Evidence map›Paper›PMID 37674359›Full record

Trial reportHealth services research2023

Developing a brief assessment of social risks for the Veterans Health Administration Survey of Healthcare Experiences of Patients.

Leslie R M Hausmann, Alicia J Cohen, Johanne Eliacin, Deborah A Gurewich, Richard E Lee, Jennifer L McCoy, Mark Meterko, Zachary Michaels, Ernest M Moy, Gregory T Procario and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Leslie R M HausmannCenter for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System (VAPHS); Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-3909-6009
Alicia J CohenCenter of Innovation in Long Term Services and Supports, VA Providence Healthcare System; Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Johanne EliacinNational Center for PTSD Women's Health Sciences Division at VA Boston Healthcare System, Boston, Massachusetts; Department of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Deborah A GurewichCenter for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Section of General Internal Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0002-9398-7646
Richard E LeeVeterans Rural Health Resource Center, White River Junction, Vermont, USA.
Jennifer L McCoyCenter for Health Equity Research and Promotion and Office of Research and Development StatCore, VAPHS, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-2217-4493
Mark MeterkoAnalytics and Performance Integration, Office of Quality and Patient Safety, Department of Veterans Affairs; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA.
Zachary MichaelsCenter for Health Equity Research and Promotion, VAPHS, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-8112-996X
Ernest M MoyOffice of Health Equity, Veterans Health Administration, Washington, DC, USA.
Gregory T ProcarioCenter for Health Equity Research and Promotion, VAPHS, Pittsburgh, Pennsylvania, USA.
Lauren E RussellOffice of Health Equity, Veterans Health Administration, Washington, DC, USA.
James H SchaeferAnalytics and Performance Integration, Office of Quality and Patient Safety, Department of Veterans Affairs, Durham, North Carolina, USA.

Funding

HSRD VA IK2 HX003013
6 · The paper itself

Abstract

objectiveTo determine whether a 6- or 12-month look-back period affected rates of reported social risks in a social risk survey for use in the Veterans Health Administration and to assess associations of social risks with overall health and mental health. STUDY

designCross-sectional survey of respondents randomized to 6- or 12-month look-back period. DATA SOURCES AND STUDY

settingOnline survey with a convenience sample of Veterans in June and July 2021. DATA COLLECTION/EXTRACTION

methodsVeteran volunteers were recruited by email to complete a survey assessing social risks, including financial strain, adult caregiving, childcare, food insecurity, housing, transportation, internet access, loneliness/isolation, stress, discrimination, and legal issues. Outcomes included self-reported overall health and mental health. Chi-squared tests compared the prevalence of reported social risks between 6- and 12-month look-back periods. Spearman correlations assessed associations among social risks. Bivariate and multivariable logistic regression models estimated associations between social risks and fair/poor overall and mental health. PRINCIPAL

findingsOf 3418 Veterans contacted, 1063 (31.10%) responded (87.11% male; 85.61% non-Hispanic White; median age = 70, interquartile range [IQR] = 61-74). Prevalence of most reported social risks did not significantly differ by look-back period. Most social risks were weakly intercorrelated (median |r| = 0.24, IQR = 0.16-0.31). Except for legal issues, all social risks were associated with higher odds of fair/poor overall health and mental health in bivariate models. In models containing all significant social risks from bivariate models, adult caregiving and stress remained significant predictors of overall health; food insecurity, housing, loneliness/isolation, and stress remained significant for mental health.

conclusionsSix- and 12-month look-back periods yielded similar rates of reported social risks. Although most individual social risks are associated with fair/poor overall and mental health, when examined together, only adult caregiving, stress, loneliness/isolation, food, and housing remain significant.

Indexed as

VeteransVeterans HealthAdultAgedCross-Sectional StudiesDelivery of Health CareFemaleHumansMaleMental HealthSurveys and Questionnaireshealth status disparitiesquestionnaire designsocial determinants of healthsocial risk factorsVeterans

Identifiers

PMID37674359
PMCPMC10622278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.