Back to Evidence & Resource Library

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

V. Brcic, C. Eberdt, J. Kaczorowski
International Journal of Family Medicine

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.

Brcic V, Eberdt C, Kaczorowski J. Development of a tool to identify poverty in a family practice setting: A pilot study. International Journal of Family Medicine. 2011;2011:812182. DOI: 10.1155/2011/812182.

View the Resource
Publication year
Resource type
Peer Reviewed Research
Outcomes
Process
Screening research
Yes
Social Determinant of Health
Economic Security
Employment
Food/Hunger
Health Care Access
Housing Stability
Study design
Other Study Design
Keywords