Evidence map›Paper›PMID 35537675›Full record

ArticleAcademic pediatrics

Social Needs Screening During Pediatric Emergency Department Visits: Disparities in Unmet Social Needs.

Natalie J Tedford, Elizabeth M Keating, Zhining Ou, Maija Holsti, Andrea S Wallace, Jeff A Robison

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Trial
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  12. Patient centered or provider centered? The inclusion of social determinants of health in emergency department billing and coding.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Article
  13. The 'PeerJ · 2023
    Article
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

6 authors.

Natalie J TedfordDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah (EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah; Intermountain Primary Children's Hospital (NJ Tedford, EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah. Electronic address: natalie.tedford@hsc.utah.edu.
Elizabeth M KeatingDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah (EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah; Intermountain Primary Children's Hospital (NJ Tedford, EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah.
Zhining OuDivision of Epidemiology, Department of Internal Medicine, University of Utah (Z Ou), Salt Lake City, Utah.
Maija HolstiDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah (EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah; Intermountain Primary Children's Hospital (NJ Tedford, EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah.
Andrea S WallaceUniversity of Utah, College of Nursing (AS Wallace), Salt Lake City, Utah; Department of Population Sciences, University of Utah (AS Wallace), Salt Lake City, Utah.
Jeff A RobisonDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah (EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah; Intermountain Primary Children's Hospital (NJ Tedford, EM Keating, M Holsti, and JA Robison), Salt Lake City, Utah.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Intensifying Community Referrals for Health: The SINCERE Intervention to Address COVID-19 Health DisparitiesR01NR019944 · NINR · UNIVERSITY OF UTAH · PI WALLACE, ANDREA SCHNEIDER · 2021 to 2024
$2.7M
NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR025764NINR NIH HHS R01 NR019944
6 · The paper itself

Abstract

objectiveTo determine the prevalence of unmet social needs (USN) in a pediatric emergency department (PED) patient population and examine disparities in USN by self-selected language and patient demographics.

methodsWe surveyed a convenience sample of English- and Spanish-speaking caregivers of patients <18-years-old presenting to a free-standing children's hospital in Salt Lake City, Utah. In the caregiver's self-selected language, the pediatric version of the Screener for Intensifying Community Referrals for Health (p-SINCERE) assessed patient demographics and 10 areas of social needs. The primary outcome was presence of USN. Descriptive statistics compared 1) self-selected languages and 2) absence versus presence of USN. Patient and caregiver-level risk factors associated with USN were identified using multivariable logistic regression.

resultsOf the 10,156 patients seen in our PED from 04/01/2021 to 08/03/2021, there were 9922 eligible, 5357 approached, and 3987 enrolled caregivers. Of the 3987 caregivers enrolled, self-selected language was English for 3662 (91.8%) and Spanish for 325 (8.2%). There were 1680 enrolled caregivers with ≥1 USN, representing 39.7% of English-speaking and 70.2% of Spanish-speaking caregivers (P < .001). The odds of having ≥1 USN was more than 2 times higher in Spanish-speakers than in English-speakers after adjustment.

conclusionsUSN are common for families presenting for care to a PED, especially among Spanish-speaking caregivers. Furthermore, this study demonstrates disparities in limited English proficiency, race and ethnicity, and child insurance status. These findings support the practicality of utilizing the PED as an access point to initiate social need screening and referrals to address social determinants of health and health disparities.

Indexed as

CaregiversEmergency Service, HospitalAdolescentChildHealth Services Needs and DemandHispanic or LatinoHumansLanguageMass ScreeningNeeds AssessmentPediatric Emergency MedicineSocial Determinants of Healthhealth disparitieslanguage differencespediatric emergency medicinesocial determinants of healthsocial needs

Identifiers

PMID35537675
PMCPMC9910325

What Socratic holds

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Registered trials

None linked

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 Socratic graph.