Home Supply Research Articles

Associations between regional supply and integration of home and community-based service providers and risk of institutionalization: Evidence from South Korea

Abstract Background and Objectives To examine whether the regional density of integrated home and community-based services (HCBS) providers affects long-term care (LTC) service utilization pattern and institutionalization risk in South Korea. Research Design and Methods This observational study utilized data from the National Health Insurance Service (NHIS) on individuals aged 65 and older who became newly eligible for LTC insurance benefits in 2018. The final sample excluded individuals admitted to long-term care hospitals during the previous year or those living away from home, resulting in a total of 91,302 individuals included in the study. We analyzed the impact of regional HCBS and integrated care provider density on four outcomes: choice of HCBS over LTC facilities (LTCF) as first LTC service, intensity and comprehensiveness of HCBS use, and risk of institutionalization within a year. Results Higher regional densities of integrated care providers are associated with increased odds of using HCBS as the first LTC service (Odds Ratio 1.066, model 1, p<0.01). Increased density was also associated with higher odds of using multiple HCBS (Odds Ratio 1.108, model 1, p<0.01). Additionally, higher density of integrated care providers was associated to decreased risk of institutionalization into LTC facilities (Hazard Ratio 0.98, model 1, p<0.01). Discussion and Implications The density integrated care providers significantly reduce institutionalization rates, by increasing the possibility of choosing HCBS over LTCF as their first LTC service and using a more comprehensive combination of HCBS services. Further investment in integrated care models may enhance the effectiveness of LTC systems.

Optimizing work in community pharmacy: What preferences do community pharmacists and pharmacy technicians have for a better allocation of daily activities?

Pharmacy work encompasses two main streams. These are logistic flow (the supply and distribution of healthcare products) and pharmaceutical flow (the dispensing and provision of pharmacy services). The pharmaceutical flow has increased significantly with the introduction of reimbursed services such as Rapid Diagnostic Tests, chronic disease screening, minor ailment prescriptions, vaccine prescription and administration, and medication reviews. The implementation of new pharmacy services requires efficiency. The main objective of the survey presented here was to determine the preferences of community pharmacists and pharmacy technicians in relation to the assignment of tasks within the community pharmacy team. The survey, which used the Best-Worst Scaling (BWS) method, presented 13 daily pharmacy activities to community pharmacists (CPs) and pharmacy technicians (PTs). Descriptive statistics and Bayesian logistic regression were used to analyse the data. The results indicate that medication dispensing is a shared activity between CPs and PTs, for which the latter already have partial autonomy. Management of nursing home orders and supplies tends to be assigned to pharmacy technicians, whereas clinical pharmacy services such as prescription renewal, medication reviews, and counselling are considered to be more within the CPs' domain. CPs would readily delegate tasks like screening procedures to PTs. PTs express interest in minor ailment prescribing, a responsibility CPs are not yet ready to entrust to them. Delegating logistical activities to pharmacy technicians could enable community pharmacists to focus on specialized pharmaceutical care, thereby improving the efficiency and quality of the services offered to patients. However, the reorganization of tasks should not only be implemented from a logistical standpoint since pharmacy technicians also share an interest in pharmaceutical care.

Investigation of the impact of micro-nano pore geometry on CH4 adsorption

CH4 is a clean fossil fuel that is widely used in the gas supply of homes and industry, and its energy value is increasingly important. Coal pores provide certain conditions for the storage of CH4. In order to reveal the microscopic adsorption mechanism of CH4 in different pores under high pressure, based on the experimental results, a cross-shaped pore model was proposed, and then molecular simulation was used to construct three kinds of cross-shaped, round and slit pore models for simulation experiment verification. The changes of adsorption parameters, such as adsorption amount, adsorption heat, adsorption energy, adsorption potential and adsorption entropy, were analyzed during the adsorption process. Combined with adsorption and condensation theory, the influence of different geometric pores on the adsorption of CH4 was further verified. The results show that round pore have more adsorption sites, larger adsorption quantity and stronger adsorption capacity, followed by cross pore, while slit pore have the weakest adsorption capacity and least adsorption sites. Under high pressure susaturated adsorption, the interaction force between molecules is stronger, the affinity is higher, the molecules are arranged in order, and the adsorption system is more stable, and the adsorption capacity of slit pore > cross pore > round pore is displayed. This study further verifies the mechanism of the effect of pore geometry on CH4 adsorption, which provides a strong support and theoretical basis for CBM mining engineering.

