ArticlePediatrics2025
Nonresponse to Health-Related Social Needs Screening Items Within Pediatric Primary Care.
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.
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.
- Epidemiology of Health-Related Social Needs Screening and Positivity in a Multistate Health System.JAMA network open · 2026Article
- Comparing Care Coordination and Food Assistance Referrals to Improve Diabetes Outcomes: A Cohort Study.Journal of general internal medicine · 2026Article
- Prevalence and Predictors of Guideline Concordant Pediatric Obesity Care: A Narrative Review.Current obesity reports · 2026Review
- Language and Demographic Disparities in Social Needs and Referral Preferences in the Pediatric ED.Academic pediatrics · 2026Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectivesHealth-related social needs (HRSN) screening has become standard in pediatric health care. HRSN screening may connect families with resources; however, the rates at which families decline screening in pediatric primary care may limit the impact of screening. We aimed to quantify the frequency of nonresponse to HRSN items and assess patient characteristics associated with nonresponse.
methodsWe completed a cross-sectional analysis of electronic health record data of an 8-item HRSN questionnaire from 54 pediatric practices. Participants were categorized as nonresponse if they marked "decline" or skipped an HRSN item. We examined nonresponse to each item and examined factors associated with nonresponse to 1 or more items through multilevel logistic regression models with practice-level random effects.
resultsCaregivers of 177 094 children receiving an HRSN questionnaire between 2021 and 2024 were included; nonresponse to 1 or more HRSN items occurred for 9.6% of caregivers. In adjusted analyses, nonresponse was higher for questionnaires of children with public insurance (13.7%; 95% CI, 13.3-14.1) compared with those of commercially insured children (6.7%; 95% CI, 6.4%-6.9%). Similarly, nonresponse was higher for children identified as non-Hispanic Black (11.8%; 95% CI, 11.3%-12.3%), Hispanic (13.3%; 95% CI, 12.1%-14.5%), or another non-white, non-Black, and non-Hispanic race and ethnicity (17.0%; 95% CI, 16.0%-17.9%), compared with non-Hispanic white children (8.4%; 95% CI, 8.1%-8.6%).
conclusionsStudy results suggest overall high completion of HRSN screening but higher nonresponse rates for those within sociodemographic groups that may have higher unmet HRSN. Developing HRSN interventions with families that are adaptive to family and neighborhood contexts may improve trustworthiness of screening and increase resource connection.
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