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Social risks among primary care patients in a large urban health system

C.G. Heller, A.S. Parsons, E.C. Chambers, K.P. Fiori, C.D. Rehm
Am J Prev Med

Introduction: Health systems are increasingly interested in addressing the social determinants of health via social risk screening. The objective of this study is to understand the variability in the number and types of social risks overall and in population subgroups among primary care patients routinely screened in a large urban health system. Methods: Between April and December 2018, a total of 24,633 primary care patients completed a 10-item screener across 19 ambulatory sites within a health system in the Bronx, NY. The prevalence of any social risk and specific social risks was estimated overall and for population subgroups. Wald tests were used to determine statistically significant differences by subgroup. Data were analyzed in winter/spring 2019. Results: Twenty percent of patients presented with at least 1 social risk. The most frequently reported risks included housing quality (6.5%) and food insecurity (6.1%). Middle-aged (30–59 years) respondents (24.7%, 95% CI=23.6%, 25.7%) compared with those aged 18–29 years (17.7%, 95% CI=16.4%, 19.2%, p

Heller CG, Parsons AS, Chambers EC, Fiori KP, Rehm CD. Social risks among primary care patients in a large urban health system. Am J Prev Med. 2020;58(4):514-525. doi:10.1016/j.amepre.2019.11.011

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Publication year
Resource type
Peer Reviewed Research
Social Needs/ SDH
Children and Youth
Screening research
Social Determinant of Health
Housing Quality
Study design
Pre-post without Comparison Group