ArticleJournal of the American Board of Family Medicine : JABFM2025
Clusters of Health-Related Social Needs Among Adult Primary Care Patients.
Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System.JAMA network open · 2026Article
- Article
- Research on the Social Context of Medicine and the Modern Family Physician.Journal of the American Board of Family Medicine : JABFMArticle
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Authors and funding
3 authors.
Funding
Abstract
introductionPatients frequently report multiple health-related social needs (HRSNs) at the same time. This study aimed to identify clusters of co-occurring HRSNs in an adult primary care population.
methodsWe surveyed 1252 adult (>=18) primary care patients in Indianapolis, IN. Subjects completed surveys in person at 1 of 3 sites operated by 2 different health systems. Data collection was offered in both English and Spanish. Surveys comprised previously published and validated instruments covering housing instability, financial strain, food insecurity, transportation barriers, unemployment, and legal problems.
resultsWe identified 4 underlying clusters of HRSNs within the patient population using Complete-Linkage Agglomerative Hierarchical Clustering: "low HRSNs" (38.6%), "high HRSNs" (29.6%), "housing dominant" (23.2%), and "food dominant" (8.6%). The high HRSNs cluster had higher average comorbidity scores ( DISCUSSION: As health care organizations increasingly focus on HRSNs as an approach to reducing costs and improving health of patients, these findings indicate that organizational strategies and actions should consider the interrelated and co-occurring nature of HRSNs. To support a large number of patients, strategies should support multiple HRSNs.
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