Impact of Neighborhood Disadvantage on Preventive and Acute Care Utilization in Sickle Cell Disease
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View abstract on PubMed
Summary
This summary is machine-generated.Psychosocial stressors and neighborhood disadvantage significantly increase missed preventive care visits for children with sickle cell disease (SCD). Family psychosocial risk also elevates acute care use, highlighting the need for integrated social support in SCD management.
Area Of Science
- Pediatric Hematology
- Health Services Research
- Social Determinants of Health
Background
- Sickle cell disease (SCD) patients face healthcare disparities.
- Impact of psychosocial stressors and neighborhood disadvantage on SCD care utilization is understudied.
Purpose Of The Study
- To investigate the association between psychosocial risk and neighborhood disadvantage with preventive and acute care utilization in pediatric SCD patients.
- To identify factors influencing healthcare access and outcomes in a vulnerable pediatric population.
Main Methods
- Retrospective data collection of 256 pediatric SCD patients.
- Utilized the Psychosocial Assessment Tool (PAT) for family risk assessment.
- Incorporated Area Deprivation Index (ADI) and Childhood Opportunity Index (COI) for neighborhood disadvantage.
Main Results
- Higher PAT scores, ADI, and COI correlated with missed SCD clinic visits.
- Increased neighborhood disadvantage (ADI) significantly raised odds of missed visits (OR 1.22).
- Higher family psychosocial risk (PAT) increased odds of acute care use (OR 1.76), independent of neighborhood factors.
Conclusions
- Regular screening for psychosocial and social risks is crucial for children with SCD.
- Integrating psychosocial support teams into SCD programs can address barriers to care.
- Proactive identification and management of risk factors are vital for improving outcomes in this chronic disease population.
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