Evidence map›Paper›PMID 39628937›Full record

ArticleAJPM focus2025

Intersectional Analysis of Social Risk and Need Among a Large Representative Sample of Adults From an Integrated Health System in the U.S.

Meagan C Brown, Kara Cushing-Haugen, Robert Wellman, Caitlin N Dorsey, Consuelo Ms Norris, John L Adams, John F Steiner, Anand R Shah, Cara C Lewis

Abstract read
In one paragraph

Article in AJPM focus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

9 authors.

Meagan C BrownKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Kara Cushing-HaugenKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Robert WellmanKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Caitlin N DorseyKaiser Permanente Washington Health Research Institute, Seattle, Washington.
Consuelo Ms NorrisKaiser Permanente Washington Health Research Institute, Seattle, Washington.
John L AdamsKaiser Permanente Center for Effectiveness and Safety Research and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California.
John F SteinerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Anand R ShahKaiser Permanente National, Oakland, California.
Cara C LewisKaiser Permanente Washington Health Research Institute, Seattle, Washington.

Funding

Nutrition, Obesity and Atherosclerosis Training ProgramT32HL007028 · NHLBI · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1985 to 2026
$6.4M
NHLBI NIH HHS T32 HL007028
6 · The paper itself

Abstract

Introduction: Social health is increasingly a focus of healthcare systems. Representative and intersectional analyses of individuals' social risks such as food, housing, transportation, and financial insecurity and their interest in receiving assistance from the healthcare system (social needs) can provide healthcare organizations with more nuanced estimates that can lead to more effective interventions. Methods: The authors conducted cross-sectional survey of a representative sample of 43,936 Kaiser Permanente members in December 2019-September 2020. Study inclusion was based on membership, age, address, and absence of dementia. Modified Poisson regression models estimated respondents' social risks and needs overall and within domain (food, housing, finances, or transportation) and by intersectional strata on the basis of a combination of age, income, gender, and race and ethnicity. Results: Of 10,274 participants who completed the survey, 52% reported any social risk, and 32% had any social need. Financial strain was the most prevalent risk (44%), followed by food insecurity (31%), housing instability (17%), and transportation (7%). These intersectional analyses generated 74 intersectional groups. Across the intersectional groups, higher-income (>$50,000 per year) or older-age (>60 years) adults consistently had lower risk and need. However, this pattern varied by race and ethnicity. In particular, older and lower-income, Pacific Islander, African-American/Black, and multiracial adults had the highest estimates of social risk and need. Conclusions: Higher risk and need among particular intersectional groups suggest the importance of tailored interventions for social needs. The high aggregate prevalence of social risks and needs suggests that system and policy changes must compliment universal and population-based social health screening and assistance interventions in healthcare organizations.

Indexed as

healthcare disparitiesintersectional frameworkrisk factorsSocial determinants of health

Identifiers

PMID39628937
PMCPMC11613266

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.