Comparison of cooking emissions mitigation between automated and manually operated air quality interventions in one-bedroom apartments

We implemented a crossover study design exposing 15 participants to two indoor air quality conditions in the Well Living Lab. The first condition, the Standard Control Condition, resembled the ventilation and air supply of a typical home in the USA with a manually operated stove hood. The second condition, Advanced Control, had an automated: (i) stove hood, (ii) two portable air cleaners (PAC), and (iii) bathroom exhaust. The PM2.5 sensors were placed in the kitchen, living room, bedroom, and bathroom. Once the sensor detected a PM2.5 level of 15 μg/m3 or higher, an air quality intervention (stove hood, PAC or bathroom exhaust) in that space was activated and turned off when the corresponding PM2.5 sensor had three consecutive readings below 6 μg/m3. Advanced Control in the overall apartment reduced PM2.5 concentration by 40% compared to the Standard Control. The PM2.5 concentration difference between Advanced and Standard Control was ~ 20% in the kitchen. This can be attributed to using the stove hood manually in 66.5% of cooking PM2.5 emission events for 323.6 h compared to 88 h stove hood used in automated mode alongside 61.9 h and 33.7 h of PAC use in living room and bedroom, respectively.

Planning Strategies for Slum Improvement in Bathinda City

Slum improvement is a critical challenge faced by urban planners and policy-makers globally as burgeoning urban population outstrips the capacity of cities to provide adequate housing and services. This paper explores comprehensive strategies for the improvement of slums focusing on sustainable development, community involvement and policy innovation. By analyzing successful case studies from diverse urban contexts, the paper identifies key elements that contributes to effective slum upgrading including secure land tenure, provision of basic services, economic opportunities and participatory planning process. The research highlights the importance of integrating slum communities into the broader urban framework to ensure social equity and economic inclusiveness. Recommendations are provided for policymakers and urban planners on designing and implementing holistic slum improvement programs that can adapt to the unique needs of each community, fostering resilience and sustainable urban growth. This study also involves finding locational attributes of slums and assessment of present status of slums. The study is focused on the Bathinda Municipal Corporation and information for the analysis is culled from secondary sources. Slums in Bathinda tend to cluster around undeveloped regions, empty lots, and water features (such as the Sarhind canal) and other forms of urban sprawl. As they find it the most suitable and safe place to live. They settle near industrial areas because of their work. The vast majority of slum inhabitants own property and live in permanent residences. However, the actual causes of the difficulties include substantial property prices and a lack of critical amenities such as drainage, sewage, water supply, and solid waste disposal. Furthermore, in the informal home supply sector, there is insufficient land accessible to the poor in Bathinda.

Factors associated with adherence to the principles of responsible companion animal guardianship in a municipality in southeastern Brazil

Responsible companion animal guardianship (RCAG) covers aspects that are relevant to both animal and human health. Understanding the factors associated with adherence to RCAG principles can guide accountability, animal welfare and disease control. The present observational study describes the level of adherence to RCAG by guardians living in a medium-sized Brazilian municipality and identifies the factors associated with inadequate guardianship. Questionnaires were administered to randomly selected guardians of 704 dogs. The binary outcome of the study, namely more and less adequate compliers to RCAG principles, was analyzed using a score list comprising eight variables relating to the care provided to the dogs, namely provision of veterinary services, vaccination against rabies, deworming, no access to the streets without supervision, walking with guardian, dog freedom at home, registration (microchipping) and satisfactory food supply. Factors possibly associated with less adequate adherence to RCAG by the guardian, such as socioeconomic and cultural features of the guardians, characteristics of the dogs and attributes of the guardian-animal interactions, were analyzed using multiple logistic regression models. The RCAG actions least adopted by guardians were animal registration, provision of veterinary care, walking with the dog and preventing access of the dogs to the streets without supervision. Individuals who cared for a single dog, a mixed breed dog or had previously lost a dog were less likely to show adequate adherence to RCAG. Conversely, guardians who owned cars, acquired dogs as puppies, lived in households with a maximum of four residents, cared for a sterilized dog or thought that caring for a dog was easier than (or as) expected, had a higher chance of showing adequate adherence to RCAG. The results verify that the socioeconomic and behavioral characteristic of guardians must be taken into consideration for understanding the adherence to RCAG. In addition, it is important to facilitate access to veterinary services and to raise awareness about the significance of a safe and healthy environment for companion animals.

