Evidence map›Paper›PMID 37626286›Full record

ArticleBMC primary care2023

Burden of unmet health-related social needs in an academic adult primary care practice in San Francisco California.

Jane Jih, Antony Nguyen, Irena Cenzer, Jennifer Morrish

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. National analysis of health-related social needs among adult injury survivors.The journal of trauma and acute care surgery · 2025
    Article
  6. Article
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

4 authors.

Jane JihDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, 490 Illinois St, San Francisco, CA, 94158, USA. Jane.Jih@ucsf.edu.
Antony NguyenDivision of General Internal Medicine, Department of Medicine, University of California San Francisco, 490 Illinois St, San Francisco, CA, 94158, USA.
Irena CenzerDivision of Geriatrics, Department of Medicine, University of California San Francisco, 4150 Clement St, San Francisco, CA, 94121, USA.
Jennifer MorrishUniversity of California San Francisco Health, 1545 Divisadero St, San Francisco, CA, 94143, USA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Addressing Contextual Factors in Chronic Disease Management in Minority Older Adults through Photo-based Patient-Clinician CommunicationK23MD015089 · NIMHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JIH, JANE · 2021 to 2025
$874k
NCATS NIH HHS KL2 TR001870NIMHD NIH HHS K23 MD015089
6 · The paper itself

Abstract

objectivesUnmet health-related social needs can influence health outcomes and increase healthcare utilization. There is growing interest in integrating social needs care into healthcare delivery. We conducted an assessment of health-related social needs in an academic adult primary care practice in San Francisco, California.

methodsWe recruited a random convenience sample of adult English-, Chinese- or Spanish-speaking patients from clinic waiting rooms at the study sites to complete a self-administered, anonymous survey. We used the Accountable Health Communities Health-Related Social Needs Screening Tool for these domains: housing instability, food insecurity, transportation problems, utility help needs, interpersonal safety, financial strain, and family/community support. We conducted univariate and multivariate analyses adjusting for age, sex and survey language.

results679 patients completed the survey. Respondents were 57% female and mean age of 58 ± 18 years old. 54% of patients had at least one unmet health-related social need. The most prevalent health-related social needs were financial strain (35%), at least one issue with housing conditions (27%), and food insecurity (23%). Respondents completing the survey in Spanish had significantly higher odds of reporting food insecurity (AOR 3.97, 95%CI 1.86, 8.46), transportation problems (AOR 3.13, 95%CI 1.32, 7.43), and need for support with activities of daily living (AOR 4.58, 95%CI 2.04, 10.25) than respondents completing the survey in English.

conclusionsThe burden of unmet health-related social needs was considerable in this adult primary care practice. These findings can support a case for integrating health-related social need screening and social care in the delivery of primary care in the United States to advance health equity.

Indexed as

Activities of Daily LivingAdultAgedAmbulatory Care FacilitiesFemaleHealth Services Needs and DemandHumansLanguageMaleMiddle AgedPrimary Health CareSan FranciscoSocial Determinants of HealthHealth disparitiesHealth equityHealth-related social needsPrimary careSocial care

Identifiers

PMID37626286
PMCPMC10463763

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.