Perceived Adequacy of Tangible Social Support and Associations with Health Outcomes Among Older Primary Care Patients

Rachel O’Conor*, Julia Yoshino Benavente, Marina Arvanitis, Laura M. Curtis, Kamal Eldeirawi, Romana Hasnain-Wynia, Alex D. Federman, Jeni Hebert-Beirne, Michael S. Wolf

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The availability and adequacy of tangible social support may be critical to older adults managing multiple chronic conditions, yet few studies have evaluated the perceived adequacy of needed tangible support and its relation to health outcomes. Objective: We investigated the association between unmet, tangible social support needs, health status, and urgent healthcare use among community-dwelling older adults. Design: Cross-sectional analysis. Participants: English-speaking older adults (n = 469) who participated in the Health Literacy and Cognitive Function cohort study. Main Measures: Perceived adequacy of tangible social support was measured using a brief, validated scale that determined (1) if an individual needed assistance managing his or her health, and (2) if yes, whether this need was met. Health status was measured using physical function, depression, and anxiety PROMIS short-form instruments. Urgent healthcare utilization (emergency department and hospitalization) was self-reported for the past 12 months. Key Results: Participants’ mean age was 69 years; 73% were women and 31% were African American, and 16% identified unmet support needs. Unmet support needs were associated with worse physical (β − 6.32; 95% CI − 8.31, − 4.34) and mental health (anxiety: β 3.84; 95% CI 1.51, 6.17; depression: β 2.45; 95% CI 0.32, 4.59) and greater urgent healthcare utilization (ED: OR 2.86; 95% CI 1.51, 5.41; hospitalization: OR 3.75; 95% CI 1.88, 7.50). Conclusions: Perceived unmet support needs were associated with worse health status and greater urgent healthcare use. Primary care practices might consider screening older patients for unmet tangible support needs, although appropriate responses should first be established if unmet needs are identified.

Original languageEnglish (US)
Pages (from-to)2368-2373
Number of pages6
JournalJournal of general internal medicine
Volume34
Issue number11
DOIs
StatePublished - Nov 1 2019

Fingerprint

Social Support
Primary Health Care
Health Status
Delivery of Health Care
Health
Hospitalization
Anxiety
Depression
Independent Living
Health Literacy
African Americans
Cognition
Hospital Emergency Service
Mental Health
Cohort Studies
Cross-Sectional Studies

Keywords

  • aging
  • patient-reported outcomes
  • social support

ASJC Scopus subject areas

  • Internal Medicine

Cite this

O’Conor, Rachel ; Benavente, Julia Yoshino ; Arvanitis, Marina ; Curtis, Laura M. ; Eldeirawi, Kamal ; Hasnain-Wynia, Romana ; Federman, Alex D. ; Hebert-Beirne, Jeni ; Wolf, Michael S. / Perceived Adequacy of Tangible Social Support and Associations with Health Outcomes Among Older Primary Care Patients. In: Journal of general internal medicine. 2019 ; Vol. 34, No. 11. pp. 2368-2373.
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abstract = "Background: The availability and adequacy of tangible social support may be critical to older adults managing multiple chronic conditions, yet few studies have evaluated the perceived adequacy of needed tangible support and its relation to health outcomes. Objective: We investigated the association between unmet, tangible social support needs, health status, and urgent healthcare use among community-dwelling older adults. Design: Cross-sectional analysis. Participants: English-speaking older adults (n = 469) who participated in the Health Literacy and Cognitive Function cohort study. Main Measures: Perceived adequacy of tangible social support was measured using a brief, validated scale that determined (1) if an individual needed assistance managing his or her health, and (2) if yes, whether this need was met. Health status was measured using physical function, depression, and anxiety PROMIS short-form instruments. Urgent healthcare utilization (emergency department and hospitalization) was self-reported for the past 12 months. Key Results: Participants’ mean age was 69 years; 73{\%} were women and 31{\%} were African American, and 16{\%} identified unmet support needs. Unmet support needs were associated with worse physical (β − 6.32; 95{\%} CI − 8.31, − 4.34) and mental health (anxiety: β 3.84; 95{\%} CI 1.51, 6.17; depression: β 2.45; 95{\%} CI 0.32, 4.59) and greater urgent healthcare utilization (ED: OR 2.86; 95{\%} CI 1.51, 5.41; hospitalization: OR 3.75; 95{\%} CI 1.88, 7.50). Conclusions: Perceived unmet support needs were associated with worse health status and greater urgent healthcare use. Primary care practices might consider screening older patients for unmet tangible support needs, although appropriate responses should first be established if unmet needs are identified.",
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Perceived Adequacy of Tangible Social Support and Associations with Health Outcomes Among Older Primary Care Patients. / O’Conor, Rachel; Benavente, Julia Yoshino; Arvanitis, Marina; Curtis, Laura M.; Eldeirawi, Kamal; Hasnain-Wynia, Romana; Federman, Alex D.; Hebert-Beirne, Jeni; Wolf, Michael S.

In: Journal of general internal medicine, Vol. 34, No. 11, 01.11.2019, p. 2368-2373.

Research output: Contribution to journalArticle

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T1 - Perceived Adequacy of Tangible Social Support and Associations with Health Outcomes Among Older Primary Care Patients

AU - O’Conor, Rachel

AU - Benavente, Julia Yoshino

AU - Arvanitis, Marina

AU - Curtis, Laura M.

AU - Eldeirawi, Kamal

AU - Hasnain-Wynia, Romana

AU - Federman, Alex D.

AU - Hebert-Beirne, Jeni

AU - Wolf, Michael S.

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N2 - Background: The availability and adequacy of tangible social support may be critical to older adults managing multiple chronic conditions, yet few studies have evaluated the perceived adequacy of needed tangible support and its relation to health outcomes. Objective: We investigated the association between unmet, tangible social support needs, health status, and urgent healthcare use among community-dwelling older adults. Design: Cross-sectional analysis. Participants: English-speaking older adults (n = 469) who participated in the Health Literacy and Cognitive Function cohort study. Main Measures: Perceived adequacy of tangible social support was measured using a brief, validated scale that determined (1) if an individual needed assistance managing his or her health, and (2) if yes, whether this need was met. Health status was measured using physical function, depression, and anxiety PROMIS short-form instruments. Urgent healthcare utilization (emergency department and hospitalization) was self-reported for the past 12 months. Key Results: Participants’ mean age was 69 years; 73% were women and 31% were African American, and 16% identified unmet support needs. Unmet support needs were associated with worse physical (β − 6.32; 95% CI − 8.31, − 4.34) and mental health (anxiety: β 3.84; 95% CI 1.51, 6.17; depression: β 2.45; 95% CI 0.32, 4.59) and greater urgent healthcare utilization (ED: OR 2.86; 95% CI 1.51, 5.41; hospitalization: OR 3.75; 95% CI 1.88, 7.50). Conclusions: Perceived unmet support needs were associated with worse health status and greater urgent healthcare use. Primary care practices might consider screening older patients for unmet tangible support needs, although appropriate responses should first be established if unmet needs are identified.

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