Understanding Status of Old Age Homes in India

The individuals in old age move to old age homes due to different factors. In old age homes, there are provision of infrastructure, amenities and facilities, which are facilitating in carrying out all types of tasks and activities in a well-ordered manner. The individuals employed are required to be well-equipped in terms of different types of job duties and responsibilities. Furthermore, they are required to augment their information in terms of methodologies and approaches, which are facilitating in generating desired outcomes. The main objective of all the staff members living in old age homes is to promote well-being and goodwill of senior citizens. The senior citizens are overwhelmed by different types of health problems and illnesses. In some cases, they are not ambulatory, hence, it is of utmost significance to make provision of medical and health care facilities. The medical practitioners and health care specialists are required to be well-versed in terms of methods and approaches, which are facilitating in doing well in one’s job duties and generating desired outcomes. As a consequence of carrying out job duties efficiently, individuals will contribute in leading to progression of old age homes. Therefore, old age homes are facilitating in promoting well-being and goodwill of senior citizens. The main concepts that are taken into account in this research paper are, estimating supply of old age homes, measures to be implemented in promoting enrichment of status of old age homes in India and causes enabling senior citizens to live in old age homes.

P106: Continuing the catheter pack quality improvement project

Abstract Background Up to 90,000 patients have a urinary catheter in the community. Although they can be life saving they have been estimated to cost the NHS £1 – 2.5 billion/yr in adverse events. Patient education, as well as ensuring the correct equipment is being used, has been shown to reduce ED attendances and improve patient satisfaction. However, the use of specific “catheter packs” containing replacement equipment and “catheter passports” with information on catheter care is an under researched area. Methods We surveyed 175 patients at our TWOC clinic post-intervention. Results Only 10/86 patients (11.63%) who did not receive a catheter pack reported having enough supplies. 75/85 patients (88.24%) who received a catheter pack reported having enough supplies (p<0.01). 45/143 patients (31.47%) that were not given a catheter passport reported complications. 5/20 patients (25%) that were given a catheter passport reported complications. In the group who were not given catheter packs the rate was 0.56 ED attendances per patient. The re-attendance rate in those who were given a catheter pack was statistically significantly lower at 0.20 (p<0.01). We have shown that the introduction of catheter packs has increased the number of patients with appropriate levels of home supplies, which corresponded with a reduced ED attendance rate before their TWOC clinic appointment. Conclusions Although we have shown a reduction in the number of reported complications in those who were given a catheter passport, our test was underpowered highlighting the need for further research in this area.

K-12 trade books’ representation of earthquake safety and protective actions: A content analysis

Meaningful learning resources for earthquake safety and survival have become an increasingly important topic among geoscientists, especially educators and researchers. Various members of the public, especially K-12 (ages 5–18) learners, continue to depend on scientific trade books available at their local public and school libraries for information about earthquake concepts. To our knowledge, no research has empirically examined how trade books represent earthquake safety and survival actions. In this research, we combine an iterative qualitative inductive and deductive analysis to explore the representation of earthquake safety and protective actions in 50 trade books. We categorize these actions into time-based practices related to preparedness before an earthquake, protective actions during an earthquake, and recovery after an earthquake. These trade books emphasize preparedness by means of building earthquake-resistant structures and urban planning, and efforts toward community resilience and keeping home supplies. The recommended personal protective action during an earthquake in the United States (“Drop, Cover, and Hold On”) is emphasized in the majority of the trade books, as well as other protective actions related to emotional actions and current technological automated actions such as earthquake early warning systems. Finally, the books highlight actions such as damage evaluation and support as ways to recover after an earthquake. Our findings highlight the issues between accepted earthquake safety and survival actions and the limited and/or inaccurate knowledge represented in some trade books. We provide interpretations of how presentation of limited or inaccurate information may increase confusion about appropriate protective actions. The inclusion of accepted and recommended protective actions in future trade books and the use of earthquake drills in public libraries as a supplement for trade book users may improve understanding and implementation of appropriate actions. We further demonstrate the potential of trade book contents in fostering earthquake education through library-community partnerships.

Volatility in Home Sales and Prices: Supply or Demand?

