ArticlePreventive medicine2021
The association between social needs and chronic conditions in a large, urban primary care population.
Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 44 citations in OpenAlex.
- Differences in health care costs between two social health support programs: findings from a randomized social health integration pilot program.BMC health services research · 2025Trial
- Article
- Prevalence and Correlates of Families' Unmet Social Needs in Pediatric Primary Care Settings.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Assessing Unmet Social Needs in Multiple Sclerosis Care in Australia: A Qualitative Assessment of Feasibility, Barriers and Enablers.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Healthcare utilization following hip fractures based on social vulnerability status in the US: an analysis of 2016-2020 nationwide readmissions data.Archives of orthopaedic and trauma surgery · 2026Article
- Interrelationships Among Health-Related Social Needs: Strong Clustering Patterns Identified Through Comprehensive Screening.Journal of general internal medicine · 2026Article
- Social needs screening in hepatology clinic: a qualitative study of patient experience.BMC gastroenterology · 2026Article
- A multidimensional framework for mapping social need to electronic health records in people with multimorbidity.Scientific reports · 2026Article
- Examining the association of social needs with dental utilization.Frontiers in oral health · 2026Article
- Health Disparities and Overactive Bladder: Bridging the Gap.Current bladder dysfunction reports · 2026Review
- Unmet health-related social needs are associated with pain outcomes among midlife and older adults.Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Health-Related Social Needs and Health Care Utilization in the Accountable Health Communities Model.JAMA network open · 2025Article
- Differences in Healthcare Utilization Across 2 Social Health Support Modalities: Results From a Randomized Pilot Evaluation.AJPM focus · 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
- Opportunities of integrated care to improve equity for adults with complex needs: a qualitative study of case management in primary care.BMC primary care · 2024Article
- Social determinants of health as barriers to care for vasculitis: perspectives of patients and healthcare providers.Clinical rheumatology · 2024Article
- COVID-19 Disruptions to Social Care Delivery: A Qualitative Study in Two Large, Safety-Net Primary Care Clinics.Journal of general internal medicine · 2024Article
- Screening for social determinants of health among populations at risk for MASLD: a scoping review.Frontiers in public health · 2024Article
- Health related social needs and whole person health: Relationship between unmet social needs, health outcomes, and healthcare spending among commercially insured adults.Preventive medicine reports · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
There is consensus that social needs influence health outcomes, but less is known about the relationships between certain needs and chronic health conditions in large, diverse populations. This study sought to understand the association between social needs and specific chronic conditions using social needs screening and clinical data from Electronic Health Records. Between April 2018-December 2019, 33,550 adult (≥18y) patients completed a 10-item social needs screener during primary care visits in Bronx and Westchester counties, NY. Generalized linear models were used to estimate prevalence ratios for eight outcomes by number and type of needs with analyses completed in Summer 2020. There was a positive, cumulative association between social needs and each of the outcomes. The relationship was strongest for elevated PHQ-2, depression, alcohol/drug use disorder, and smoking. Those with ≥3 social needs were 3.90 times more likely to have an elevated PHQ-2 than those without needs (95% CI: 3.66, 4.16). Challenges with healthcare transportation was associated with each condition and was the most strongly associated need with half of conditions in the fully-adjusted models. For example, those with transportation needs were 84% more likely to have an alcohol/drug use disorder diagnosis (95% CI: 1.59, 2.13) and 41% more likely to smoke (95% CI: 1.25, 1.58). Specific social needs may influence clinical issues in distinct ways. These findings suggest that health systems need to develop strategies that address unmet social need in order to optimize health outcomes, particularly in communities with a dual burden of poverty and chronic disease.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.