, from June to September 2022.
RESULTS: Of N=1,017 individuals, 67% identified as H/L, 16% identified as AA/B, and 19% identified as LGBTQ+. The most common diagnosed health conditions were anxiety (26%), depression (23%), hypertension (20%), and diabetes (15%). People reported most commonly needing help with food (31%), housing (25%), and utilities (22%). More social needs were associated with reductions in COVID-19 booster vaccination (p<.01) and higher mental health diagnoses (p<.01). AA/B individuals with higher health literacy were also less likely to be diagnosed with a mental health condition (p=.02). LGBTQ+ individuals were more likely to report a history of mental health illness, tobacco use, hazardous alcohol use, other substance use, and more sexual partners (p<.05).
CONCLUSIONS: Addressing health literacy and other social determinants of health is important to address disparities and achieve health equity among marginalized communities.
METHODS: We conducted a comprehensive cross-sectional needs assessment at safety-net health clinics in Providence, Rhode Island, from June to September 2022.
RESULTS: Of N=1,017 individuals, 67% identified as H/L, 16% identified as AA/B, and 19% identified as LGBTQ+. The most common diagnosed health conditions were anxiety (26%), depression (23%), hypertension (20%), and diabetes (15%). People reported most commonly needing help with food (31%), housing (25%), and utilities (22%). More social needs were associated with reductions in COVID-19 booster vaccination (p<.01) and higher mental health diagnoses (p<.01). AA/B individuals with higher health literacy were also less likely to be diagnosed with a mental health condition (p=.02). LGBTQ+ individuals were more likely to report a history of mental health illness, tobacco use, hazardous alcohol use, other substance use, and more sexual partners (p<.05).
CONCLUSIONS: Addressing health literacy and other social determinants of health is important to address disparities and achieve health equity among marginalized communities.