Evidence map›Paper›PMID 38524271›Full record

ArticlePreventive medicine reports2024

Assessing and addressing social determinants of health in school-based health centers in King County, Washington.

Victoria Gersch, Luciano Garofalo, Sara Rigel, Kris Johnson, Samantha T Yeun, Erin MacDougall, Jenna van Draanen

Abstract read
In one paragraph

Article in Preventive medicine reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Victoria GerschUniversity of Washington Department of Health Systems and Population Health, 3980 15th Ave NE, Forth Floor, Box 351621, Seattle, WA 98195, USA.
Luciano GarofaloUniversity of Washington School of Nursing Department of Child, Family, and Population Health Nursing, 1959 NE Pacific Street, Box 357262, Seattle, WA 98195, USA.
Sara RigelPublic Health Seattle & King County, 401 5th Ave Ste 1000, Seattle, WA 98104, USA.
Kris JohnsonPublic Health Seattle & King County, 401 5th Ave Ste 1000, Seattle, WA 98104, USA.
Samantha T YeunPublic Health Seattle & King County, 401 5th Ave Ste 1000, Seattle, WA 98104, USA.
Erin MacDougallPublic Health Seattle & King County, 401 5th Ave Ste 1000, Seattle, WA 98104, USA.
Jenna van DraanenUniversity of Washington Department of Health Systems and Population Health, 3980 15th Ave NE, Forth Floor, Box 351621, Seattle, WA 98195, USA.

Funding

Building Research across Interdisciplinary Gaps (BRIDG) T90/R90 Training ProgramT90AT008544 · NCCIH · UNIVERSITY OF WASHINGTON · PI BOOTH-LAFORCE, CATHRYN, BRADLEY, RYAN D · 2015 to 2023
$3.9M
NCCIH NIH HHS T90 AT008544
6 · The paper itself

Abstract

Objective: School-Based Health Centers (SBHCs) can reduce barriers to accessing care for school-aged children and adolescents. However, current practices related to screening for and responding to social determinants of health (SDOH) in SBHCs are unknown. Our study sought to understand SBHC staff's knowledge related to SDOH, and their screening and referral practices for addressing SDOH. Methods: This study was conducted with all SBHCs in King County, Washington (n = 30 clinics operated by n = 8 agencies) between January-March 2022. Data were collected using a web-based questionnaire, distributed to all provider and clinical care staff (n = 222) in these SHBCs. Results: While respondents had strong generalized knowledge regarding SDOH and how they impact health, they were less confident about the specific SDOH impacting the students they serve. Many health limiting and promoting factors are screened for by respondents; however, there was no standardization related to screening and referral practices across SBHCs or agencies. Respondents had suggestions on how to improve screening methodology and ensure that existing practices adequately assess the SDOH impacting student's lives. There was no clearly identified mechanism for making and following up on referrals. Respondents felt that there were either not or only sometimes enough resources available to meet student's needs. Conclusion: SBHCs advance health and educational outcomes for students, yet SDOH are inconsistently assessed and addressed within SBHCs in King County. Standardizing processes for SDOH assessment and referral can help SBHCs develop practices that are in the best service of equity for their student populations.

Indexed as

Adolescent healthChildrenHealth equityReferralSchool-aged childrenScreeningSDOHSocial needs

Identifiers

PMID38524271
PMCPMC10959698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.