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Social Needs Are Associated With Greater Anticipated Needs During an Emergency and Desire for Help in Emergency Preparedness Planning

Published online by Cambridge University Press:  14 October 2022

Amy McQueen Open the ORCID record for Amy McQueen [Opens in a new window] ,
Cindy Charles ,
Jennifer Staten ,
Darrell J. Broussard ,
Rachel E. Smith ,
Niko Verdecias  and
Matthew W. Kreuter
Amy McQueen*
Affiliation:
Health Communication Research Lab, Brown School, Washington University in St. Louis, MO, USA Division of General Medical Sciences, School of Medicine, Washington University in St. Louis, MO, USA
Cindy Charles
Affiliation:
Health Communication Research Lab, Brown School, Washington University in St. Louis, MO, USA
Jennifer Staten
Affiliation:
Health Communication Research Lab, Brown School, Washington University in St. Louis, MO, USA
Darrell J. Broussard
Affiliation:
Louisiana Healthcare Connections, Baton Rouge, LA, USA
Rachel E. Smith
Affiliation:
Louisiana Healthcare Connections, Baton Rouge, LA, USA
Niko Verdecias
Affiliation:
Health Communication Research Lab, Brown School, Washington University in St. Louis, MO, USA
Matthew W. Kreuter
Affiliation:
Health Communication Research Lab, Brown School, Washington University in St. Louis, MO, USA
*
Corresponding author: Amy McQueen, Email: amcqueen@wustl.edu
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Abstract

Objective:

Most emergency preparedness planning seeks to identify vulnerable population subgroups; however, focusing on chronic conditions alone may ignore other important characteristics such as location and poverty. Social needs were examined as correlates of anticipated needs and desire for assistance during an emergency.

Methods:

A retrospective, secondary analysis was conducted using assessments of 8280 adult Medicaid beneficiaries in Louisiana, linked with medical (n = 7936) and pharmacy claims (n = 7473).

Results:

The sample was 73% female; 47% Black; 34% White; mean age 41 y. Many had at least 1 chronic condition (75.9%), prescription (90.3%), and social need (45.2%). Across assessments, many reported food (40%), housing (34%), and transportation (33%) needs. However, far more people anticipated social needs during an emergency than in the next month. Having social needs increased the odds of anticipating any need (odds ratio [OR] = 1.5, 1.44-1.56) and desire for assistance during an emergency, even after controlling for significant covariates including older age, race, geographic region, Medicaid plan type, and prescriptions. Chronic conditions were significantly correlated with all anticipated needs in bivariate analyses, but only modestly associated (OR = 1.03, 1.01-1.06) with anticipated medication needs in multivariable analyses.

Conclusions:

Identifying individuals with social needs, independent of their chronic disease status, will benefit emergency preparedness outreach efforts.

Keywords

emergency preparednesshealth-care disparitiesminority healthneeds assessmenthealth care
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e279
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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