Evidence map›Paper›PMID 42380555›Full record

ArticleJournal of general internal medicine2026

Relative Burden of Social Determinants of Health on Diverse Populations of Health Resources and Services Administration Health Centers.

Nadereh Pourat, Connie Lu, Xiao Chen, Menbere Haile, Troyana Benjamin, Benjamin Picillo, Hank Hoang

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Article in Journal of general internal medicine, 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nadereh PouratCenter for Health Policy Research, University of California, Los Angeles, CA, USA. pourat@ucla.edu.ORCID http://orcid.org/0000-0001-5118-1188
Connie LuCenter for Health Policy Research, University of California, Los Angeles, CA, USA.
Xiao ChenConsumer Financial Protection Bureau, Office of Research, HHS, HRSA, BPHC, Washington, D.C, USA.
Menbere HaileConsumer Financial Protection Bureau, Office of Research, HHS, HRSA, BPHC, Washington, D.C, USA.
Troyana BenjaminCenter for Medicare and Medicaid Innovation, HHS, HRSA, BPHC; CMS, Windsor Mill, MD, USA.
Benjamin PicilloCenter for Medicare and Medicaid Innovation, HHS, HRSA, BPHC; CMS, Windsor Mill, MD, USA.
Hank HoangCenter for Medicare and Medicaid Innovation, HHS, HRSA, BPHC; CMS, Windsor Mill, MD, USA.

Funding

HRSA HHS HHSH250201300023I
6 · The paper itself

Abstract

backgroundSocial determinants of health (SDOH) disproportionately affect racial/ethnic groups. However, little is known about how the cumulative burden of SDOH disadvantage on health status varies by race/ethnicity.

objectiveTo examine the relative burden of SDOH disadvantage by race/ethnicity on two measures of health status of Health Resources and Services Administration-funded health center patients.

designCross-sectional study design. PATIENTS OR SUBJECTS: We used the 2022 Health Center Patient Survey to identify a sample of adult health center patients (n = 3912). MAIN MEASURES: We developed an overall composite score and five specific sub-scores for each SDOH domain-health risk, economic, social, access, and built environment-to measure cumulative burden of SDOH disadvantage. We used self-reported fair or poor health status and moderate or high psychological distress to measure general and mental health, respectively. We used logistic regression models to examine the independent association of each SDOH domain and their relative burden on health status measures by racial/ethnic groups. KEY

resultsAcross all groups, higher health risk (OR = 1.57), economic (1.29), social (1.30), access (1.56), and built environment (1.15) disadvantage; and higher health risk (1.14), economic (1.44), and access (1.77) disadvantage were associated with fair or poor general health and greater psychological distress, respectively. However, some relationships differed by race/ethnicity. For example, higher health risk and access disadvantage increased the likelihood of poor general health among Non-Hispanic Black/African American and Hispanic/Latino patients. But economic disadvantage was significant for the former and social disadvantage was significant for the latter.

conclusionsOur study highlighted the importance of accounting for differential burden of SDOH domains on racial/ethnic groups. This requires comprehensive measurement of SDOH and its meaningful use to inform and improve care for diverse health center patients. Access disadvantage across all racial/ethnic groups emphasized the importance of culturally appropriate care coordination to improve patient health.

Indexed as

community health centersdisadvantageRace/ethnicitysocial determinants of healthsocial determinants of health measurement

Identifiers

PMID42380555

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.