Prevalence and Correlates of Families' Unmet Social Needs in Pediatric Primary Care Settings

Kristen A Waters1, Serena K Kaul1, Sritha R Donepudi1

  • 1Boonshoft School of Medicine, Wright State University, Fairborn, OH 45324, USA.

Insights

Families with unmet social needs face adverse outcomes for children. Factors like underinsurance, depression, and chronic conditions increase these needs, while social support can decrease them.

Area of Science:

  • Pediatrics
  • Public Health
  • Sociology

Background:

  • Children experiencing unmet social needs face higher risks of adverse health outcomes.
  • Identifying factors associated with these needs is crucial for targeted interventions.

Purpose of the Study:

  • To identify factors associated with unmet social needs in families with children.
  • To understand the relationship between social determinants and children's health outcomes.

Main Methods:

  • Cross-sectional study of 1114 primary caregivers of children under 18.
  • Utilized validated surveys assessing social support, capital, depression, child health, and social needs.
  • Data analyzed using chi-square, logistic regression, and ANOVA.

Main Results:

  • Underinsurance, positive depression screens, and poor child health were linked to increased unmet social needs.
  • Higher social support and social capital were associated with fewer unmet social needs.
  • Reporting two or more unmet social needs correlated with underinsurance, income <$50,000, depression, chronic child health conditions, and Black race/ethnicity.

Conclusions:

  • Multiple social factors independently predict unmet social needs in families.
  • These findings underscore the intricate relationship between social determinants and pediatric healthcare.
  • Further research is needed to explore the long-term stability of these associations.

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