Public Health Reports最新文献

{"title":"The Experiences of Patients With Rare Diseases in Pennsylvania: A Community-Based Study.","authors":"Jonathan H Sussman, Mert Marcel Dagli, Shira L Wald, Saad S Akhtar, Keanu Natan, Jessica A Xu, Alexander Li, Brian Dawson, William C Welch","doi":"10.1177/00333549251362711","DOIUrl":"10.1177/00333549251362711","url":null,"abstract":"<p><strong>Objective: </strong>Rare diseases collectively affect approximately 30 million people in the United States. Despite advances in genomic medicine, early diagnosis is challenging because of limited awareness of, accessibility to, and disparities in health care resources. We assessed the real-world experiences of patients with rare diseases in Pennsylvania and evaluated the effect of delayed diagnosis on psychosocial and financial burdens.</p><p><strong>Methods: </strong>The Pennsylvania Rare Disease Advisory Council conducted a Rare Disease Needs Assessment Survey from September 2020 through January 2023. The survey, distributed through multiple channels, collected responses from patients, caregivers, and rare disease advocates in Pennsylvania. We analyzed quantitative and qualitative data on diagnosis, health care access, financial burden, and psychosocial support.</p><p><strong>Results: </strong>A total of 1214 respondents participated, representing a diverse spectrum of rare diseases and demographic groups. More than half (57.8%) of respondents indicated diagnostic delays of ≥1 year, which were associated with additional misdiagnoses, increased annual spending, out-of-state travel, and reduced work and school hours; however, diagnostic delays were not associated with disease category. Many respondents (48.5%) reported >$5000 in annual spending related to care for their rare disease, and 24.9% were unable to access medications because of financial reasons. Diagnostic delays were associated with worse perspectives on the efficacy of care across multiple domains even after a correct diagnosis was achieved. Patients aged 0 to 20 years had a faster time to diagnosis than patients aged >20 years did.</p><p><strong>Conclusion: </strong>Patients with rare diseases in Pennsylvania face substantial barriers to diagnosis, specialized care, and financial support. Despite policy initiatives, gaps remain in genetic testing access, specialist availability, and psychosocial resources. Addressing these issues through improved diagnostics, expanded access to care, and targeted policy changes is essential to enhancing patient outcomes and quality of life.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251362711"},"PeriodicalIF":2.5,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Mobile Medical Units for Veterans Experiencing Homelessness: A Mixed-Methods Study.","authors":"Jean Yoon, Emily P Wong, Jillian J Weber, Daniel M Blonigen, Jack Tsai","doi":"10.1177/00333549251365173","DOIUrl":"10.1177/00333549251365173","url":null,"abstract":"<p><strong>Objectives: </strong>Mobile medical units (MMUs) provide health care services in the community to reach populations with geographic, financial, and other barriers to care. The US Department of Veterans Affairs (VA) Homeless Patient Aligned Care Team (HPACT) program deployed MMUs to 25 sites in fiscal year 2024 to increase access for veterans experiencing homelessness. We examined early implementation of MMUs in HPACT sites by describing implementation and operational issues, services provided, and characteristics of veterans who used MMUs.</p><p><strong>Methods: </strong>To examine the implementation of MMUs on veterans experiencing homelessness, we conducted a mixed-methods study using an online survey and health care administrative data. Measures included MMU implementation time, staffing type, services, safety measures, maintenance costs, and characteristics of veterans using and not using MMUs. We examined differences between veterans who used MMUs and those who did not.</p><p><strong>Results: </strong>Seventeen of 25 sites responded to the survey; MMU implementation occurred during a mean of 147 hours in 5 months. Most sites (15 of 17) visited housing sites and homeless shelters in community- and VA-supported programs to provide health screenings, education, and medication administration and prescribing. Operating costs varied widely for vehicle maintenance and gas and medical and telehealth equipment. Veterans who used MMUs (vs did not use MMUs) had more medical comorbidities (Elixhauser score of 3.4 vs 2.8), were more likely to have substance use disorder (49.9% vs 39.1%), and had higher baseline levels of health care use, especially emergency department visits (0.4 vs 0.3 visits per quarter).