Health-related social needs before and after critical illness among Medicare beneficiaries

Tamar A Kaminski, Terrence E Murphy, John R O’Leary, Linda Leo-Summers and Lauren E Ferrante

The Journals of Gerontology: Series B, 2025, vol. 80, issue 9, gbaf123.

Abstract: ObjectivesAmong older persons hospitalized in the intensive care unit (ICU) for critical illness, little is known about the health-related social needs (HRSNs) of food insecurity, social isolation, and transportation disadvantage in the year after discharge. This study aims to ascertain the prevalence of food insecurity, social isolation, and transportation disadvantage in the years preceding and following critical illness and to evaluate factors associated with each post-ICU HRSN.MethodsData from community-living participants in Rounds 2–9 of the National Health and Aging Trends Study (NHATS) 2011 cohort were linked to Medicare claims to identify ICU hospitalizations. HRSNs, demographics, preadmission, and in-hospital factors were drawn from NHATS and claims data. The prevalence of each HRSN was determined before and after critical illness. Factors associated with each HRSN in the year after discharge were evaluated using population-weighted multivariable logistic regression.ResultsAmong 450 participants, the mean age was 80.1 (SD 7.1), 50.9% were women, and 110 (24.7%) were non-Hispanic Black individuals. All three HRSNs increased in the year after critical illness (food insecurity, 4.9%–7.8%, social isolation, 31.9%–39.4%, and transportation disadvantage, 10.5%–15.6%). Socioeconomic disadvantage was associated with greater odds of social isolation after critical illness (adjusted odds ratio [aOR], 3.26; 95% CI, 1.38–7.70). Mechanical ventilation was associated with greater odds of post-ICU transportation disadvantage (aOR, 2.69; 95% CI, 1.03–7.01). No factors were significantly associated with post-ICU food insecurity.DiscussionThese findings emphasize the need for screening and interventions to address HRSNs among older survivors of critical illness.

Keywords: food insecurity; social isolation; transportation disadvantage (search for similar items in EconPapers)
Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.1093/geronb/gbaf123 (application/pdf)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:oup:geronb:v:80:y:2025:i:9:p:gbaf123.

Ordering information: This journal article can be ordered from
https://academic.oup.com/journals

Access Statistics for this article

The Journals of Gerontology: Series B is currently edited by Psychological Sciences - S. Duke Han, PhD and Social Sciences - Jessica A Kelley, PhD, FGSA

More articles in The Journals of Gerontology: Series B from The Gerontological Society of America Oxford University Press, Great Clarendon Street, Oxford OX2 6DP, UK.
Bibliographic data for series maintained by Oxford University Press ().