ArticleAcademic pediatrics2025
Potential Pediatric Health Care Consequences of Not Getting Help for Disclosed Social Needs.
Article in Academic pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed.
- Experiences of Social Risk Screening in the Safety-Net Among Patients with Mental Health Needs.Journal of general internal medicine · 2026Article
- Experiences of Social Risk Screening in the Safety-Net Among Patients with Mental Health Needs.Journal of general internal medicine · 2026Article
- Beyond capacity: qualitative stakeholder perspectives on demand for health-related social needs navigation through patient self-navigation tools.BMC health services research · 2026Article
- Increasing Rates of Health-related Social Needs Screening in a Pediatric Critical Care Setting Through Quality Improvement.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo assess the association between double loss (disclosure of social needs without receiving assistance) with low-income children's health care utilization outcomes.
methodsData were from a hybrid effectiveness-implementation trial evaluating a social needs screening and referral intervention (WE CARE) implemented in 3 community health centers. WE CARE included 3 components: 1) social risk/need screener assessing parental desire for assistance with unmet social needs, 2) resource information referrals, and 3) patient navigator. A family was defined as experiencing double loss if, at their child's well-child visits (WCVs) from birth to age 3, there was at least 1 scanned screener with a request for help without a referral documented in the electronic health record. Multiple logistic regression was used to compare rates of double loss with adherence to WCV and immunization schedules.
resultsAmong the cohort of children (n = 403), 43.4% were Black, 21.1% Latino/a/e, and 13.9% Asian. Overall, 40.5% of parents experienced double loss. Families who experienced double loss had fewer reported social needs (0.3 vs 1.5, P < 0.001). Children whose families' experienced double loss had significantly lower WCV adherence ratios in the first 3 years of life (0.40 vs 0.43, P < 0.0001). Similarly, the immunization adherence ratio for children was significantly lower for families who experienced double loss than for families who did not experience double loss (0.79 vs 0.92, P < 0.0001).
conclusionsFamilies experienced double loss had significantly lower WCV and immunization adherence. These exploratory findings carry significant implications for pediatric practice, guidelines, and health policy.
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