We use a housing search model and data on individual home listings to decompose short-run fluctuations in home sales and price growth into supply or demand factors, defined as the number of new sellers and buyers entering the housing market, respectively. We find that fluctuations in the number of buyers demanding homes explain much more of the variation in home sales and price growth than do fluctuations in the supply of homes for sale. In our preferred paramaterization, fluctuations in demand explain essentially all of the variation in home sales, and most of the variation in prices. We consider two implications of these results. First, we show that reduction of supply was a minor factor relative to an increased number of buyers in the tightening of housing markets during COVID-19. New for-sale listings would have had to expand 30 percent to keep the rate of price growth at pre-pandemic levels given the pandemic-era surge in demand. Second, we estimate that the number of buyers demanding homes is very sensitive to changes in mortgage rates, even more so than comparable estimates for home sales, suggesting that policies that affect housing demand through mortgage rates can influence housing market dynamics.

Reducing refeeding syndrome incidence among patients with head and neck cancer: A quality improvement initiative.

459 Background: Refeeding syndrome (RFS) constitutes a wide spectrum of electrolyte abnormalities and clinical symptoms following re-introduction of nutrition, specifically carbohydrate, in malnourished patients (pts). Refeeding phenomena (RFP) is the isolated decline in electrolyte levels (phosphate, potassium, or magnesium) following refeeding. Average incidence of RFS in head and neck cancer (HNC) pts is 20%. Early identification of high-risk pts and increasing awareness about RFP is crucial to avoid rapid nutritional replenishment and therefore reduce health care costs, morbidity, and mortality from RFS. We conducted a quality improvement (QI) project at a single academic university hospital with objective of reducing RFS incidence, length of hospital stay (LOS) and 30 day all-cause readmission and ED visit rates in HNC pts started on enteral nutrition (EN). Methods: We conducted a prospective observational study between Aug 2021 and Nov 2022 among pts with HNC admitted for feeding tube insertion. Pts determined to be high-risk for RFS according to ASPEN criteria were included. Serum electrolyte levels were obtained and monitored twice daily for 3 days following initiating continuous feeds with a standard, fiber free, 1.5 kcal/mL formula @ 20mL/h (’Safe start’). If low, electrolytes were promptly supplemented. Enteral thiamine supplements (100 mg daily for 5-7 days) were started. A registered dietitian conducted a nutrition assessment within 24 h of EN initiation to provide EN regimen and formula advancement recommendations, as well as EN needs for home. Case management was consulted within 24 h of EN initiation to facilitate timely discharge and delivery of home supplies. Data including LOS and 30-day all-cause readmission and ED visits were collected. ASPEN criteria were used to define mild, moderate, severe RFP. For comparison, similar data was retrospectively collected by reviewing medical records of 57 HNC pts (control group) admitted for feeding tube insertion between Dec 2017 and April 2021. Results: Of the 56 pts in the study group, 8 (14.3%) experienced RFS, 12 (21.4%) mild RFP, 7 (12.5%) moderate RFP, and 12 (21.4%) severe RFP. The average LOS in study group was 10 days compared to 13 in control group. 30-day all-cause readmission and ED visit rates were 21.4% and 12.5% in study group compared to 45.6% and 19.3% respectively in control group (Table 1). Conclusions: RFP/RFS is often underdiagnosed and undertreated in HNC pts. Through QI measures we were able to decrease RFS incidence rate to less than the reported average. Close collaboration between physicians, nurses, dietitians, and case managers facilitates timely intervention to prevent RFS, reduce LOS and readmissions.[Table: see text]

Housing preference among young people: A study from the perspective of university students in Malaysia

This article aims to investigate housing preferences among young people in Malaysia. This article argues the difference between the supply and demand of homes in this market that needs to be improved, especially on the actual needs of young people. This study utilises a quantitative survey to collect data, and statistical analysis to evaluate the research findings. The study's findings revealed that their housing preference was significantly influenced by factors such as housing price, housing location, housing environment and housing attributes. This research aims to assist housing providers in developing affordable housing that matches potential homebuyers’ preferences to avoid property overhangs and offer fundamental guidance to the government for creating housing policies that benefit young people.

