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Health-Related Social Needs Among Emergency Department Patients with HIV

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Abstract

Little research has examined the health-related social needs of emergency department (ED) patients who have HIV. We surveyed a random sample of public hospital ED patients and compared the social needs of patients with and without HIV. Social needs were high among all ED patients, but patients with HIV reported significantly higher levels of food insecurity (65.0% vs. 50.3%, p = 0.01) and homelessness or living doubled up (33.8% vs. 21.0%, p < 0.01) than other patients. Our findings suggest the importance of assessing social needs in ED-based interventions for patients with HIV.

Resumen

Pocas investigaciones han examinado las necesidades sociales relacionadas con la salud de los pacientes del departamento de emergencias que tienen VIH. Encuestamos una muestra aleatoria de pacientes del departamento de emergencias de un hospital público y comparamos las necesidades sociales de los pacientes con y sin VIH. Las necesidades sociales eran altas entre todos los pacientes, pero los pacientes con VIH informaron niveles significativamente más altos de inseguridad alimentaria (65.0% vs. 50.3%, p = 0.01) y estado sin hogar o compartir una habitación (33.8% vs. 21.0%, p < 0.01) que otros pacientes. Nuestros resultados sugieren la importancia de evaluar las necesidades sociales en las intervenciones en departamentos de emergencias para pacientes con VIH.

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Acknowledgements

The authors would like to thank all of the ED-CARES Research Assistants, and the study Research Stakeholder and Expert Advisory Panel. Research reported in this publication was supported by the National Institute on Drug Abuse of the National Institutes of Health (K23DA039179, PI Doran), the United Hospital Fund (PI Doran), and the Doris Duke Charitable Foundation—NYULMC through the Fund to Retain Clinical Scientists (PI Doran).

Funding

The funders had no role in the conduct of the research or the writing of the manuscript. The content is solely the responsibility of the authors and does not represent the official views of any funder.

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Authors and Affiliations

  1. Denver Health Residency in Emergency Medicine, Denver Health Medical Center, Denver, CO, USA

    Evan Gerber

  2. Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Lillian Gelberg

  3. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA

    Lillian Gelberg

  4. Office of Healthcare Transformation and Innovation, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA

    Lillian Gelberg

  5. Department of Emergency Medicine, Icahn Mount Sinai School of Medicine, New York, NY, USA

    Ethan Cowan

  6. Department of Applied Statistics, Social Science, and Humanities, NYU Steinhardt School of Culture, Education, and Human Development, New York, NY, USA

    Tod Mijanovich

  7. NYU School of Global Public Health, New York, NY, USA

    Donna Shelley

  8. Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA

    Donna Shelley & Kelly M. Doran

  9. Department of Emergency Medicine, NYU Grossman School of Medicine, 462 1st Avenue Room A-345, New York, NY, 10016, USA

    Rajneesh Gulati, Ian Wittman & Kelly M. Doran

Authors
  1. Evan Gerber
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  2. Lillian Gelberg
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  3. Ethan Cowan
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  4. Tod Mijanovich
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  5. Donna Shelley
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  6. Rajneesh Gulati
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  7. Ian Wittman
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  8. Kelly M. Doran
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Contributions

KMD, LG, DS, and EG conceived of the study. KMD led data collection for the study, with assistance from RG and IW. KMD conducted the analyses, with assistance from TM. EG interpreted the data and conducted the literature review. EC provided critical content. EG and KMD drafted the article. All authors provided critical feedback. All authors reviewed and approve of the final version.

Corresponding author

Correspondence to Kelly M. Doran.

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Gerber, E., Gelberg, L., Cowan, E. et al. Health-Related Social Needs Among Emergency Department Patients with HIV. AIDS Behav 25, 1968–1974 (2021). https://doi.org/10.1007/s10461-020-03126-3

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  • DOI: https://doi.org/10.1007/s10461-020-03126-3

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