Luz María Sánchez-Romero, Francisco Canto-Osorio, Romina González-Morales, M Arantxa Colchero, Shu-Wen Ng, Paula Ramírez-Palacios, Jorge Salmerón, Tonatiuh Barrientos-Gutiérrez
Association between tax on sugar sweetened beverages and soft drink consumption in adults in Mexico: open cohort longitudinal analysis of Health Workers Cohort Study
BMJ (Clinical research ed.)
unmet social needs sns often coexist distinct patterns within specific population subgroups yet patterns understudied identify patterns social needs psns characterize associations healthrelated qualityoflife hrqol healthcare utilization hcu observational study using data sns screening hrqol ie low mental physical health 90day hcu ie emergency visits hospital admission among patients sns latent class analysis conducted identify unique psns patients race age subgroups compared sns calculated risks poor hrqol time first hcu following sns screening psn adult patients undergoing sns screening mass general brigham healthcare system massachusetts united states march 2018 january 2023 sns included education employment family care food housing medication transportation ability pay household utilities hrqol assessed using patientreported outcomes measurement information system global10 six unique psns identified high number social needs food utility access employment needs interested education housing instability transportation barriers 14230 patients hrqol data psns increased risks poor mental health risk ratios ranging 10795ci101113 18095ci174186 analysis poor physical health yielded similar findings except interested education showed mild protective effect 09795ci094100 105110 patients psns increased risk 90day hcu hazard ratios ranging 10995ci099121 17095ci152190 findings generally consistent subgroup analyses race age certain sns coexist distinct patterns result poorer hrqol hcu understanding psns allows policymakers public health practitioners social workers identify atrisk patients implement integrated systemwide communitybased interventions