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.
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.
Authors: Kavitha Selvaraj; Melissa J Ruiz; Jean Aschkenasy; Jan D Chang; Anthony Heard; Mark Minier; Amanda D Osta; Melissa Pavelack; Monica Samelson; Alan Schwartz; Margaret A Scotellaro; Alisa Seo-Lee; Stan Sonu; Audrey Stillerman; Barbara W Bayldon Journal: J Pediatr Date: 2018-10-05 Impact factor: 4.406
Authors: Carrie L Nacht; Michelle M Kelly; M Bruce Edmonson; Daniel J Sklansky; Kristin A Shadman; Amy J H Kind; Qianqian Zhao; Christina B Barreda; Ryan J Coller Journal: Matern Child Health J Date: 2022-01-11
Authors: Arti D Desai; Chuan Zhou; Wren Haaland; Jakobi Johnson; K Casey Lion; Michelle A Lopez; Derek J Williams; Chén C Kenyon; Rita Mangione-Smith; David P Johnson Journal: J Hosp Med Date: 2020-02-11 Impact factor: 2.960
Authors: Jana C Leary; Leena Rijhwani; Natalie M Bettez; Amy M LeClair; Anays Murillo; Maria Rodriguez Berrios; Arvin Garg; Karen M Freund Journal: Acad Pediatr Date: 2021-09-30 Impact factor: 3.107