ArticlePaediatrics & child health2019
In support of point-of-care social needs screening: The effects of five social determinants on the health of children with chronic diseases in British Columbia.
Article in Paediatrics & child health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Families of adolescents and young adults with complex chronic conditions: socioeconomic impact after ten years.Revista brasileira de enfermagem · 2025Article
- Implementing Inpatient Social Needs Screening in an Urban Tertiary Care Children's Hospital.Hospital pediatrics · 2024Article
- Socioeconomic Position and Health Among Children and Adolescents With CKD Across the Life-Course.Kidney international reports · 2024Review
- Social Deprivation Is Associated With Lower Access to Pre-emptive Kidney Transplantation and More Urgent-Start Dialysis in the Pediatric Population.Kidney international reports · 2022Article
- Seeking justice, equity, diversity and inclusion in pediatric nephrology.Frontiers in pediatrics · 2022Review
- Type 1 diabetes in an adolescent with social problems and mental disorders - case report.Pediatric endocrinology, diabetes, and metabolism · 2021Article
- Social risk factors in patients with cystic fibrosis: impacts on exacerbations, lung function, and BMI.Therapeutic advances in respiratory diseaseArticle
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Authors and funding
8 authors.
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Abstract
backgroundPrior to introducing social needs screening into our subspecialty clinics, we first wanted to understand the health effects of the major social challenges facing children with chronic diseases in British Columbia.
methodsUsing a strict prospective methodology, avoiding use of health databases and proxy end points, we studied the effects of five social health determinants (distance from care, family income, gender, ethnicity, caregiver education), on health outcomes in three groups of children with chronic diseases: cystic fibrosis (CF), type 1 diabetes (T1D), chronic kidney disease (CKD). Social determinant data were collected at a face-to-face interview during a clinic visit. These were correlated with diagnosis-specific health outcomes, measured at the same visit. Main outcomes were: forced expired volume in 1 second (FEV
resultsWe studied 270 children: 85 CF, 89 T1D and 96 CKD. In all three groups, children from families with annual income less than $45,000 had significantly worse health than those from families above this cut-off. Lower caregiver education was related to worse health in the CKD and T1D groups. We found no adverse health effects associated with distance from subspecialty care, patient ethnicity or gender.
conclusionEven in a prosperous province, family poverty and lack of caregiver education still impose measurable adverse effects on the health of children with chronic diseases. We hope these results help support the integration of social needs screening into routine multidisciplinary outpatient clinics. Early detection of social problems and targeted interventions will hopefully help to equalize health outcomes between children from different social groups.
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