Women Farmers Group Participation in Empowering Local Food Security

Women's participation in socio-economic development at the local level is important and strategic because women have two roles as actors in developing a household by taking care of children and helping in the family economy. This study aims to the participation of farmer women's groups in empowering local food security as a Corporate Social Responsibility (CSR) program in Cilacap Regency, Central Java Province, Indonesia. This study used the Participatory Learning and Action (PLA) method to involve 20 informants from members and administrators of the Women Farmers Group (WFG) of Sumber Pathedan and 14 academics, namely lecturers and students. Data were collected through interviews, Focus Group Discussions (FGD), observation, and documentation with participatory analysis to produce natural and sustainable reality constructions. The results showed that WFG had the motivation and cohesiveness to become an entrepreneur after receiving socio-economic empowerment in the form of cultivating food security for vegetables and post-harvest processed products from the CSR program. However, it requires program sustainability such as assistance to continue to be able to harvest productively in the dry season. Then it requires the support of home production equipment and supplies to increase the productivity of postharvest products.

A national survey of hereditary angioedema and acquired C1 inhibitor deficiency in the United Kingdom.

Detailed demographic data on people with hereditary angioedema and acquired C1 inhibitor deficiency in the UK are relatively limited. Better demographic data would be beneficial in planning service provision, identifying areas of improvement and improving care. To obtain more accurate data on the demographics of hereditary angioedema and acquired C1 inhibitor deficiency in the UK, including treatment modalities and services available to patients. A survey was distributed to all centres in the UK who look after patients with hereditary angioedema and acquired C1 inhibitor deficiency to collect these data. The survey identified 1152 patients with HAE-1/2 (58% female, 92% type 1), 22 patients with HAE with normal C1 inhibitor, and 91 patients with acquired C1 inhibitor deficiency. Data were provided by 37 centres across the UK. This gives a minimum prevalence of 1:59,000 for HAE-1/2, and 1: 734,000 for acquired C1 inhibitor deficiency in the UK. 45% of patients with HAE were on long-term prophylaxis with the most used medication being danazol (55% of all patients on LTP). 82% of patients with HAE had a home supply of acute treatment with C1 inhibitor or icatibant. 45% of patients had a supply of icatibant and 56% had a supply of C1 inhibitor at home. Data obtained from the survey provides useful information about the demographics and treatment modalities used in HAE and acquired C1 inhibitor deficiency in the UK. These data are useful for planning service provision and improving services for these patients.

HIV community index testing reaches proportionally more males than facility-based testing and is cost-effective: A study from Gaza province, Mozambique.

In Mozambique, 38.7% of women and 60.4% of men ages 15-59 years old living with HIV do not know their HIV status. A pilot home-based HIV counseling and testing program based on index cases in the community was implemented in eight districts in Gaza province (Mozambique). The pilot targeted the sexual partners, biological children under 14 years old living in the same household, and parents (for pediatric cases) of people living with HIV. The study aimed to estimate the cost-efficiency and effectiveness of community index testing and compare the HIV testing outputs with facility-based testing. Community index testing costs included the following categories: human resources, HIV rapid tests, travel and transportation for supervision and home visits, training, supplies and consumables, and review and coordination meetings. Costs were estimated from a health systems perspective using a micro-costing approach. All project costs were incurred between October 2017 and September 2018 and converted to U.S. dollars ($) using the prevailing exchange rate. We estimated the cost per individual tested, per new HIV diagnosis, and per infection averted. A total of 91,411 individuals were tested for HIV through community index testing, of which 7,011 were newly diagnosed with HIV. Human resources (52%), purchase of HIV rapid tests (28%) and supplies (8%) were the major cost drivers. The cost per individual tested was $5.82, per new HIV diagnosis was $65.32, and per infection averted per year was $1,813. Furthermore, the community index testing approach proportionally tested more males (53%) than facility-based testing (27%). These data suggest that expansion of the community index case approach may be an effective and efficient strategy to increase the identification of previously undiagnosed HIV-positive individuals, particularly males.

After the Deluge: Leveraging Lessons from the COVID-19 Pandemic to Build the Trust of North Carolina’s Disability Community

North Carolina’s disability services infrastructure is biased toward institutional care, with inadequate funding and supply of home- and community-based services. The COVID-19 pandemic revealed dangers with this imbalance and provided the roadmap and motivation to fix it.

