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。

IF 1.3 4区 医学 Q3 FAMILY STUDIES
Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI:10.1097/FCH.0000000000000439
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}
引用次数: 0

摘要

背景和目标:健康的社会决定因素(SDOH)可以对儿童产生深远的影响,尽管许多儿童无法获得SDOH方案。我们的目标是确定在资源不足的农村人口的急诊科(ED)就诊的儿童家庭的SDOH计划的可行性和结果。方法:本前瞻性队列研究评估了儿科ED患者家庭中SDOH的11个领域。筛查呈阳性的家庭在急诊科就诊后得到联系并提供资源。使用Fisher精确检验和卡方检验来确定与SDOH和资源请求相关的社会人口因素。结果:在进行的95次调查中,42%呈≥1 SDOH阳性,最常见的是食物短缺(27%)。40%的SDOH阳性家庭需要筛查要求的服务,其中75%的远程资源援助获得了成功。主要照顾者失业的家庭(P = .04)和医疗补助保险(P)。结论:在利用急诊科为孩子提供医疗保健的家庭中,SDOH需求很常见。可以利用为资源不足的农村社区服务的急诊室来满足SDOH的需求,并需要进一步研究以评估其对农村家庭的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
2.70
自引率
4.30%
发文量
69
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信