ArticleJournal of the American Board of Family Medicine : JABFM
Development of PRAPARE Social Determinants of Health Clusters and Correlation with Diabetes and Hypertension Outcomes.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926855 (Community Health Workers Systematically Assessing and Addressing Social Determinants of Health to Improve Outcomes in Community Health Centers), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
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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.
Community Health Workers Systematically Assessing and Addressing Social Determinants of Health to Improve Outcomes in Community Health Centers (CHW-SYSTIM)
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How do existing HRSN assessment tools assess social needs for older adults? A systematic review.Frontiers in health services · 2026Pooled it
- Cardiovascular Health Disparities in Adults of Color Aged 18 to 50: A Systematic Review.The Journal of cardiovascular nursingPooled it
- Socioeconomic Risk and Sleep Health Among Young Adults With Type 1 Diabetes.Western journal of nursing research · 2025Trial
- Relative Burden of Social Determinants of Health on Diverse Populations of Health Resources and Services Administration Health Centers.Journal of general internal medicine · 2026Article
- Correlates of Fitness Tracker Ownership and Use in Cancer Survivors: Cross-Sectional Survey.JMIR cancer · 2026Article
- Social determinants of health and stroke risk: A dose-response analysis of cumulative socioeconomic burden in US adults.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Impact of philanthropic investment on integrating social determinants of health into diabetes care at US federally qualified health centers.Dialogues in health · 2025Article
- Article
- Environmental public health research at the U.S. Environmental Protection Agency: A blueprint for exposure science in a connected world.Journal of exposure science & environmental epidemiology · 2025Review
- Development of the two-factor modified Kids Eating Disorder Survey (M-KEDS): a validation study with hispanic adolescents.Nutrition journal · 2024Article
- Adverse social determinants of health elevate uncontrolled hypertension risk: a cardio-oncology prospective cohort study.JNCI cancer spectrum · 2024Article
- Analyzing Multiple Social Determinants of Health Using Different Clustering Methods.International journal of environmental research and public health · 2024Article
- Barriers and facilitators to screen for and address social needs in primary care practices in Maryland: a qualitative study.Frontiers in health services · 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
- Embedding Health-Related Social Needs Screening and Resource Navigation in a U.S. Forensic Asylum Clinic: A Pilot Intervention.Journal of primary care & community healthArticle
- Assessing the Impact of Social Determinants of Health on HIV Care Engagement in the Southern United States: A Cross-Sectional Study.Journal of the International Association of Providers of AIDS CareArticle
- Strengthening Perinatal Services Through Social Care: Outcomes of a Quality Improvement Initiative for a Health Center-Based Perinatal Care Program.Journal of midwifery & women's healthArticle
- We care about Brooklyn: A remote precision support intervention designed to improve maternal health and well-being.Women's health (London, England)Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
introductionPRAPARE is a leading social risk screening tool. No studies yet have simplified the 22 PRAPARE social determinants of health (SDoH) into clusters to analyze associations with chronic disease outcomes.
methodsA federally qualified health center conducted cross-sectional PRAPARE screening on its general adult population. Exploratory and confirmatory factor analyses were used to identify SDoH clusters and construct cluster scores and SDoH total risk scores. Logistic regression assessed relationships between cluster scores and uncontrolled diabetes and/or hypertension.
resultsOf the 11,773 adults who answered the survey, 716 had diabetes only, 2,388 had hypertension only, 1,477 had both, and 7,192 had neither. We found 3 composite SDoH clusters (social background, social insecurities, insurance/employment) and 3 standalone clusters (housing status, social isolation, poverty). Among patients with diabetes, those at risk in social background, social insecurities, and insurance/employment were more likely to have uncontrolled diabetes. Among patients with hypertension, those at more risk in social insecurities were more likely to have uncontrolled hypertension.
conclusionsWe simplified the 22 PRAPARE SDoH into 3 composite clusters and 3 individual clusters and demonstrated the reliability and validity of PRAPARE. The 3 composite clusters were positively associated with uncontrolled diabetes and/or hypertension.
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