Screening Children for Social Determinants of Health: A Systematic Review

Details

• Journal Article:
  Pediatrics
• Personal Author:
  Sokol, Rebeccah ; Austin, Anna ; Chandler, Caroline ; Byrum, Elizabeth ; Bousquette, Jessica ; Lancaster, Christiana ; Doss, Ginna ; Dotson, Andrea ; Urbaeva, Venera ; Singichetti, Bhavna ; Brevard, Kanisha ; Wright, Sarah Towner ; Lanier, Paul ; Shanahan, Meghan
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• Description:
  CONTEXT: ; Screening children for social determinants of health (SDOHs) has gained attention in recent years, but there is a deficit in understanding the present state of the science. ; OBJECTIVE: ; To systematically review SDOH screening tools used with children, examine their psychometric properties, and evaluate how they detect early indicators of risk and inform care. ; DATA SOURCES: ; Comprehensive electronic search of PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Cochrane Central Register of Controlled Trials, and Web of Science Core Collection. ; STUDY SELECTION: ; Studies in which a tool that screened children for multiple SDOHs (defined according to Healthy People 2020) was developed, tested, and/or employed. ; DATA EXTRACTION: ; Extraction domains included study characteristics, screening tool characteristics, SDOHs screened, and follow-up procedures. ; RESULTS: ; The search returned 6274 studies. We retained 17 studies encompassing 11 screeners. Study samples were diverse with respect to biological sex and race and/or ethnicity. Screening was primarily conducted in clinical settings with a parent or caregiver being the primary informant for all screeners. Psychometric properties were assessed for only 3 screeners. The most common SDOH domains screened included the family context and economic stability. Authors of the majority of studies described referrals and/or interventions that followed screening to address identified SDOHs. ; LIMITATIONS: ; Following the Healthy People 2020 SDOH definition may have excluded articles that other definitions would have captured. ; CONCLUSIONS: ; The extent to which SDOH screening accurately assessed a child's SDOHs was largely unevaluated. Authors of future research should also evaluate if referrals and interventions after the screening effectively address SDOHs and improve child well-being.
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• Keywords:
  • Child
  • Humans
  • Mass Screening
  • Motivational Interviewing
  • Patient Navigation
  • Referral and Consultation
  • Social Determinants of Health
• Source:
  Pediatrics. 144(4)
• DOI:
  http://dx.doi.org/10.1542/peds.2019-1622
• Pubmed ID:
  31548335
• Pubmed Central ID:
  PMC6996928
• Document Type:
  Text
• Funding:
  R49 CE002479/CE/NCIPC CDC HHSUnited States/ ; T32 HD007376/HD/NICHD NIH HHSUnited States/ ; T32 HD052468/HD/NICHD NIH HHSUnited States/
• Genre:
  Journal Article
• Volume:
  144
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/84931/cdc_84931_DS1.pdf
• File Type:
  [PDF - 323.84 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2acc4c576e96dda6dfcab484e4655fdecf565b108312f7f9589b523f93b2f62c3834eae6386c223c2c89bc16c524144ba86f06c2c1400fc9864c8949075842b8