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TRANSBAR
Lack of transportation keeps person from medical appointments, meetings, work, or activities of daily living, past 12 months
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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



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Comparability

There are no comparability issues with this variable.

Universe

  • 2021: Sample adults age 18+ and eligible for SDOH with data recorded (SDOHELIG).

Availability

  • 2021

Weights

Flags

This variable has no flags.