Perceived social support among adults seeking care for acute respiratory tract infections in US EDs - 12/08/11

Doi : 10.1016/j.ajem.2008.05.013

Sara K. Levin, BA ^a, Joshua P. Metlay, MD, PhD ^b, Judith H. Maselli, MSPH ^a, Ayanna S. Kersey, MSPH ^c, Carlos A. Camargo, MD, DrPH ^d, Ralph Gonzales, MD, MSPH ^a,^⁎
The IMPAACT Project Investigators^¹
The IMPAACT Project investigators are as follows (in alphabetical order): Sherrie Aspinall, PharmD (VA Pittsburgh Healthcare System); Brian A Catto, MD, MPH (Augusta VAMC); Cameron Crandall, MD (University of New Mexico); Pat Hlavin, MD (San Diego VAMC); Roberta Lenner, MD (Bronx VAMC); Michael C Leo, MD (Albuquerque VAMC); John Ma, MD (Oregon Health and Sciences University); Frank Maldonado, MD (North Chicago VAMC); James Moore, MD (San Antonio VAMC); Kevin O’Toole, MD (University of Pittsburgh); Mark Plautz, MD (Kansas City VAMC); Michael S Radeos, MD, MPH (New York Hospital Queens); Brian Snyder, MD (University of California, San Diego); Mark T Steele, MD (University of Missouri, Kansas City); James A Wilde, MD (Medical College of Georgia); and David Zich, MD (Northwestern Memorial Hospital, Chicago, IL).
^a Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
^b Department of Medicine, University of Pennsylvania School of Medicine, Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA
^c Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104, USA
^d Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA

^⁎Corresponding author. Tel.: +1 415 514 0569; fax: +1 415 514 0425.

Abstract

Emergency departments (EDs) provide a disproportionate amount of care to disenfranchised and vulnerable populations. We examined social support levels among a diverse population of adults seeking ED care for acute respiratory tract infections. A convenience sample of adults seeking care in 1 of 15 US EDs was telephone interviewed 1 to 6 weeks postvisit. The Multidimensional Scale of Perceived Social Support (7-point Likert) assessed social support across 3 domains: friends, family, and significant others. Higher scores indicate higher support. Of 1104 subjects enrolled, 704 (64%) completed the follow-up interview. Factor analysis yielded 3 factors. Mean social support score was 5.54 (SD 1.04). Female sex, greater household income, and better health status were independently associated with higher levels of social support. Social support levels among adults seeking care in the ED for acute respiratory tract infections are similar to general population cohorts, suggesting that social support is not a strong determinant of health care seeking in EDs.

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Plan

Validation of social support scale

Patient characteristics associated with social support

Discussion

	Study results were presented previously at the 64th Annual Scientific Conference of the American Psychosomatic Society, Denver, CO, March 2006.
☆	This project was supported by the Translating Research Into Practice Initiative, jointly sponsored by the Agency for Healthcare Research and Quality (grant 1 R01 HS013915) and the Health Services Research and Development Service of the Department of Veteran Affairs (AVA-03-239).

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Vol 27 - N° 5

P. 582-587 - juin 2009 Retour au numéro

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Perceived social support among adults seeking care for acute respiratory tract infections in US EDs - 12/08/11

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