ArticleJournal of pediatrics. Clinical practice2025
Association Between the Child Opportunity Index and Individual Level Social Risks.
Article in Journal of pediatrics. Clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Assessing the Relationship Between Multidimensional Area-Level Indicators and Lupus Disease Activity in Children.Children (Basel, Switzerland) · 2026Article
- The Child Opportunity Index as a Moderator of the Effectiveness of Multi-Modal Evidence-Based Asthma Care.Academic pediatrics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Objective: Area-level indices, including the Child Opportunity Index (COI), are used as proxies for individual Health Related Social Needs (HRSNs). There is increasing literature suggesting limitations of these indices. There is no literature evaluating the relationship between the COI and HRSN in the pediatric population. Our objective is to assess the relationships between the COI 2.0 and 3.0 with individual-level HRSNs among pediatric patients. Study design: Cross-sectional study of pediatric patients screened for HRSN between November 2022 and December 2023 at a large academic hospital in the Bronx, New York. Multivariate logistic regression models were used to assess the association between the COI tertiles and HRSNs. The predictive ability of COI in identifying HRSNs was also calculated. Results: A total of 17,760 children with HRSNs and geographic identifiers were included in the analysis with 16% reporting at least one HRSN and approximately 90% living in the low COI areas. In adjusted models, national normalized COI 3.0 showed significantly higher odds of HRSNs in moderate (OR 1.57 CI: 1.06, 2.31) and low opportunity (OR 2.34 CI: 1.64, 3.35) areas compared to high opportunity areas. State normalized COI 3.0 showed higher odds of reporting HRSNs in low opportunity areas only (OR: 1.87 CI: 1.08, 3.27). There was no significant association between HRSNs and COI 2.0 nor the Metropolitan normalized COI 3.0. Conclusions: The COI provides context in which individuals live, however, it is a poor proxy for individual HRSNs. Improvements were seen from COI 2.0 to 3.0, highlighting that continued updates to indices are important.
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Registered trials
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