The purpose of this study was to better understand the number and types of social needs experienced by Medicaid beneficiaries with type 2 diabetes, and how their social needs are associated with key health indicators. Also examined were factors that influence patients’ interest in navigation services for health and social needs to inform future interventions and service delivery. The study expands upon prior research, much of which has focused on only one social need (e.g., food insecurity) or one health outcome. The hypothesis was that among individuals with type 2 diabetes, those with a greater number of social needs would report more health-related problems and be more interested in receiving social needs navigation services. Participants completed a cross-sectional survey by phone (n = 95) or online (n = 14). Most (85%) reported having at least one social need (M = 2.5, SD = 2.2), most commonly not having enough money for unexpected expenses (68%) or necessities like food, shelter and clothing (31%), medical costs (24%), and utilities (23%). Results supported our comprehensive conceptual model. Having more social needs was associated with greater perceived stress, diabetes distress, problems with sleep and executive and cognitive functioning, less frequent diabetes self-care activities, more days of poor mental health and activity limitations, worse self-reported health and more hospitalisations. Number of social needs also was positively associated with interest in having a social needs navigator. Social needs were not associated with days of poor physical health, BMI, self-reported A1C or smoking status. Social needs were associated with a wide range of indicators of poor health and well-being. Participants with the greatest social need burden were most open to intervention.

中文翻译：

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美国 2 型糖尿病医疗补助受益人的社会需求、健康和医疗保健利用以及对导航服务的渴望之间的关联

本研究的目的是更好地了解患有 2 型糖尿病的医疗补助受益人所经历的社会需求的数量和类型，以及他们的社会需求如何与关键健康指标相关联。还检查了影响患者对健康和社会需求导航服务兴趣的因素，以便为未来的干预和服务提供提供信息。该研究扩展了之前的研究，其中大部分只关注一种社会需求（例如，粮食不安全）或一种健康结果。假设是，在 2 型糖尿病患者中，那些有更多社会需求的人会报告更多与健康相关的问题，并且对接受社会需求导航服务更感兴趣。参与者通过电话（n  = 95）或在线（n  = 14). 大多数 (85%) 报告至少有一种社会需求 ( M  = 2.5, SD = 2.2)，最常见的是没有足够的钱来支付意外开支 (68%) 或食物、住所和衣服 (31%)、医疗费用 (24%) 和水电费 (23%) 等必需品。结果支持我们的综合概念模型。有更多的社会需求与更大的感知压力、糖尿病困扰、睡眠以及执行和认知功能问题、糖尿病自我护理活动的频率降低、精神健康状况不佳和活动受限的天数更多、自我报告的健康状况更差以及住院率更高有关。社交需求的数量也与对社交需求导航仪的兴趣呈正相关。社交需求与身体健康状况不佳的天数、BMI、自我报告的 A1C 或吸烟状况无关。社会需求与健康和福祉不佳的广泛指标相关。