ArticlePediatrics2025
Neighborhood Child Opportunity Index and Household-Level Social Needs.
Article in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Geospatial Indices of Neighborhood Environment and Preadolescent Behavioral Health Screening in Primary Care.The Journal of pediatrics · 2026Article
- Use of the Child Opportunity Index in Adolescent and Young Adult Health Research.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- The Child Opportunity Index as a Moderator of the Effectiveness of Multi-Modal Evidence-Based Asthma Care.Academic pediatrics · 2026Article
- Associations of Community Material Neighborhood Deprivation With the Diagnosis of Asthma Among Infants With Bronchopulmonary Dysplasia (BPD).Pediatric pulmonology · 2026Article
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7 authors.
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Abstract
BACKGROUND AND
objectivesNew regulations require hospitals to screen patients for health-related social needs (HRSNs). Neighborhood indices, like the Child Opportunity Index (COI), may help identify families at risk of experiencing HRSNs and inform targeting of health system-based resources and support. However, it is unknown how well the neighborhood-level COI predicts household-level HRSNs.
methodsIn this cross-sectional study of 1096 patients admitted to a quaternary children's hospital from July 2022 to August 2023, we combined data on household-level HRSNs from standardized screening with data on each patient's neighborhood COI. We used logistic regression to estimate odds of experiencing HRSNs among families in the 2 lowest COI quintiles (low/very low), relative to the 3 highest quintiles (moderate/high/very high). We then calculated positive and negative predictive values of low/very low COI in identifying household-level HRSNs and compared rates of resource connection among those with low/very low COI vs moderate/high/very high COI.
resultsLow/very low COI was associated with greater odds of reporting household-level HRSNs (odds ratio, 2.62; 95% CI, 2.04-3.36). COI showed low positive predictive value (3% to 31%) in identifying HRSNs and high negative predictive value for each need (91% to 99%) except mental health (76%). Resource connection rates were not significantly different across COI strata.
conclusionsFamilies in disadvantaged neighborhoods have greater odds of reporting HRSNs, but COI is a poor proxy for household-level screening. Findings suggest that health systems can use COI to focus HRSN screening and interventions on communities with the likely highest prevalence of reported HRSNs.
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