INCOME

SDOH: INCOME

SDOH: INCOME

Income

The ability to earn a steady income that allow them to meet their health needs.

Income can significantly impact one's access to healthcare and overall health outcomes. Income influences health care in various methods: access to preventative services, health behaviors, such as chronic disease management, and geographic disparities. Poor access to preventative services can significantly affect one’s overall health outcomes. Inadequate access to these services for income-related reasons can delay detecting health issues. Unfortunately, this can lead to even more complicated and costly treatment due to increased severity of conditions or new additional comorbidities. Income also significantly impacts one’s health behaviors by influencing their choices regarding diet, exercise, and medication and treatment adherence.

For example, lower-income individuals may have difficulty accessing healthy food choices due to increased grocery costs, living in a food desert, or simply a lack of time to prepare and cook nutritious meals. This specific health behavior can be significantly harmful to individuals with conditions like diabetes and heart disease. Additionally, lower-income individuals often struggle with medication and treatment adherence due to the excess cost, lack of health insurance coverage, and due to work and time constraints (Rohatgi et al., 2021).

Key Points and Resources

Impacts

Limits people to reach out for healthcare when they need care Knowing one cannot afford an ambulance ride, staying in the hospital, or even an appointment with a primary care provider decreases the chances that someone reaches out when they have a health concern or emergency.

Limits access to preventative healthcare measures. For example, parks for exercise, clean air and water, and health education.

Affordable healthcare options

Official health insurance marketplace

Nearest low-cost community health centers

Medication discounts

Benefit programs

SNAP and TANF

Children's free or low-cost health coverage

Social workers

Impacts

Limits people to reach out for healthcare when they need care Knowing one cannot afford an ambulance ride, staying in the hospital, or even an appointment with a primary care provider decreases the chances that someone reaches out when they have a health concern or emergency.

Limits access to preventative healthcare measures. For example, parks for exercise, clean air and water, and health education.

Affordable healthcare options

Official health insurance marketplace

Nearest low-cost community health centers

Medication discounts

Benefit programs

SNAP and TANF

Children's free or low-cost health coverage

Social workers

Impacts

Limits people to reach out for healthcare when they need care Knowing one cannot afford an ambulance ride, staying in the hospital, or even an appointment with a primary care provider decreases the chances that someone reaches out when they have a health concern or emergency.

Limits access to preventative healthcare measures. For example, parks for exercise, clean air and water, and health education.

Affordable healthcare options

Official health insurance marketplace

Nearest low-cost community health centers

Medication discounts

Benefit programs

SNAP and TANF

Children's free or low-cost health coverage

Social workers

References

Commonwealth Fund. (2023). Impact of the Medicaid coverage gap: Comparing states that have and have not expanded eligibility. Retrieved December 1, 2023, from www.commonwealthfund.org. https://doi.org/10.26099/vad1-s645

Healthy People 2030. (2023). Access to Primary Care - Healthy People 2030 | Health.gov. Department of Human Health and Services. Retrieved December 1, 2023, from https://health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/access-primary-care

KFF. (2023, December 1). Status of State Medicaid expansion Decisions: Interactive Map | KFF. Retrieved December 1, 2023, from https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/

Rohatgi, K. W., Humble, S., McQueen, A., Hunleth, J. M., Chang, S. H., Herrick, C. J., & James, A. S. (2021). Medication Adherence and Characteristics of Patients Who Spend Less on Basic Needs to Afford Medications. Journal of the American Board of Family Medicine : JABFM, 34(3), 561–570. https://doi.org/10.3122/jabfm.2021.03.20036

INCOME