12/16/2023 0 Comments Conversa health screening maine healthThe elevated rates of suicidal behavior among non-Hispanic AI/AN adolescents and young adults reflect inequities in the conditions that create health. An estimated 14% to 27% of non-Hispanic AI/AN adolescents attempted suicide during that time. Combining years 2009 through 2018, suicide rates per 100 000 population among non-Hispanic AI/AN adolescents and young adults aged 15 to 34 years were 2 to 4 times higher than those of adolescents and young adults of other races and ethnicities. Health systems should routinely screen employees for social determinants and adjust salaries, benefits, and assistance programs to address their social needs.įrom 2009 to 2018, overall suicide rates in the United States increased by 20.3% and increased by 43.5% among non-Hispanic American Indian and Alaska Native (AI/AN) communities. Social determinants of health are common among health system employees, especially among workers in lower paid job categories. Among this group, 20% reported food insecurity, 20% financial strain, and 17% inability to pay for housing or utilities. For example, the survey participants included 436 administrative support staff, a job category that includes secretaries and patient service representatives. Being at risk for specific social determinants was more common among support staff compared to staff physicians and nurses. The percentage of employees at risk for each social determinant were: food insecurity (11%), financial strain (12%), transportation difficulty (4%), inability to pay for housing or utilities (10%), intimate partner violence (4%), social isolation (48%), infrequent physical activity (10%), daily stress (58%), and lack of internet access (3%). Of 4191 full-time employees, 1932 (46%) completed the survey. We also examined how these percentages varied across employee job categories. We then determined the percentage of employees who met pre-defined criteria for being at risk for each social determinant. We invited participants in an employee wellness program to answer the same screening questions that patients answer about 9 social determinants of health, including food insecurity, financial strain, transportation difficulty, inability to pay for housing or utilities, intimate partner violence, social isolation, infrequent physical activity, daily stress, and lack of internet access. We sought to examine the prevalence of social determinants among employees of The MetroHealth System, a large safety-net health system in Cleveland, Ohio. However, little is known about social determinants of health among health system employees. Many health systems screen patients for social determinants of health and refer patients with social needs to community service organizations for assistance.
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