ArticleAmerican journal of preventive medicine2020
Social Risks Among Primary Care Patients in a Large Urban Health System.
Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Individuals' Desire for Social Needs Sharing Among Healthcare Providers: Findings from the 2022 Health Information National Trends Survey.Journal of general internal medicine · 2026Article
- Fewer screens, greater needs: housing insecurity and healthcare costs for transgender patients in a safety-net system.Health affairs scholar · 2026Article
- Association Between the Child Opportunity Index and Individual Level Social Risks.Journal of pediatrics. Clinical practice · 2025Article
- Health-related social needs screening, reporting, and assistance in a large health system.Preventive medicine · 2025Article
- Social Determinants of Health and Health-Related Social Needs Among Adults With Chronic Diseases in the United States, Behavioral Risk Factor Surveillance System, 2022.Preventing chronic disease · 2024Article
- Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.Public health nutrition · 2024Observational
- Patients with unmet social needs are at higher risks of developing severe long COVID-19 symptoms and neuropsychiatric sequela.Scientific reports · 2024Article
- Characteristics of hospital and health system initiatives to address social determinants of health in the United States: a scoping review of the peer-reviewed literature.Frontiers in public health · 2024Article
- How legal problems are conceptualized and measured in healthcare settings: a systematic review.Health & justice · 2023Article
- Prevalence of social risk factors and social needs in a Medicaid Accountable Care Organization (ACO).BMC health services research · 2022Article
- Associations Between Unmet Social Needs and Overactive Bladder.The Journal of urology · 2022Article
- ASSOCIATION OF SOCIAL NEEDS WITH UNCONTROLLED VIREMIA IN PEOPLE WITH HIV.AIDS and behavior · 2022Article
- Do patients want clinicians to ask about social needs and include this information in their medical record?BMC health services research · 2022Article
- Low housing quality, unmet social needs, stress and depression among low-income smokers.Preventive medicine reports · 2022Article
- Association of Unmet Social Needs with Chronic Illness: A Cross-Sectional Study.Population health management · 2022Article
- Social Determinants of Health Screening by Preclinical Medical Students During the COVID-19 Pandemic: Service-Based Learning Case Study.JMIR medical education · 2022Article
- The association between social needs and chronic conditions in a large, urban primary care population.Preventive medicine · 2021Article
- The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).Diabetologia · 2021Article
- Integrating social determinants of health screening and referral during routine emergency department care: evaluation of reach and implementation challenges.Implementation science communications · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
introductionHealth systems are increasingly interested in addressing the social determinants of health via social risk screening. The objective of this study is to understand the variability in the number and types of social risks overall and in population subgroups among primary care patients routinely screened in a large urban health system.
methodsBetween April and December 2018, a total of 24,633 primary care patients completed a 10-item screener across 19 ambulatory sites within a health system in the Bronx, NY. The prevalence of any social risk and specific social risks was estimated overall and for population subgroups. Wald tests were used to determine statistically significant differences by subgroup. Data were analyzed in winter/spring 2019.
resultsTwenty percent of patients presented with at least 1 social risk. The most frequently reported risks included housing quality (6.5%) and food insecurity (6.1%). Middle-aged (30-59 years) respondents (24.7%, 95% CI=23.6%, 25.7%) compared with those aged 18-29 years (17.7%, 95% CI=16.4%, 19.2%, p<0.001), and Medicaid patients (24.8%, 95% CI=24.0%, 25.5%) compared with commercially insured patients (11.8%, 95% CI=11.1%, 12.5%, p<0.001), were more likely to report social risks. The strongest predictor of housing quality risk was residing in public housing (15.1%, 95% CI=13.8%, 16.6%) compared with those not in public housing (5.6%, 95% CI=5.3%, 5.9%, p<0.001). Housing quality was the most frequently reported risk for children (aged <18 years) and older adults (aged ≥70 years), whereas, for middle-aged respondents (30-69 years), it was food insecurity.
conclusionsThere are important differences in the prevalence of overall and individual social risks by subgroup. These findings should be considered to inform clinical care and social risk screening and interventions.
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