ArticlePloS one2020
Racial-ethnic differences in prevalence of social determinants of health and social risks among middle-aged and older adults in a Northern California health plan.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
24 citing papers in PubMed, 33 citations in OpenAlex.
- Predictors of racial differences in weight loss: the PROPEL trial.Obesity (Silver Spring, Md.) · 2024Trial
- Relative Burden of Social Determinants of Health on Diverse Populations of Health Resources and Services Administration Health Centers.Journal of general internal medicine · 2026Article
- Mobility Matters: Differential Mobility Loss by Race and Ethnicity in Hawai'i.Preventing chronic disease · 2026Article
- Individuals' Desire for Social Needs Sharing Among Healthcare Providers: Findings from the 2022 Health Information National Trends Survey.Journal of general internal medicine · 2026Article
- Social determinants of health and biological age among diverse U.S. Adults, NHANES 2011-2018.BMC public health · 2025Article
- Discussing the Interplay of Social Determinants of Health, Aging, and Alzheimer's Biomarkers in U.S. Latinos.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Review
- The Relationship Between Social Determinants of Health and Cholesteatoma Care.Otology & neurotology open · 2025Article
- Shaping the future of geriatric chronic pain care: a research agenda for progress.Pain management · 2025Article
- The association between social vulnerability index and survival in older adults with gastrointestinal cancers - The CARE Registry.Journal of geriatric oncology · 2025Article
- Learning well, living well: the causal effects of higher education on self-rated health and mental health in China.Frontiers in public health · 2025Article
- Prevalence and Sociodemographic Correlates of Chronic Pain Among a Nationally Representative Sample of Older Adults in the United States.The journal of pain · 2024Article
- Article
- Spatial scale effects on associations between built environment and cognitive function: Multi-Ethnic Study of Atherosclerosis.Health & place · 2024Article
- A Scoping Review on Food Insecurity Among Asian Americans.Journal of health care for the poor and underserved · 2024Article
- Realizing the potential of social determinants data in EHR systems: A scoping review of approaches for screening, linkage, extraction, analysis, and interventions.Journal of clinical and translational science · 2024Article
- Low-Income Asian Americans: High Levels Of Food Insecurity And Low Participation In The CalFresh Nutrition Program.Health affairs (Project Hope) · 2023Article
- Assessing Equitable Inclusion of Underrepresented Older Adults in Alzheimer's Disease, Related Cognitive Disorders, and Aging-Related Research: A Scoping Review.The Gerontologist · 2023Article
- Article
- Prevalence of sleep-related problems and risks in a community-dwelling older adult population: a cross-sectional survey-based study.BMC public health · 2022Article
- Insights into the Social Determinants of Health in Older Adults.Journal of biomedical science and engineering · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial determinants of health (SDoHs) and social risks (SRs) have been associated with adverse health and healthcare utilization and racial/ethnic disparities. However, there is limited information about the prevalence of SRs in non-"safety net" adult populations and how SRs differ by race/ethnicity, age, education, and income.
methodsWe analyzed weighted survey data for 16,247 White, 1861 Black, 2895 Latino, 1554 Filipino, and 1289 Chinese adults aged 35 to 79 who responded to the 2011 or 2014/2015 Kaiser Permanente Northern California Member Health Survey. We compared age-standardized prevalence estimates of SDoHs (education, household income, marital status) and SRs (financial worry, cost-related reduced medication use and fruit/vegetable consumption, chronic stress, harassment/discrimination, health-related beliefs) across racial/ethnic groups for ages 35 to 64 and 65 to 79.
resultsSDoHs and SRs differed by race/ethnicity and age group, and SRs differed by levels of education and income. In both age groups, Blacks, Latinos, and Filipinos were more likely than Whites to be in the lower income category and be worried about their financial situation. Compared to Whites, cost-related reduced medication use was higher among Blacks, and cost-related reduced fruit/vegetable consumption was higher among Blacks and Latinos. Younger adults were more likely than older adults to experience chronic stress and financial worry. Racial/ethnic disparities in income were observed within similar levels of education. Differences in prevalence of SRs by levels of education and income were wider within than across racial/ethnic groups.
conclusionsIn this non-"safety net" adult health plan population, Blacks, Latinos, and Filipinos had a higher prevalence of social risks than Whites and Chinese, and prevalence of social risks differed by age group. Our results support the assessment and EHR documentation of SDoHs and social risks and use of this information to understand and address drivers of racial/ethnic disparities in health and healthcare use.
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