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Showing content from https://pubmed.ncbi.nlm.nih.gov/22312547/ below:

Development of a tool to identify poverty in a family practice setting: a pilot study

Affiliations

• ¹ Department of Family Practice, Faculty of Medicine, University of British Columbia, 3rd floor David Strangway Building, 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3.

• PMID: 22312547
• PMCID: PMC3268233
• DOI: 10.1155/2011/812182

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Vanessa Brcic et al. Int J Family Med. 2011.

• ¹ Department of Family Practice, Faculty of Medicine, University of British Columbia, 3rd floor David Strangway Building, 5950 University Boulevard, Vancouver, BC, Canada V6T 1Z3.

• PMID: 22312547
• PMCID: PMC3268233
• DOI: 10.1155/2011/812182

Item in Clipboard

Objective. The goal of this pilot study was to develop and field-test questions for use as a poverty case-finding tool to assist primary care providers in identifying poverty in clinical practice. Methods. 156 questionnaires were completed by a convenience sample of urban and rural primary care patients presenting to four family practices in British Columbia, Canada. Univariate and multivariate logistic regression analyses compared questionnaire responses with low-income cut-off (LICO) levels calculated for each respondent. Results. 35% of respondents were below the "poverty line" (LICO). The question "Do you (ever) have difficulty making ends meet at the end of the month?" was identified as a good predictor of poverty (sensitivity 98%; specificity 60%; OR 32.3, 95% CI 5.4-191.5). Multivariate analysis identified a 3-item case-finding tool including 2 additional questions about food and housing security (sensitivity 64.3%; specificity 94.4%; OR 30.2, 95% CI 10.3-88.1). 85% of below-LICO respondents felt that poverty screening was important and 67% felt comfortable speaking to their family physician about poverty. Conclusions. Asking patients directly about poverty may help identify patients with increased needs in primary care.

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Poverty interventions in family practice.

Poverty interventions in family practice.

Poverty interventions in family practice.

1. 1. Conference Board of Canada. Roundtable on the Socioeconomic Determinants of Health. 2006, http://www.conferenceboard.ca/networks/rsedh/default.aspx.
2. 1. Raphael D. Poverty, Income Inequality and Health in Canada. School of Health Policy and Management, York University; 2002.
3. 1. World Health Organization (WHO) Declaration of Alma-Ata. In: International Conference on Primary Health Care; September 1978; Alma-Ata, Kazakhstan. USSR;
4. 1. WHO. Social Determinants of Health: The Solid Facts. 1998.
5. 1. Bloch G, Etches V, Garder C, et al. Why poverty makes us sick. Ontario Medical Review. 2008:32–37.

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