Youths' Health-Related Social Problems: Concerns Often Overlooked During the Medical Visit

Hassan, Areej; Blood, Emily A.; Pikcilingis, Aaron; Krull, Emily; McNickles, LaQuita; Marmon, Glenn; Wylie, Sarah; Woods, Elizabeth R.; Fleegler, Eric W.

doi:10.1016/j.jadohealth.2013.02.024

Cited by 77 publications

(91 citation statements)

References 29 publications

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“…education offerings include literacy classes, domestic violence hotline). 29,30 At each call the TTS encouraged participants to pick two domains and then selected referrals near the participant’s address and mailed a personalized referral document to the participant. Costs for these referrals, if any, were determined by the particular agency or service and were paid for by the participants (i.e., not paid for by the study).…”

Section: Methodsmentioning

confidence: 99%

Proactive Tobacco Cessation Outreach to Smokers of Low Socioeconomic Status

et al. 2015

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Section: Methodsmentioning

confidence: 99%

Proactive Tobacco Cessation Outreach to Smokers of Low Socioeconomic Status

et al. 2015

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“…19 Despite recognition of these negative influences on health, however, physician screening for social needs is rare. 20,22,23 Among pediatric residents, one study found that more than 90% residents believed it was important to address patient social needs, but fewer than 20% routinely screened for those needs. 20 Additional studies reveal that, even when patients mentioned social factors critical to their care, physicians probed for further information only 51% of the time.…”

Section: Introductionmentioning

confidence: 99%

“…20,22,23 Previous research in this area has been limited to the outpatient setting and most often utilized computer-based screening. 20,22,23,25 Family opinion of physician screening for unmet social needs in the setting of an acute illness, such as a hospitalization, remains unknown. In addition, since the previous studies did not survey families who were not screened, it is unknown whether opinions about physician screening for unmet screening might change after having been screened by a physician.…”

Section: Introductionmentioning

confidence: 99%

Caregiver Opinion of In-Hospital Screening for Unmet Social Needs by Pediatric Residents

Colvin

Bettenhausen

Anderson-Carpenter

et al. 2016

Academic Pediatrics

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Objective Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians’ role in addressing social needs. Our objective was to examine caregivers’ opinions about that role and any associations between those opinions, previous exposure to screening for needs by pediatric residents, and socioeconomic status (SES). Methods Cross-sectional survey study of caregivers of hospitalized children. The survey collected information on caregiver opinion regarding their ability to ask physicians for help with social needs, whether physicians know how to help with those needs, and whether physicians should ask about social needs. The chi square test was used to identify associations between caregiver opinions, prior screening by a resident at admission, and SES (determined by census tract median household income.) Results Surveys were completed by 143 caregivers (79% participation). Most respondents agreed that they could ask their physician for help (54.5%), that their physician knows how to help (64.3%), and that physicians should ask about social needs (71.3%). Previously screened caregivers had more favorable opinions about asking for help (76.2% vs. 45.5%, P<0.01), whether their physician knows how to help (81.0% vs. 57.4%, P=0.02), and physician screening for unmet needs (85.7% vs. 65.3%, P=0.03). There were no SES differences in opinion. Conclusions Caregivers have favorable opinions of the physician’s role in addressing the social determinants of health, especially after being screened. Physicians should be confident in the acceptability of screening families for social needs.

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“…The study methods have been previously published and are summarized in brief here [3]. The youth in our study were recruited from an urban hospital adolescent/young adult clinic, targeting socially disadvantaged youth that agreed to participate in a computerized survey.…”

Section: Methodsmentioning

confidence: 99%