@article{TEXTUAL,
      recid = {10072},
      author = {Wang, Esther and Diaz, Ashley and Zhang, Douglas and  Dimitroyannis, Rose and Kim, Daniel and Caballero, Nadieska  and Pinto, Jayant M. and Roxbury, Christopher R.},
      title = {Impact of social determinants of health on access to  rhinology care and patient outcomes: A pilot study},
      journal = {Laryngoscope Investigative Otolaryngology},
      address = {2023-12-09},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Objective: This novel pilot study constructs a social  deprivation index (SDI) and utilizes an area deprivation  index (ADI) to evaluate the link between social  determinants of health and rhinology patient  experiences.&lt;/p&gt; &lt;p&gt;Methods: Adult patients undergoing  outpatient care of chronic rhinitis and chronic  rhinosinusitis at a tertiary academic medical center were  recruited to participate in a telephone survey assessing  symptoms, social/emotional consequences of disease, and  barriers to care on a 5-point Likert scale.  Sociodemographic characteristics were utilized to rate SDI  on an 8-point scale. ADI was obtained by area code of  residence. Ordered logistic regression was used to examine  associations between the SDI/ADI and perceptions of  rhinology care.&lt;/p&gt; &lt;p&gt;Results: Fifty patients were  included. Individuals with higher SDI scores (i.e., more  socially deprived) experienced more severe nasal congestion  (p = .007). Furthermore, higher national ADI correlated  with increased severity of smell changes (p = .050) and  facial pressure (p = .067). No association was seen between  either deprivation index and global/psychiatric symptoms.  While no correlations were found between higher SDI and  difficulties with the costs of prescriptions, rhinologist's  visits, or saline, higher SDI was correlated with decreased  difficulty with surgery costs (p = .029), and individuals  with higher national ADI percentile had increased  difficulties obtaining nasal saline (p = .029).&lt;/p&gt;  &lt;p&gt;Conclusion: Worse social deprivation is associated with  difficulties obtaining saline rinses and increased severity  of nasal/sinus symptoms in an urban, underserved,  majority-Black population. These findings suggest social  factors affect access to and quality of rhinology care in a  complex and nuanced way and highlight the need for a  specific SDI to further study social determinants of health  in rhinology.&lt;/p&gt; &lt;p&gt;Level of Evidence: 2c.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/10072},
}