ArticlePreventive medicine reports2026
Changes in health-related social needs and in depression and anxiety symptoms in Massachusetts low-income, community health center patients: an observational cohort study.
Article in Preventive medicine reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This observational cohort study examined relationships between changes in health-related social needs (HRSN) and mental health symptoms. Methods: A prospective cohort of adult community health center patients in Boston, Massachusetts completed surveys at baseline and 3-year follow up (LiveWell study, 2020-2024). Changes in HRSNs were categorized as decreased, unchanged, or increased based on the cumulative change in three domains: food insecurity, housing instability, and financial stress. Primary outcomes were changes in depression (Patient Health Questionnaire-8) and anxiety (Generalized Anxiety Disorder-7) scores, modeled as a function of HRSN change group and controlling for baseline scores, age, gender, and household minors using separate linear regressions. Results: Median age of the cohort ( Conclusions: HRSN changes corresponded with changes in depression and anxiety symptoms. Interventions addressing HRSNs may help improve mental health.
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