ArticleAmerican journal of preventive medicine2023
Social Risk Screening and Response Equity: Assessment by Race, Ethnicity, and Language in Community Health Centers.
Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 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
18 citing papers in PubMed, 18 citations in OpenAlex.
- Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System.JAMA network open · 2026Article
- Potential for Bias in Social Needs Data Collection and Screening Activities in Health Care Settings.JAMA health forum · 2026Article
- Under Pressure and Underrecognized: The Role of Social Workers and Case Managers in Screening for Social Determinants of Health in the United States.Journal of patient-centered research and reviews · 2026Review
- Exploring the need for a social prescribing pathway in an Australian paediatric allied healthcare intake service: a pilot feasibility and acceptability study.Frontiers in public health · 2026Article
- Disparities in Documentation: Evidence of Race-Based Biases in the Electronic Medical Record.Journal of racial and ethnic health disparities · 2025Article
- Article
- Perspectives on Health-Related Social Needs Screening in Primary Care Among Black and Latine Patients.JAMA network open · 2025Article
- Social Risk and Acute Health Care Utilization Among Insured Adults.JAMA network open · 2025Article
- Applying Realist Retroduction to EHR-Based Clinical Decision Support Tool Development.International journal of qualitative methods · 2025Article
- Health-related social needs screening, reporting, and assistance in a large health system.Preventive medicine · 2025Article
- National Social Risk Factor Screening Rates Among Federally Qualified Health Center Patients.Journal of general internal medicine · 2024Article
- Healthcare and Social Needs Assessment and Response Quality Among Black Men.Journal of community health · 2024Article
- Use of and barriers to adopting standardized social risk screening tools in federally qualified health centers during the first year of the COVID-19 pandemic.Health services research · 2024Article
- EHR-Based Social Needs Screening and Referral in Primary Care: Clinician and Staff Perspectives on Practices, Barriers, and Benefits.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Use of Epic Electronic Health Record System for Health Care Research: Scoping Review.Journal of medical Internet research · 2023Article
- Area-level social determinants of health and individual-level social risks: Assessing predictive ability and biases in social risk screening.Journal of clinical and translational science · 2023Article
- Variation in multimorbidity by sociodemographics and social drivers of health among patients seen at community-based health centers.Journal of multimorbidity and comorbidityArticle
- Qualitative Study to Inform Social Context-Informed Treatment of Children With Obesity.Academic pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
introductionLittle has previously been reported about the implementation of social risk screening across racial/ethnic/language groups. To address this knowledge gap, the associations between race/ethnicity/language, social risk screening, and patient-reported social risks were examined among adult patients at community health centers.
methodsPatient- and encounter-level data from 2016 to 2020 from 651 community health centers in 21 U.S. states were used; data were extracted from a shared Epic electronic health record and analyzed between December 2020 and February 2022. In adjusted logistic regression analyses stratified by language, robust sandwich variance SE estimators were applied with clustering on patient's primary care facility.
resultsSocial risk screening occurred at 30% of health centers; 11% of eligible adult patients were screened. Screening and reported needs varied significantly by race/ethnicity/language. Black Hispanic and Black non-Hispanic patients were approximately twice as likely to be screened, and Hispanic White patients were 28% less likely to be screened than non-Hispanic White patients. Hispanic Black patients were 87% less likely to report social risks than non-Hispanic White patients. Among patients who preferred a language other than English or Spanish, Black Hispanic patients were 90% less likely to report social needs than non-Hispanic White patients.
conclusionsSocial risk screening documentation and patient reports of social risks differed by race/ethnicity/language in community health centers. Although social care initiatives are intended to promote health equity, inequitable screening practices could inadvertently undermine this goal. Future implementation research should explore strategies for equitable screening and related interventions.
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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.