A Community-based Study on the Relationship between Chronic Condition Status, Social Determinants of Health, and Health Behaviors among Detroit Residents

Abstract

Abstract Compared to Michigan as a state, Detroit, the largest urban city in Michigan, has a substantially higher chronic condition burden. This study examined influential factors, including health beliefs, behavior tracking, and social determinants of health associated with Detroit residents' chronic condition status. Using a cross-sectional community-based study design, 394 Detroit residents were recruited from May 2019-August 2021 to complete a survey. To meet the study objectives, descriptive statistics and binary logistic regression analyses were conducted using STATA MP17. Over 45% of participants self-reported having a chronic condition. Participants reported housing, food, healthcare, and stress as their top social determinants of health. Participants with a chronic condition had significantly higher adjusted odds (AOR = 1.71, 95% CI: 1.01 to 2.89) of requesting assistance with intermediary than structural determinants. This is one of the first studies to describe Detroit residents' self-reported needs by their chronic condition status. Residents' social needs are multifaceted and associated with chronic condition status. Residents would benefit from interprofessional collaborations to address their top social determinants and promote lifestyle changes.