Area-level social determinants of health and individual-level social risks: Assessing predictive ability and biases in social risk screening.

ABSTRACT:

Introduction

Area-level social determinants of health (SDoH) and individual-level social risks are different, yet area-level measures are frequently used as proxies for individual-level social risks. This study assessed whether demographic factors were associated with patients being screened for individual-level social risks, the percentage who screened positive for social risks, and the association between SDoH and patient-reported social risks in a nationwide network of community-based health centers.

Methods

Electronic health record data from 1,330,201 patients with health center visits in 2021 were analyzed using multilevel logistic regression. Associations between patient characteristics, screening receipt, and screening positive for social risks (e.g., food insecurity,

SUBMITTER: Bensken WP 

PROVIDER: S-EPMC10790234 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature