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125 Community Socioeconomic Status Is Associated with Social Participation Outcomes

INTRODUCTION: Socioeconomic factors are recognized as important social determinants of health. Data however are sparse describing the relationship between socioeconomic status and long term burn outcomes. This study aims to examine associations between community-level socioeconomic status and social...

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Autores principales: Kelter, Brian M, Shepler, Lauren J, Ni, Pengsheng, Kazis, Lewis E, Stewart, Barclay T, Ryan, Colleen M, Schneider, Jeffrey C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8945265/
http://dx.doi.org/10.1093/jbcr/irac012.127
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author Kelter, Brian M
Shepler, Lauren J
Ni, Pengsheng
Kazis, Lewis E
Stewart, Barclay T
Ryan, Colleen M
Schneider, Jeffrey C
author_facet Kelter, Brian M
Shepler, Lauren J
Ni, Pengsheng
Kazis, Lewis E
Stewart, Barclay T
Ryan, Colleen M
Schneider, Jeffrey C
author_sort Kelter, Brian M
collection PubMed
description INTRODUCTION: Socioeconomic factors are recognized as important social determinants of health. Data however are sparse describing the relationship between socioeconomic status and long term burn outcomes. This study aims to examine associations between community-level socioeconomic status and social participation outcomes in burn survivors. METHODS: Data was obtained from the Life Impact Burn Recovery Evaluation (LIBRE) Journey study that assesses longitudinal social participation outcomes of community dwelling burn survivors. Subjects were linked to the Distressed Communities Index (DCI), which combines seven indicators into a metric that depicts community economic well-being. Participants were categorized by time since burn (< 5, 5-15, ≥15 years). Linear regression models examined associations between DCI (zip code and county levels) and LIBRE domain scores (Family & Friends, Social Interactions, Social Activities, Work & Employment). RESULTS: The study included 314 burn survivors, (mean age 44.1 years; 61.0% female; 48.6% married; 82.8% white). The population was distributed among the time since injury categories (< 5: 35.8%, 5-15: 27.5%, ≥15: 36.7%). Approximately 18% of subjects were categorized in the “at risk” or “distressed” DCI categories. For survivors less than five years from burn, a DCI score increase of 1 standard deviation (worse socioeconomic status) at the zip code level was associated with decreased Family & Friends and Social Activity scores of 2.6 (p=.01) and 2.0 points (p=0.04), respectively (small effect sizes). This relationship was even stronger when controlling for sociodemographic factors. In regression analysis, survivors within the first five years from injury living in “at risk” or “distressed” communities showed worse Family & Friend scores by 6.5 points compared to those living in “prosperous” communities, even after adjusting for age, gender, race, ethnicity, education, and marital status (p=0.04; moderate effect size). There were no significant associations between DCI and LIBRE domain scores for survivors assessed beyond 5 years from injury. CONCLUSIONS: Social participation outcomes were worse in burn survivors who lived in socioeconomically disadvantaged neighborhoods. Burn survivors who face socioeconomic challenges may need additional support to address social disparities to improve outcomes.
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spelling pubmed-89452652022-03-28 125 Community Socioeconomic Status Is Associated with Social Participation Outcomes Kelter, Brian M Shepler, Lauren J Ni, Pengsheng Kazis, Lewis E Stewart, Barclay T Ryan, Colleen M Schneider, Jeffrey C J Burn Care Res Correlative XVI: Psychological and Psychosocial INTRODUCTION: Socioeconomic factors are recognized as important social determinants of health. Data however are sparse describing the relationship between socioeconomic status and long term burn outcomes. This study aims to examine associations between community-level socioeconomic status and social participation outcomes in burn survivors. METHODS: Data was obtained from the Life Impact Burn Recovery Evaluation (LIBRE) Journey study that assesses longitudinal social participation outcomes of community dwelling burn survivors. Subjects were linked to the Distressed Communities Index (DCI), which combines seven indicators into a metric that depicts community economic well-being. Participants were categorized by time since burn (< 5, 5-15, ≥15 years). Linear regression models examined associations between DCI (zip code and county levels) and LIBRE domain scores (Family & Friends, Social Interactions, Social Activities, Work & Employment). RESULTS: The study included 314 burn survivors, (mean age 44.1 years; 61.0% female; 48.6% married; 82.8% white). The population was distributed among the time since injury categories (< 5: 35.8%, 5-15: 27.5%, ≥15: 36.7%). Approximately 18% of subjects were categorized in the “at risk” or “distressed” DCI categories. For survivors less than five years from burn, a DCI score increase of 1 standard deviation (worse socioeconomic status) at the zip code level was associated with decreased Family & Friends and Social Activity scores of 2.6 (p=.01) and 2.0 points (p=0.04), respectively (small effect sizes). This relationship was even stronger when controlling for sociodemographic factors. In regression analysis, survivors within the first five years from injury living in “at risk” or “distressed” communities showed worse Family & Friend scores by 6.5 points compared to those living in “prosperous” communities, even after adjusting for age, gender, race, ethnicity, education, and marital status (p=0.04; moderate effect size). There were no significant associations between DCI and LIBRE domain scores for survivors assessed beyond 5 years from injury. CONCLUSIONS: Social participation outcomes were worse in burn survivors who lived in socioeconomically disadvantaged neighborhoods. Burn survivors who face socioeconomic challenges may need additional support to address social disparities to improve outcomes. Oxford University Press 2022-03-23 /pmc/articles/PMC8945265/ http://dx.doi.org/10.1093/jbcr/irac012.127 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the American Burn Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Correlative XVI: Psychological and Psychosocial
Kelter, Brian M
Shepler, Lauren J
Ni, Pengsheng
Kazis, Lewis E
Stewart, Barclay T
Ryan, Colleen M
Schneider, Jeffrey C
125 Community Socioeconomic Status Is Associated with Social Participation Outcomes
title 125 Community Socioeconomic Status Is Associated with Social Participation Outcomes
title_full 125 Community Socioeconomic Status Is Associated with Social Participation Outcomes
title_fullStr 125 Community Socioeconomic Status Is Associated with Social Participation Outcomes
title_full_unstemmed 125 Community Socioeconomic Status Is Associated with Social Participation Outcomes
title_short 125 Community Socioeconomic Status Is Associated with Social Participation Outcomes
title_sort 125 community socioeconomic status is associated with social participation outcomes
topic Correlative XVI: Psychological and Psychosocial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8945265/
http://dx.doi.org/10.1093/jbcr/irac012.127
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