</p><p><strong>Conclusions: </strong>Evidence on the effects of MMUs on patient engagement with primary and mental health care and acute care use is needed to inform decisions to implement MMUs.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251365173"},"PeriodicalIF":2.5,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Neighborhood Opportunity as a Factor in Pediatric Asthma Visits to the Emergency Department.","authors":"Nima Khodakarami, Marvellous Akinlotan, Alva O Ferdinand","doi":"10.1177/00333549251361324","DOIUrl":"https://doi.org/10.1177/00333549251361324","url":null,"abstract":"<p><strong>Objectives: </strong>Despite growing interest in environmental and social determinants of health, few studies have explored how residential mobility influences respiratory health outcomes. We examined the relationship between levels of opportunity across education, health and environment, social and economic, and all domains in a child's neighborhood and the likelihood of emergency department (ED) visits for asthma and showed how moving from one neighborhood to another would affect the odds of visiting the ED for asthma.</p><p><strong>Methods: </strong>In this cross-sectional study, we analyzed asthma-related ED visits among children aged 2 to 17 years in 9 US states (Arizona, Florida, Kentucky, Maryland, New Jersey, North Carolina, Oregon, Rhode Island, and Wisconsin) during 2016-2019. We used a multivariable logistic regression model to examine the relationship between the Child Opportunity Index (COI) and ED visits for asthma. We used a piecewise linear logit model to estimate the neighborhood's opportunity effect.</p><p><strong>Results: </strong>Children living in neighborhoods with very low COI had a high probability of visiting the ED for asthma (adjusted odd ratio = 1.14; <i>P</i> < .001). In addition, moving from a low to a very low COI neighborhood significantly increased the probability of asthma-related ED visits among children aged 5 to 9 years (0.8 percentage points), Black children (0.4 percentage points), boys (0.7 percentage points), and those living in large metropolitan areas (0.6 percentage points).</p><p><strong>Conclusions: </strong>Our findings suggest that improvement in neighborhood opportunity may translate to better asthma-related health outcomes among children. Future research should continue to investigate the effects of neighborhood opportunity on other childhood conditions.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251361324"},"PeriodicalIF":2.5,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Centering Lived Experience in Human Trafficking Recovery: A Needs Assessment of Service Gaps and Survivor Involvement in Kern County, California.","authors":"Kimberly A Hogan, Sandy Woo-Cater, Donna Sharp, Dominique Roe-Sepowitz, Holly Gibbs, Petra Lindén","doi":"10.1177/00333549251362653","DOIUrl":"https://doi.org/10.1177/00333549251362653","url":null,"abstract":"<p><strong>Objectives: </strong>Human trafficking is a persistent and complex issue in Kern County, California, where data on how social service systems are responding to the needs of survivors are limited. We aimed to identify the service needs and gaps in efforts for human trafficking response among social service providers in Kern County and to explore the role of engaging people with lived experiences in service delivery.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey from April 26 through May 31, 2021, among 57 social service agencies in Kern County involved in assisting juvenile and adult survivors of sex trafficking and/or labor trafficking. In the survey, we included 77 questions addressing agency demographic characteristics, services provided, training needs, and the involvement of people with lived experiences of trafficking in service delivery. We analyzed quantitative and qualitative data.</p><p><strong>Results: </strong>Of the 57 contacted agencies, 27 (47.4%) completed the survey. Among the 27 responding agencies, 22 (81.5%) provided services to individuals who have experienced sex trafficking and 13 (48.1%) provided services to individuals who have experienced labor trafficking. Only 7 agencies (31.8%) had specialized positions for sex trafficking recovery services. Barriers to service delivery among agencies included funding shortages and limited training in trauma-informed care. Moreover, most agencies did not engage people with lived experiences of trafficking in decision-making roles.</p><p><strong>Conclusions: </strong>Enhanced funding, targeted training, and increased engagement of people with lived experiences of trafficking among social service providers in Kern County are needed to improve the support system for trafficking victims and create a more effective, collaborative response to human trafficking in the region.