Effects of Social Vulnerability and Environmental Burden on Care Fragmentation and Social Needs Among Individuals With Rheumatic Conditions
An erratum to this article was published (Arthritis Care Res (Hoboken), Mar 2026 ↗)
Main finding · At least four care fragmentation occurrences (vs 0)Result — go to the resultOdds ratio 2.02 95% CI 1.67–2.46Authors' conclusion
Residence in areas of high combined adverse environmental burden and social vulnerability was associated with significantly greater odds of care fragmentation and social needs.
Study context
- Population
- Adults with rheumatic conditions (≥2 rheumatic disease codes) receiving care in a Massachusetts multihospital system7,083 with social needs data
- Participants
- 16,856 adults
- Exposure
- Social-Environmental Ranking (SER) quartile 4 vs quartile 1
- Outcome
- Care fragmentation (missed appointments, ED visits, hospitalizations) and social needs (eg, food and housing insecurity)
Methodological detailsmultihospital system, multilevel, multinomial regression
- Multihospital system
- Multilevel, multinomial regression
Main finding
As reported in the abstract
At least four care fragmentation occurrences (vs 0)
Odds ratio
2.02
95% CI 1.67–2.46
SER quartile 4vs SER quartile 1
OR 2.02 (95% CI 1.67–2.46)
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| At least two social needs (vs 0) | 2.37 (1.73–3.25) | |
| 0.20.5125Odds ratio (log scale) |
More than one social need challenge
- Among those with social needs data
- 19%
Original publication
Effects of Social Vulnerability and Environmental Burden on Care Fragmentation and Social Needs Among Individuals With Rheumatic Conditions. Arthritis Care Res (Hoboken). Published 1 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →