Evidence map›Paper›PMID 36317484›Full record

ArticleHospital pediatrics2022

National Prevalence of Social Determinants of Health Screening Among US Neonatal Care Units.

Erika G Cordova-Ramos, Stephen Kerr, Timothy Heeren, Mari-Lynn Drainoni, Arvin Garg, Margaret G Parker

Open access · greenAbstract read
In one paragraph

Article in Hospital pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 34 citations in OpenAlex.

  1. Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  2. Gentrification, measures of neighborhood change, and infant mortality in Michigan.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Prevalence, predictors, and patterns of residential mobility by the parents of preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  10. Article
  11. Social needs and healthcare utilization in NICU graduates.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  12. Article
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  14. Review
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Erika G Cordova-RamosDepartment of Pediatrics, Boston Medical Center.
Stephen KerrSlone Epidemiology Center.
Timothy HeerenDepartment of Biostatistics.
Mari-Lynn DrainoniEvans Center for Implementation and Improvement Sciences, Department of Medicine.
Arvin GargDepartment of Pediatrics, University of Massachusetts Chan Medical School, Worcester, Massachusetts.
Margaret G ParkerDepartment of Pediatrics, Boston Medical Center.
Boston Medical Center · USBoston University · USCancer Research And Biostatistics · USUniversity of Massachusetts Chan Medical School · US

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Institutional Career DevelopmentKL2TR001411 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MORONE, NATALIA E. · 2015 to 2024
$5.9M
NCATS NIH HHS KL2 TR001411NCATS NIH HHS UL1 TR001430
6 · The paper itself

Abstract

objectivesThe extent that universal social determinants of health (SDH) screening in clinical encounters, as recommended by the American Academy of Pediatrics, has been implemented in inpatient pediatric settings is unknown. We aimed to determine the national prevalence and predictors of standardized SDH screening in US level 2 to 4 neonatal care units (NICUs), describe characteristics of SDH screening programs, and ascertain beliefs of clinical leaders about this practice in the NICU setting.

methodsWe randomly selected 100 hospitals with level 2 to 4 NICUs among each of 5 US regions (n = 500) and surveyed clinical leaders from January to November 2021 regarding standardized SDH screening. Responses were weighted for number of level 2 to 4 NICUs in each region and nonresponse.

resultsOverall response rate was 34% (28%-40% by region). Twenty-three percent of US level 2 to 4 NICUs reported standardized SDH screening. We found no associations of hospital characteristics, such as region, size, or safety-net status, with implementation of this practice. Existing programs conducted systematic screening early in the hospitalization (84%), primarily led by social workers (92%). We identified practice variation regarding the type of screening tool, but there was substantial overlap among domains incorporated in the screening. Reported barriers to implementation included perceived lack of resources, inadequate referrals, and lack of an inpatient screening tool.

conclusionsThe prolonged neonatal hospitalization provides opportunities to systematically address SDH. Yet, only 23% of US level 2 to 4 NICUs have implemented this practice. To scale-up implementation, quality improvement may support adaptation of screening and referral processes to the NICU context.

Indexed as

Intensive Care Units, NeonatalSocial Determinants of HealthChildHumansInfant, NewbornPrevalenceReferral and Consultation

Identifiers

PMID36317484
PMCPMC9814031
OpenAlexW4307839894

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.