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Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers

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Differences Between Individual Social Risks, Social Needs, and Community-Level Social Risk Among Pediatric Patients.

Matthew S Pantell¹, David M Mosen², Nathan Tran³

¹Division of Pediatric Hospital Medicine (MS Pantell and N Tran), Department of Pediatrics, University of California, San Francisco; Social Interventions Research and Evaluation Network (MS Pantell and LM Gottlieb), University of California, San Francisco.

Academic Pediatrics

|May 21, 2025

Summary

This summary is machine-generated.

A community social determinants of health index did not effectively identify families with social risks or needs in pediatric care. Individual-level data collection is crucial for addressing health disparities.

Keywords:

community-level social determinants of health social determinants of health social needs social risk factors

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Area of Science:

Pediatric Health
Social Determinants of Health
Health Equity

Background:

Social determinants of health (SDOH) significantly impact child health outcomes.
Understanding the interplay between community-level SDOH and individual family needs is essential for targeted interventions.
Existing community-level indices may not accurately capture the heterogeneity of social risks and needs within diverse patient populations.

Purpose of the Study:

To investigate the association between community-level SDOH, individual social risks, and individual social needs in pediatric patients.
To determine if a community-level SDOH index adequately identifies families experiencing social risks and desiring assistance.
To inform strategies for effective data collection of social needs in clinical settings.

Main Methods:

Retrospective cohort study of 2,313 children (ages 0-18) receiving care at Kaiser Permanente Northwest (2017-2019).
Social data collected via the Your Current Life Situation survey, including housing instability, food insecurity, transportation, and financial hardship.
Chi-squared tests used to compare rates of social risks, social needs, and Neighborhood Deprivation Index (NDI) quartiles.

Main Results:

Nearly 60% of families reported at least one social risk, and 66.9% of those desired assistance.
Both social risks and social needs were highest in the most socially disadvantaged NDI quartiles.
Even families in the most socially advantaged quartile reported significant social risks (42.1%) and needs (23.3%).

Conclusions:

A community-level SDOH index was insufficient for identifying pediatric patients with social risks and needs.
Individual-level social risk and social need data collection in clinical settings is vital.
Findings support policies promoting the systematic collection of individual social needs data in healthcare.