Scholarlink

Background <p>Social determinants of health (SDOH) disproportionately affect racial/ethnic groups. However, little is known about how the cumulative burden of SDOH disadvantage on health status varies by race/ethnicity.</p> Objective <p>To examine the relative burden of SDOH disadvantage by race/ethnicity on two measures of health status of Health Resources and Services Administration–funded health center patients.</p> Design <p>Cross-sectional study design.</p> Patients or Subjects <p>We used the 2022 Health Center Patient Survey to identify a sample of adult health center patients (<i>n</i> = 3912).</p> Main Measures <p>We developed an overall composite score and five specific sub-scores for each SDOH domain—health risk, economic, social, access, and built environment—to measure cumulative burden of SDOH disadvantage. We used self-reported fair or poor health status and moderate or high psychological distress to measure general and mental health, respectively. We used logistic regression models to examine the independent association of each SDOH domain and their relative burden on health status measures by racial/ethnic groups.</p> Key Results <p>Across all groups, higher health risk (OR = 1.57), economic (1.29), social (1.30), access (1.56), and built environment (1.15) disadvantage; and higher health risk (1.14), economic (1.44), and access (1.77) disadvantage were associated with fair or poor general health and greater psychological distress, respectively. However, some relationships differed by race/ethnicity. For example, higher health risk and access disadvantage increased the likelihood of poor general health among Non-Hispanic Black/African American and Hispanic/Latino patients. But economic disadvantage was significant for the former and social disadvantage was significant for the latter.</p> Conclusions <p>Our study highlighted the importance of accounting for differential burden of SDOH domains on racial/ethnic groups. This requires comprehensive measurement of SDOH and its meaningful use to inform and improve care for diverse health center patients. Access disadvantage across all racial/ethnic groups emphasized the importance of culturally appropriate care coordination to improve patient health.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Relative Burden of Social Determinants of Health on Diverse Populations of Health Resources and Services Administration Health Centers

  • 期刊论文

  • 发表日期：

    2026年6月30日

查看全文
  • Nadereh Pourat,
  • Connie Lu,
  • Xiao Chen,
  • Menbere Haile,
  • Troyana Benjamin,
  • Benjamin Picillo,
  • Hank Hoang

摘要

Background

Social determinants of health (SDOH) disproportionately affect racial/ethnic groups. However, little is known about how the cumulative burden of SDOH disadvantage on health status varies by race/ethnicity.

Objective

To examine the relative burden of SDOH disadvantage by race/ethnicity on two measures of health status of Health Resources and Services Administration–funded health center patients.

Design

Cross-sectional study design.

Patients or Subjects

We used the 2022 Health Center Patient Survey to identify a sample of adult health center patients (n = 3912).

Main Measures

We developed an overall composite score and five specific sub-scores for each SDOH domain—health risk, economic, social, access, and built environment—to measure cumulative burden of SDOH disadvantage. We used self-reported fair or poor health status and moderate or high psychological distress to measure general and mental health, respectively. We used logistic regression models to examine the independent association of each SDOH domain and their relative burden on health status measures by racial/ethnic groups.

Key Results

Across all groups, higher health risk (OR = 1.57), economic (1.29), social (1.30), access (1.56), and built environment (1.15) disadvantage; and higher health risk (1.14), economic (1.44), and access (1.77) disadvantage were associated with fair or poor general health and greater psychological distress, respectively. However, some relationships differed by race/ethnicity. For example, higher health risk and access disadvantage increased the likelihood of poor general health among Non-Hispanic Black/African American and Hispanic/Latino patients. But economic disadvantage was significant for the former and social disadvantage was significant for the latter.

Conclusions

Our study highlighted the importance of accounting for differential burden of SDOH domains on racial/ethnic groups. This requires comprehensive measurement of SDOH and its meaningful use to inform and improve care for diverse health center patients. Access disadvantage across all racial/ethnic groups emphasized the importance of culturally appropriate care coordination to improve patient health.