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Updated: May 24, 2025

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Patient-Reported Social Risk Factor Screening Among Rheumatology Outpatients.

Alissa Chandler1, Mohammed Hamid1, Ziqiao Jiao1

  • 1Washington University School of Medicine, St Louis, Missouri.

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Summary

A new screening tool revealed that 84% of rheumatology patients face social risk factors (SRFs) like physical inactivity and financial strain. This highlights significant patient needs and barriers to care.

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Area of Science:

  • Rheumatology
  • Public Health
  • Health Equity

Background:

  • Social risk factors (SRFs) significantly impact patient health outcomes.
  • Screening for SRFs is crucial for identifying barriers to care in diverse patient populations.
  • Rheumatology patients often face complex health and social challenges.

Purpose of the Study:

  • To pilot a patient-reported social risk factor (SRF) screening tool in rheumatology outpatient settings.
  • To determine the prevalence and distribution of SRFs among rheumatology patients.
  • To assess the feasibility of electronic SRF screening.

Main Methods:

  • An electronic SRF screening tool was administered to rheumatology outpatients.
  • Patients were screened across eight SRF domains: financial strain, housing instability, food insecurity, transportation needs, physical inactivity, social isolation, stress, and depression.
  • Data were collected from January 1 to October 31, 2023, and analyzed using descriptive statistics and multivariable logistic regressions.

Main Results:

  • 84% of 483 patients screened positive for at least one SRF.
  • Physical inactivity (73%) and social isolation (58%) were the most prevalent SRFs.
  • Higher SRF prevalence was observed in patients with Medicaid insurance, younger age, Black race, or unmarried status, with Medicaid insurance significantly increasing odds of core SRF reporting.

Conclusions:

  • A high burden of SRFs exists among rheumatology outpatients, underscoring significant patient needs.
  • SRF screening provides detailed insights into patient barriers and potential care gaps.
  • Future research should explore SRF associations with clinical outcomes and intervention effectiveness.