Social Determinants of Health
Data and Summary
Based on the Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Screening Tool? Distributed by the Centers for Medicare & Medicaid Services (CMS)
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Housing Issues
1. What is your living situation today?
- Out of 81 providers, 24 answered “I have a place to live today, but I am worried about losing it in the future”.
- Out of 81 providers, 13 answered “I do not have a steady place to live (I am temporarily staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, abandoned building, bus or train station, or in a park)”
2. Think about the place you live. Do you have problems with any of the following?
- Out of 81 providers, 3 answered “Pests such as bugs, ants, or mice”.
- Out of 81 providers, 3 answered “Mold”.
- Out of 81 providers, 0 answered “Lead paint or pipes”.
- Out of 81 providers, 2 answered “Lack of heat”.
- Out of 81 providers, 0 answered “Oven or stove not working”.
- Out of 81 providers, 1 answered “Smoke detectors missing or not working”.
- Out of 81 providers, 1 answered “Water leaks”.
Food Issues
3. Within the past 12 months, you worried that your food would run out before you got money to buy more
- Out of 81 providers, 6 answered “Often true”.
- Out of 81 providers, 55 answered “Sometimes true”.
4. Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.
- Out of 81 providers, 11 answered “Often true”.
- Out of 81 providers, 47 answered “Sometimes true”.
Transportation Issues
5. In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?.
- Out of 81 providers, 39 answered “Yes”.
Utilities Issues
6. In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home?.
- Out of 81 providers, 11 answered “Yes”.
- Out of 81 providers, 1 answered “Already shut off”.
Safety Issues
- Out of 81 providers, 0 have personal safety issues from family or friends.(Based on scores from questions 7, 8, 9, and 10
Financial Strain
11. How hard is it for you to pay for the very basics like food, housing, medical care, and heating?
- Out of 81 providers, 9 answered “Very hard”.
- Out of 81 providers, 59 answered “Somewhat hard”.
Employment
12. Do you want help finding or keeping work or a job?
- Out of 81 providers, 11 answered “Yes, help finding work”.
- Out of 81 providers, 45 answered “Yes, help keeping work”.
Family and Community Support
13. If for any reason you need help with day-to-day activities such as bathing, preparing meals, shopping, managing finances, etc., do you get the help you need?
- Out of 81 providers, 28 answered “I could use a little more help”.
- Out of 81 providers, 2 answered “I need a lot more help”.
14. How often do you feel lonely or isolated from those around you?
- Out of 81 providers, 18 answered “Often”.
- Out of 81 providers, 2 answered “Always”.
Education
15. Do you speak a language other than English at home?
- Out of 81 providers, 63 answered “Yes”.
16. Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.
- Out of 81 providers, 11 answered “Yes”.
Physical Activity
Substance Use
19. How many times in the past 12 months have you had 5 or more drinks in a day (males) or 4 or more drinks in a day (females)? One drink is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof spirits.
- Out of 81 providers, 45 answered “Never”.
- Out of 81 providers, 15 answered “Once or Twice”.
- Out of 81 providers, 17 answered “Monthly”.
- Out of 81 providers, 3 answered “Weekly”.
- Out of 81 providers, 1 answered “Daily or Almost Daily”.
20. How many times in the past 12 months have you used tobacco products (like cigarettes, cigars, snuff, chew, electronic cigarettes)?
- Out of 81 providers, 76 answered “Never”.
- Out of 81 providers, 1 answered “Once or Twice”.
- Out of 81 providers, 1 answered “Monthly”.
- Out of 81 providers, 1 answered “Weekly”.
- Out of 81 providers, 2 answered “Daily or Almost Daily”.
21. How many times in the past year have you used prescription drugs for non-medical reasons?
- Out of 81 providers, 78 answered “Never”.
- Out of 81 providers, 1 answered “Once or Twice”.
- Out of 81 providers, 2 answered “Monthly”.
- Out of 81 providers, 0 answered “Weekly”.
- Out of 81 providers, 0 answered “Daily or Almost Daily”.
22. How many times in the past year have you used illegal drugs
- Out of 81 providers, 80 answered “Never”.
- Out of 81 providers, 1 answered “Once or Twice”.
- Out of 81 providers, 0 answered “Monthly”.
- Out of 81 providers, 0 answered “Weekly”.
- Out of 81 providers, 0 answered “Daily or Almost Daily”.
Mental Health
23a. Little interest or pleasure in doing things?
- Out of 81 providers, 28 answered “Several days”.
- Out of 81 providers, 24 answered “More than half the days”.
- Out of 81 providers, 3 answered “Nearly every day”.
23b. Feeling down, depressed, or hopeless?
- Out of 81 providers, 39 answered “Several days”.
- Out of 81 providers, 15 answered “More than half the days”.
- Out of 81 providers, 4 answered “Nearly every day”.
Disabilities
25. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years old or older)
- Out of 81 providers, 14 answered “Yes”.
26. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor’s office or shopping? (15 years old or older)
- Out of 81 providers, 14 answered “Yes”.
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