Description
For adults 18 and older who completed the Social and Health Experiences (SHE) self-administered questionnaire (SDOHELIG), TRANSBAR indicates whether, during the last 12 months, a lack of reliable transportation kept them from medical appointments, meetings, work, or from getting things needed for daily living. TRANSBAR1 was fielded as one of eighteen questions about health-related social needs included in the Social Determinants of Health (SDOH) supplement fielded via the 2021 SHE pencil-and-paper questionnaire. The SHE questionnaire was the first MEPS-HC questionnaire to be fielded using paper and web modes. Please see SATISFIED for more information on the SDOH supplement, including a complete list of variables fielded on the 2021 SHE.
Related Variables
The SDOH supplement included on the 2021 SHE included a series of questions that asked respondents to indicate whether their health-related social needs were being met. These questions were adapted from the Centers for Medicare and Medicaid Services (CMS) Accountable Health Communities (ACH) Health-Related Social Needs (HRSN) Screening tool, which measures whether an individual has any unmet health-related social needs, and from the Urban Institute's 2018 Well-Being and Basic Needs Survey, which measures well-being and a family's ability to meet basic needs. The ACH HRSN Screening tool items were developed from multiple sources, which are included in the Sources section below. In addition to TRANSBAR, the Health-Related Social Needs variables include the following:
Problems Paying Mortgage/Rent and Utilities
- LATERENT: Household's rent/mortgage was late or unpaid because household could not afford to pay, past 12 months2
- LATEUTIL: Household unable to pay electric, gas, oil, or water bills on time, past 12 months2
- SHUTUTIL: Home utilities were threatened to be shut off, past 12 months2
Problems Paying Bills and Covering Expenses
- HARDPAYBASIC: How hard to pay basics like food, housing, medical care, and heating3
- UNEXPEXP: How confident able to come up with $400 if an unexpected expense arose within the next month2
- MISSPAYCCLN: Missed a payment on a credit card or loan (not including mortgage), last 12 months2
- DEBTCOLL: Contacted by debt collection agency, last 12 months2
Problems with Home
- HOMPROBPEST: The place where person lives has problems with pests4
- HOMPROBMOLD: The place where person lives has problems with mold4
- HOMPROBLEAD: The place where person lives has problems with lead paint or pipes4
- HOMPROBHEAT: The place where person lives has problems with lack of heat4
- HOMPROBCOOK: The place where person lives has problems with oven or stove not working4
- HOMPROBSMKDT: The place where person lives has problems with smoke detectors missing or not working4
- HOMPROBLEAKS: The place where person lives has problems with water leaks4
- HOMPROBNONE: The place where person lives does not have housing quality problems4
Food Insecurity
- FSNOTLAST12M: Worried about food running out before person got money to buy more, last 12 months5
- FSRUNOUT12M: Food didn't last and person did not have money to get more, last 12 months5
Sources
Codes and Frequencies
Universe
- 2021: Sample adults age 18+ and eligible for SDOH with data recorded (SDOHELIG).
Availability
- 2021
Weights
- 2021 : SDOHWT