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251362653"},"PeriodicalIF":2.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hepatitis C Surveillance in the United States: Past, Present, and Future.","authors":"Laurie K Barker, Mona Doshani, Ruth B Jiles, Eyasu Teshale","doi":"10.1177/00333549251351880","DOIUrl":"https://doi.org/10.1177/00333549251351880","url":null,"abstract":"<p><p>Data from 3 US public health surveillance systems indicate that an estimated 67 400 people acquired hepatitis C virus infections in 2022, 2.2 million adults had hepatitis C during January 2017-March 2020, and 12 717 people died in 2022 from hepatitis C-related causes, despite the availability of curative treatment since 2013. The 3 surveillance systems that provided these data-the National Notifiable Diseases Surveillance System, the National Health and Nutrition Examination Survey, and the National Vital Statistics System-were selected to monitor progress toward elimination of hepatitis C as a public health threat in the United States by 2030. However, some limitations of these surveillance systems compel the use of additional data sources with more timely information for the general population and for populations with higher incidence, prevalence, or mortality of hepatitis C, such as those experiencing homelessness, incarceration, or injection drug use. Commercial laboratories, health systems, and programs serving these populations could provide such data. This topical review of hepatitis C surveillance describes the history, long-term trends, and recent investments in public health surveillance for hepatitis C. Strengthening and modernizing the hepatitis C surveillance workforce and systems, improving data system interoperability, linking complementary data sources, and leveraging multiple data systems can aid in the measurement of public health efforts to meet hepatitis C elimination goals.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251351880"},"PeriodicalIF":2.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Number of Older Siblings and Common Cold Among Children Aged 5 Years: The Kyushu Okinawa Maternal and Child Health Study.","authors":"Hisafumi Kihara, Yoshihiro Miyake, Keiko Tanaka","doi":"10.1177/00333549251342895","DOIUrl":"https://doi.org/10.1177/00333549251342895","url":null,"abstract":"<p><strong>Objectives: </strong>In view of the lack of epidemiologic information on the relationship between sibship size and the common cold, this prebirth cohort study investigated the association between the number of older siblings and the high frequency of common colds in Japanese children aged 5 years.</p><p><strong>Methods: </strong>The study included 1197 mother-child pairs in the Kyushu Okinawa Maternal and Child Health Study; data were collected through questionnaires. From April 2007 through March 2008, the baseline survey, conducted during pregnancy, collected information on the number of children (older siblings). The questionnaire in the eighth survey (at approximately 60 months postpartum) asked participants about the frequency of common colds in their children since their fourth birthday. We defined high frequency of common colds as experiencing ≥6 common colds since turning age 4 years.</p><p><strong>Results: </strong>Among the 1197 children aged 59 to 71 months, 140 (11.7%) experienced a high frequency of common colds. Compared with having no older siblings, having 1 older sibling and having ≥2 older siblings were independently associated with a lower likelihood of high frequency of common colds at age 5 years. The adjusted odds ratios (95% CI) for high frequency of common colds were 0.67 (0.45-0.99) for 1 older sibling and 0.42 (0.23-0.73) for ≥2 older siblings (<i>P</i> for trend = .001), using no older siblings as the reference group.</p><p><strong>Conclusions: </strong>This study identified an independent inverse exposure-response relationship between the number of older siblings and high frequency of common colds at age 5 years. Given that the sibling effect is beneficial for colds, it may be necessary to focus on preventing colds in the first child.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251342895"},"PeriodicalIF":2.