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Sociodemographic Variables Associated with Self-Reported Emergency Department Utilization: A Cross-Sectional,
Umaima Abbas1, Thanansayan Dhivagaran1, Fahad R Butt1
1Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada.
Sociodemographic factors significantly influence emergency department (ED) utilization. Female, Black, and American Indian/Alaskan individuals, along with lower income and fair/poor health status, show increased ED use.
Area of Science:
- Public Health
- Health Services Research
- Sociology of Health
Background:
- Established disparities exist in emergency department (ED) utilization across demographic and socioeconomic groups.
- Limited recent research explores the combined influence of multiple sociodemographic variables on ED use.
Purpose of the Study:
- To investigate the impact and interplay of various sociodemographic factors on emergency department (ED) utilization.
Main Methods:
- Utilized cross-sectional, population-based logistic regression analysis.
- Data sourced from the 2023 National Health Interview Survey (NHIS).
Main Results:
- Higher ED utilization associated with female sex, Black and American Indian/Alaskan race, lower income levels, and Medicaid/public insurance.
- Fair or poor self-reported health status significantly increased ED visit odds.
- Younger age groups (18-25) and access to usual care were associated with lower ED utilization.
Conclusions:
- Sex, age, race, income, insurance, education, health status, and access to care are key predictors of emergency department (ED) visits.
- Findings highlight the complex relationship between sociodemographic characteristics and healthcare access patterns.
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