Mary E Bernardin, Danielle Zoellner, Destri Eichman, Bin Ge, Isabella McCartney, Mariana Mendoza Castro, Elizabeth Kendrick, Janisha Eubanks, Megan EuDaly, Julie Stilley, Alexandra James, Jennae Reken
{"title":"儿童急诊科健康筛查和远程干预的社会决定因素:覆盖农村家庭。","authors":"Mary E Bernardin, Danielle Zoellner, Destri Eichman, Bin Ge, Isabella McCartney, Mariana Mendoza Castro, Elizabeth Kendrick, Janisha Eubanks, Megan EuDaly, Julie Stilley, Alexandra James, Jennae Reken","doi":"10.1097/FCH.0000000000000439","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>Social determinants of health (SDOH) can have profound impacts on children, though many lack access to SDOH programs. Our objective was to determine feasibility and outcomes of a SDOH program for families of children seen in an emergency department (ED) serving an under-resourced rural population.</p><p><strong>Methods: </strong>This prospective cohort study assessed for 11 domains of SDOH among families of pediatric ED patients. Families with positive screens were contacted following their ED visit and provided resources. Fisher exact and Chi-square tests were used to identify sociodemographic factors associated with SDOH and resource requests.</p><p><strong>Results: </strong>Of the 95 surveys administered, 42% were positive for ≥1 SDOH, most frequently food scarcity (27%). Forty percent of families with positive SDOH needs screens requested services, of which remote resource assistance was performed successfully with 75%. Families with an unemployed primary caregiver ( P = .04) and Medicaid insurance ( P < .001) were more likely to screen positive for SDOH needs. Forty percent of respondents were from surrounding rural counties and were less likely to request resources ( P = .01).</p><p><strong>Conclusions: </strong>SDOH needs are common among families utilizing EDs for their children's health care. EDs serving under-resourced rural communities can be leveraged to address SDOH needs, and further research is needed to evaluate their impacts on rural families.</p>","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"259-266"},"PeriodicalIF":1.3000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Social Determinants of Health Screening and Remote Intervention for a Pediatric Emergency Department: Reaching Rural Families.\",\"authors\":\"Mary E Bernardin, Danielle Zoellner, Destri Eichman, Bin Ge, Isabella McCartney, Mariana Mendoza Castro, Elizabeth Kendrick, Janisha Eubanks, Megan EuDaly, Julie Stilley, Alexandra James, Jennae Reken\",\"doi\":\"10.1097/FCH.0000000000000439\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objectives: </strong>Social determinants of health (SDOH) can have profound impacts on children, though many lack access to SDOH programs. Our objective was to determine feasibility and outcomes of a SDOH program for families of children seen in an emergency department (ED) serving an under-resourced rural population.</p><p><strong>Methods: </strong>This prospective cohort study assessed for 11 domains of SDOH among families of pediatric ED patients. Families with positive screens were contacted following their ED visit and provided resources. Fisher exact and Chi-square tests were used to identify sociodemographic factors associated with SDOH and resource requests.</p><p><strong>Results: </strong>Of the 95 surveys administered, 42% were positive for ≥1 SDOH, most frequently food scarcity (27%). Forty percent of families with positive SDOH needs screens requested services, of which remote resource assistance was performed successfully with 75%. Families with an unemployed primary caregiver ( P = .04) and Medicaid insurance ( P < .001) were more likely to screen positive for SDOH needs. Forty percent of respondents were from surrounding rural counties and were less likely to request resources ( P = .01).</p><p><strong>Conclusions: </strong>SDOH needs are common among families utilizing EDs for their children's health care. EDs serving under-resourced rural communities can be leveraged to address SDOH needs, and further research is needed to evaluate their impacts on rural families.</p>\",\"PeriodicalId\":47183,\"journal\":{\"name\":\"Family & Community Health\",\"volume\":\" \",\"pages\":\"259-266\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Family & Community Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/FCH.0000000000000439\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/12 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Family & Community Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/FCH.0000000000000439","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/12 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
Social Determinants of Health Screening and Remote Intervention for a Pediatric Emergency Department: Reaching Rural Families.
Background and objectives: Social determinants of health (SDOH) can have profound impacts on children, though many lack access to SDOH programs. Our objective was to determine feasibility and outcomes of a SDOH program for families of children seen in an emergency department (ED) serving an under-resourced rural population.
Methods: This prospective cohort study assessed for 11 domains of SDOH among families of pediatric ED patients. Families with positive screens were contacted following their ED visit and provided resources. Fisher exact and Chi-square tests were used to identify sociodemographic factors associated with SDOH and resource requests.
Results: Of the 95 surveys administered, 42% were positive for ≥1 SDOH, most frequently food scarcity (27%). Forty percent of families with positive SDOH needs screens requested services, of which remote resource assistance was performed successfully with 75%. Families with an unemployed primary caregiver ( P = .04) and Medicaid insurance ( P < .001) were more likely to screen positive for SDOH needs. Forty percent of respondents were from surrounding rural counties and were less likely to request resources ( P = .01).
Conclusions: SDOH needs are common among families utilizing EDs for their children's health care. EDs serving under-resourced rural communities can be leveraged to address SDOH needs, and further research is needed to evaluate their impacts on rural families.
期刊介绍:
Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.