Nya villkor för ett gammalt problem

New conditions for an old problem: foster care recruitment in an era of privatisation and professionalisation
 Foster care is the most common intervention for children who are placed in out-of-home care. At the same time, there are recurrent discussions about difficulties in recruiting foster homes. The preconditions for recruitment have changed and today, there is an increased competition for foster homes between municipalities and private businesses, stricter requirements placed on foster parents and changes in the needs of children placed in care. The aim of the article is to analyse the recruitment of foster homes in light of these changed preconditions. Empirically, the article is based on a survey targeting Swedish municipalities. The findings show, that although a majority of the municipalities have employees particularly responsible for recruitment, small municipalities often lack such resources. Further on, almost three quarters of the municipalities state that it is difficult or very difficult to recruit foster homes. For example, answers to the survey’s open questions demonstrate that competition from other municipalities and private companies affects recruitment. Further on, the municipality’s reputation is considered an important factor for attracting new foster homes. Finally, it appears to be difficult for municipalities to recruit a varied supply of foster homes and, in particular, homes that can care for children with special needs. The findings are discussed in relation to previous international and Swedish research. Finally, suggestions regarding how recruitment may be improved are presented.

The role of flexible and adaptable housing as part of the circular economy

Nowadays, the economy is based on the linear method in which people harvest, consume, and dispose of materials and buildings, affecting the environment negatively. Circular economy (CE) in cities aims to maintain and value as well as optimize the use of city assets and products through circular actions: sharing, recycling, refurbishing, re-using, replacing, and digitizing. CE will address the linear system inadequacies and move towards a sustainable society. Mainly, housing is considered a driver of economic, social, and civic development. It is also considered as one of the biggest sectors adding to these adverse effects by growing energy and water consumption, sewage burdens, and flooding. Therefore, the housing study toward CE's aims is the top priority for the circular economy transition. Most of the current CE research focuses on design for the disassembly and recycling of material. Instead, this study aims to further the investigation of flexibility and adaptability in housing as part of CE. By using quanlitative mothods (Literature Review, Theoretical Analysis, Secondary Data Analysis), this paper proposes the state-of-art housing design approaches that meet the requirements for the capacity of housing can adapt to different residents’ and societal needs over time to ensure that the building and its materials remain in circulation for as long as possible. The results contribute to real estate development in the formation of environmentally sustainable cities, as well as toward Circle Economy in the context that the yearly supply of homes continues to increase due to urbanization.

The Role of Endogenous Technology in Making Sustained Economic Growth in Sub‒Saharan Africa: Panel GMM and VECM Approaches

This study examines the role of endogenous technology in making sustained economic growth in a panel of 36 Sub-Saharan Africa (SSA) countries over the period 1990-2020. We derive total physical capital, total employment productivity (TEP), total factor productivity (TFP) and terms of trade (TOT) growth rates using various concepts. In this sense, the panel of short-run vector error correction model (VECM) and panel of long–run generalized method of moments (GMM) are applied and the estimation results are obtained. The empirical results reveal that there are significantly positive impacts of the growth rates of TFP, TEP and terms of trade (TOT) on real GDP growth rate in the long -run. These are profoundly important indicators for SSA today that timely using endogenous technology can play the central role in succeeding economic growth. And hence, without a greater supply of home–grown talent in the areas of the economic sector, it may be hard to break down the vicious circle of poverty, build prosperous, inclusive and resilient economies that can be feeding the people and enabling the countries to compete with trade globally.

Factors Associated with Mental Health of Medicare Beneficiaries During the COVID-19 Pandemic

ABSTRACT Objectives This study examined factors associated with the mental health of Medicare beneficiaries during the COVID-19 pandemic. Methods The Medicare Current Beneficiary Survey COVID-19 Supplement administered in the Fall of 2020 of beneficiaries aged ≥65 years was analyzed (n = 6,173). A survey-weighted logistic model, adjusted for socio-demographics and comorbidities, was performed to examine factors (e.g., accessibility of medical/daily needs, financial security, and social connectivity) associated with stress/anxiety. Results Of Medicare beneficiaries, 40.8% reported feeling more stressed/anxious during the pandemic. Factors that were associated with this increased stress/anxiety include the inability to get home supplies (95% CI [3.4%, 16.5%]) or a doctor’s appointment (95% CI [1.7%, 20.7%]), feeling less financially secure (95% CI [23.1%, 33.2%]) or socially connected (95% CI [19.1%, 25.6%]), and being female (95% CI [7.2%, 12.2%]), when compared with their respective counterparts. Non-Hispanic blacks were less likely to report feeling more stressed/anxious than non-Hispanic whites (95% CI [−19.9%, −9.0%]). Conclusions Our findings highlight that beneficiaries’ mental health was adversely influenced by the pandemic, particularly in those who felt financially insecure and socially disconnected. Clinical Implications It is warranted to screen at risk beneficiaries for stress/anxiety during Medicare wellness visits and advocate for programs to reduce those risk factors.