PURPOSE Health-related social needs (HRSNs) can make older adults' more vulnerable and impact their health, well-being, and ability to age-in-place. The current study assessed the prevalence of potential HRSNs (pHRSNs) across several domains (e.g., transportation, social isolation) and explored the associations with health and well-being outcomes in a sample of Medicare beneficiaries. METHODS Cross-sectional analyses were conducted with a representative sample of community-dwelling Medicare beneficiaries (N = 5758) from the 2012 National Health and Aging Trends Study. Binary indicators of pHRSNs were created for five domains: medical and utility financial needs (MUFN), housing, nutrition, social isolation, and transportation. Outcomes were depression/anxiety, self-rated health, meaning/satisfaction, perceived control/adaptability. Variables were weighted, and multivariate regression models assessed associations between pHRSN variables and outcomes, controlling for sociodemographics and health conditions. RESULTS Of the estimated 32 million community-dwelling beneficiaries, approximately 13.3 million were positive for ≥ 1 pHRSN and 11.4 million for ≥ 2 pHRSNs. The prevalence by domain was 7% for housing, 8% for transportation, 12% for UMFN and nutrition, and 33% for social isolation. Each domain, except for housing, was significantly (p < .05) associated with at least two of the four outcomes, where being positive for a pHRSN was associated with greater depression/anxiety and poorer self-rated general health. CONCLUSIONS Over 40% of Medicare beneficiaries had ≥ 1 pHRSN indicators, which means they are more vulnerable and that may limit their ability to age-in-place. Given the growing aging population, better measures and methods are needed to identify, monitor, and address HRSNs. For example, leveraging existing community-based services through coordinated care may be an effective strategy to address older adults' HRSNs.

中文翻译：

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潜在的与健康相关的社会需求的指标，以及与社区居住的医疗保险受益人之间感知的健康和福祉结果之间的关联。

目的与健康相关的社会需求（HRSN）可使老年人更加脆弱，并影响他们的健康，幸福感和就地适应能力。当前的研究评估了跨多个领域（例如交通，社会隔离）的潜在HRSN（pHRSN）的患病率，并在Medicare受益人样本中探讨了与健康和福祉结果之间的关系。方法采用2012年全国健康和老龄化趋势研究中的社区居民医疗保险受益人（N = 5758）的代表性样本进行横断面分析。pHRSN的二元指标针对以下五个领域创建：医疗和公用事业金融需求（MUFN），住房，营养，社会隔离和交通运输。结果是抑郁/焦虑，自我评估的健康，含义/满意度，感知的控制/适应性。对变量进行加权，并使用多元回归模型评估pHRSN变量与结果之间的关联，以控制社会人口统计学和健康状况。结果在估计的3200万社区居民受益人中，≥1个pHRSN为阳性，约1330万为阳性，≥2个pHRSN为1140万。按地区划分的流行程度是：住房为7％，交通为8％，UMFN和营养为12％，社会隔离为33％。除住房外，每个领域与四个结局中的至少两个显着相关（p <.05），其中pHRSN阳性与更大的抑郁/焦虑和较差的自我评估总体健康状况相关。结论超过40％的Medicare受益人具有≥1个pHRSN指标，这意味着他们更脆弱，可能会限制其就地养老的能力。鉴于人口老龄化不断增加，需要更好的措施和方法来识别，监控和解决HRSN。例如，通过协调护理利用现有的社区服务可能是解决老年人的HRSN的有效策略。