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of a Pandemic on an Epidemic: A Population-Based Ecological Study of the Association Between COVID-19 Diagnoses and Drug Overdose Deaths in Rhode Island, 2023.","authors":"Rebecca L Carrara, William C Goedel, Claire Pratty, Laura C Chambers, Benjamin D Hallowell, Sarah Bowman, Brandon D L Marshall","doi":"10.1177/00333549251361338","DOIUrl":"https://doi.org/10.1177/00333549251361338","url":null,"abstract":"<p><strong>Objectives: </strong>In Rhode Island, drug overdose deaths increased by 28% in the first 6 months of the COVID-19 pandemic in 2020 as compared with the previous year (2019), mirroring national trends. We explored how the spatial distribution of overdose deaths overlapped with that of COVID-19 cases to identify levels and increased prevalence of these health issues among census tracts in Rhode Island.</p><p><strong>Methods: </strong>We used data from the Rhode Island Department of Health and the US Census Bureau to calculate annualized COVID-19 case rates (from March 20, 2020, through December 31, 2021) and unintentional overdose death rates by census tract (from January 1, 2018, through December 31, 2021). We used bivariate cluster analyses to group census tracts into clusters of high-high, low-low, high-low, and low-high overdose deaths and COVID-19 case rates per 100 000 population.</p><p><strong>Results: </strong>Clusters with high overdose death rates and high COVID-19 case rates were identified in urban census tracts around the capital city of Providence, whereas clusters with low overdose death rates and low COVID-19 case rates were identified in the state's southern census tracts. Structural factors differed among cluster groups: cluster groups with high overdose death rates and high COVID-19 case rates had greater percentages of households with overcrowding (mean [SD] = 1.6% [1.0%]), people living below the federal poverty level (17.5% [7.4%]), and people with a high school degree or less (37.8% [7.8%]) than the other cluster groups.</p><p><strong>Conclusions: </strong>Targeted investments in community-led and place-based public health interventions can be used to address underlying social and structural determinants of health (eg, overcrowding, poverty, low education levels) in communities with high rates of overdose deaths and COVID-19 cases.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251361338"},"PeriodicalIF":2.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asthma and Allergy Comorbidity Among the US Population Aged 2 Years or Older, National Health Interview Survey, 2021.","authors":"Cynthia A Pate, Lara J Akinbami, Carol Johnson, Joy Hsu, Hatice S Zahran","doi":"10.1177/00333549251358658","DOIUrl":"https://doi.org/10.1177/00333549251358658","url":null,"abstract":"<p><strong>Objectives: </strong>Asthma has substantial morbidity and impact on quality of life. Symptoms can worsen when asthma coexists with allergy. We assessed the prevalence of asthma-allergy comorbidity in a nationally representative sample.</p><p><strong>Methods: </strong>We used 2021 National Health Interview Survey data for 7343 children and adolescents aged 2 to 17 years and 29 329 adults aged ≥18 years to estimate the prevalence of asthma, allergy symptoms, and lifetime allergy diagnosis. We assessed associations between asthma-allergy comorbidity and characteristics (sex, age group, race and ethnicity, family income, region, urbanicity) and between asthma attacks and allergy by using logistic regression.</p><p><strong>Results: </strong>Almost 8% of people aged ≥2 years had asthma, and 52.3% had allergy symptoms. Among children and adolescents, boys had a higher prevalence of asthma-allergy comorbidity than girls (6.2%; 95% CI, 5.3%-7.2% vs 5.0%; 95% CI, 4.2%-5.9%). Among adults, men had a lower prevalence of asthma-allergy comorbidity than women (4.9%; 95% CI, 4.5%-5.4% vs 8.3%; 95% CI, 7.7%-8.8%). The prevalence of asthma-allergy comorbidity was higher among people with low income (<100% vs ≥200% federal poverty level) and non-Hispanic Black (vs non-Hispanic White) people. Among people with asthma, 82.1% had allergy symptoms and 67.3% had a lifetime allergy diagnosis. The prevalence of allergy symptoms differed by sex among adults with asthma but not among children and adolescents with asthma. Among adults with asthma, asthma attacks were associated with allergy symptoms (adjusted prevalence ratio = 1.23; 95% CI, 1.04-1.46).</p><p><strong>Conclusion: </strong>Disparities in asthma-allergy comorbidity exist by sex, family income, and race and ethnicity. These findings support national asthma management guidelines on the importance of identifying and treating comorbid allergies among people with asthma.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251358658"},"PeriodicalIF":2.