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Health-Related Social Needs Facing Youth with NonAlcoholic Fatty Liver Disease
Sarah Orkin1,2, Toshifumi Yodoshi1, Qin Sun3
1Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center.
Background:
The objective of this study was to identify the prevalence of health-related social needs among youth with nonalcoholic fatty liver disease (NAFLD).
Methods:
Retrospective review of prospectively administered health-related social needs questionnaires from Steatohepatitis Clinics.
Results:
Patients with NAFLD (n=271) were predominantly male (72%), and non-Hispanic (68%). The most common unmet need was food insecurity (13%, n=36). Families who endorsed food insecurity at the first visit were 27-fold more likely to have unmet health-related social needs persist at subsequent visits than those who were food-secure at their first visit (95% CI: 6.7-111).
Conclusion:
Screening for social, economic, and environmental needs may identify previously unrecognized family challenges and may enhance intervention delivery, inform resource allocation, and improve outcomes.
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