Article Figures & Data
Figures
- Figure 1.
Number of domains screened for by each participating community health center (CHC) for pediatric visits compared with any visit.
- Figure 2.
Number of community health centers (CHCs) screening for each social & behavioral domain by adult vs. pediatric visits.
Tables
All Participating Health Centers, Mean (Range) 3 Implementation Sites, Mean (Range) Total annual patient visits 23,271 (9,553–70,603) 17,726 (12,410–21,518) % of patients <18 25% (16–32) 30% (27–32) Patients of racial and/or ethnic minority 75% (21–98) 91% (87–95) Patients at or below 200% of FPL 85% (47–100) 96% (93–100) Uninsured 18% (6–31) 13% (11–17) Medicaid/CHIP 2 49% (35–61) 51% (42–56) Dually eligible (Medicare and Medicaid) 3% (2–7) 2% (2–3) Medical visits 81% (51–98) 83 (82–85) Dental visits 26% (5–45) 21 (17–25) Mental health visits 7% (2–11) 6 (2–10) Data taken from publicly available Health Resources and Services Administration uniform data system or reported by individual health center for 11 of 13 participating health centers—2 health centers were hospital affiliated and did not release patient or visit level demographic data.
CHIP, Children's Health Insurance Program; FPL, Federal Poverty Level.
SDOH Domains* Dimensions Culture Religion/spiritual beliefs Family culture Demographics Gender/sexual orientation Place of birth Race/ethnicity Refugee status Justice involvement Economic indicators Income Assets Assistance programs Indebtedness Education Educational attainment Basic literacy Health literacy Numeracy Employment Unemployed Migrant/seasonal Day laborers Disability status Retirement status Student Job assistance Family Marital status Dependents Living arrangements Functional status ADLs IADLs Frailty Health behaviors Alcohol Drug use Tobacco Secondhand smoking Physical activity Sexual activity Safety Diet Healthcare access Insurance status Healthcare affordability Source of usual care Housing Homelessness Housing safety Housing quality Housing insecurity Language Primary language English proficiency Interpreter/translator needed Other language proficiency Material hardship Food insecurity Utilities Transportation Medication affordability Access to technology Child care Clothing Legal services Mental health Depression Anxiety PTSD ADD/ADHD Suicide/Self-harm Stress Sleep Social support Community activities Safe environment Public spaces Racism Discrimination Trust School culture Social isolation Trauma/violence IPV Trauma Physical abuse Sexual abuse Mental abuse Veteran status Military trauma history Combat veteran Active military ADD/ADHD, Attention deficit disorder/hyperactivity disorder; ADL, activity of daily living; IADL, independent activities of daily living; IPV, interpersonal violence; PTSD, Post-traumatic stress disorder; SDOH, Social and Behavioral Determinants of Health.
↵* All core domains had a “General” subdomain code if screening questions did not pertain to one of the listed subdomains on the right column.
Sixteen domains.
Seventy-eight dimensions.
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