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Social Vulnerability Index, Area Disadvantage Index, and Social Deprivation Index for Adults With Out-of-Hospital Emergencies.","authors":"Sriram Ramgopal, Remle P Crowe, Anjali J Misra, Rebecca E Cash","doi":"10.1177/00333549251357818","DOIUrl":"https://doi.org/10.1177/00333549251357818","url":null,"abstract":"<p><strong>Objectives: </strong>Multiple measures are used to assess neighborhood disadvantage. Although each was created with a unique purpose, they share conceptual and methodological overlap. We examined the correlation among 3 measures of neighborhood disadvantage (Social Vulnerability Index [SVI], Area Disadvantage Index [ADI], and Social Deprivation Index [SDI]) and their association with quality indicators for adults with prehospital emergencies.</p><p><strong>Methods: </strong>We performed a retrospective analysis using a national multiagency emergency medical services (EMS) database, including emergency scene encounters for adults (aged ≥18 y) with available census-tract SDI and SVI data and census-block ADI data from January 1 through December 31, 2023. We compared the SVI, ADI, and SDI using overall and pairwise intraclass correlation coefficients (ICCs). We evaluated the association of each index with 7 quality indicators for prehospital care developed by the National EMS Quality Alliance.</p><p><strong>Results: </strong>We included 9 259 983 encounters (median [IQR] age, 63 [44-77] y). The overall ICC between indices was 0.65, indicating moderate agreement. We found higher agreement between SVI and SDI (ICC = 0.84) than between SVI and ADI (ICC = 0.54) or ADI and SDI (ICC = 0.59). We found overlap among the indices for most outcomes, although we found differences in ADI associations compared with SVI and SDI for some outcomes. These included bronchodilator use in asthma (SDI/SVI positively associated, ADI not associated), treatment of hypoglycemia (ADI negatively associated, SDI/SVI not associated), and screening of suspected stroke (SDI/SVI negatively associated, ADI not associated).</p><p><strong>Conclusions: </strong>We found moderate agreement among 3 commonly used indices of neighborhood disadvantage. Research is needed to refine the application of these indices to prehospital care and explore their utility in reducing health disparities across health care settings.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251357818"},"PeriodicalIF":2.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Income Adequacy Versus Household Income as a Measure of Socioeconomic Status in 6 Countries, 2022-2023 International Food Policy Study.","authors":"Rachel B Acton, Christine M White, Vicki L Rynard, David Hammond","doi":"10.1177/00333549251358655","DOIUrl":"https://doi.org/10.1177/00333549251358655","url":null,"abstract":"<p><strong>Objectives: </strong>Household income is a common indicator of socioeconomic status in population surveys; however, measures such as perceived income adequacy are increasingly used as alternatives. We used a multicountry dataset to explore the utility of perceived income adequacy as compared with household income, focusing on missing data rates, associations with household food security, and responses from young people versus parents.</p><p><strong>Materials and methods: </strong>We conducted online surveys in 2022-2023 among adults (n = 50 913) and young people (aged 10-17 y; n = 23 013) as part of the International Food Policy Study in Australia, Canada, Chile, Mexico, the United Kingdom, and the United States. We used descriptive analyses to examine missing data for income adequacy and household income adjusted for household size. We used linear regression models to test the association between the income measures, their associations with household food security, and their correspondence in reported income adequacy between young people and parents.</p><p><strong>Results: </strong>The proportion of missing data was greater for household income (5.3%; n = 2688) than for income adequacy (1.0%; n = 488). Income adequacy and household income were positively correlated (<i>r</i> = 0.25-0.44; <i>P</i> < .001 for all countries). Both measures independently predicted household food security (<i>P</i> < .001 for all countries), with a stronger association observed for income adequacy. Family income adequacy reported by young people was strongly associated with parental reports (<i>r</i> = 0.47-0.62; <i>P</i> < .001 for all).</p><p><strong>Practice implications: </strong>Perceived income adequacy may be preferrable to traditional household income measures for assessing the effect of financial position on health-related outcomes, particularly among young people and older or retired populations, for whom household income may be difficult to report.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251358655"},"PeriodicalIF":2.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}