Omolara Uwemedimo|Hanna May
Disparities in Utilization of Social Determinants of Health Referrals Among Children in Immigrant Families
Hofstra University|Donald & Barbara Zucker School of Medicine at Hofstra/Northwell|Cohen Children's Medical Center|Wellesley College
objective children immigrant families cif elevated risk experiencing adverse social determinants health sdh particularly material hardship contribute disparate health outcomes previous studies found sdh screening programs integrated pediatric practices increased receipt social service resources studies examined use social services programs among ethnicallydiverse patient populations associations caregiver immigrant status limited english proficiency lep methods caregivers children 18 years routinely screened practicebased sdh screening program offering referral assisted navigation followup support information caregiver raceethnicity us nativity citizenship status selfreported english proficiency collected associations utilization referral resources 12 weeks measured using chisquare fishers exact tests results 148 caregivers mothers 832 nonwhite 919 half born outside us 597 onethird lep 336 approximately onethird 309 successfully utilized programprovided resources 12week followup lep caregivers undocumented caregivers likely losttofollowup however lep caregivers remained program utilized resources englishproficient caregivers 384 vs 184 p0031 similarly significantly noncitizen caregivers utilized referrals compared us citizens 374 vs 231 vs 00 p0043 conclusions families nonus citizen lep caregivers highest risk losttofollowup engaged likely utilize resources findings indicate need larger studies determine prevent losstofollowup among immigrant lep caregivers participating sdh screening programs