{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T09:41:42Z","timestamp":1770457302153,"version":"3.49.0"},"reference-count":75,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>This study aimed to identify predictors of high unmet social needs among pediatric emergency department (ED) patients. We hypothesized that obesity, frequent nonurgent visits, reported food insecurity, or an at-risk chief complaint (CC) would predict elevated social risk.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We administered a tablet-based survey assessing unmet social needs in 13 domains to caregivers of patients aged 0 to 17 years presenting to an urban pediatric ED. Responses were used to tabulate a social risk score (SRS). We performed multivariable logistic regression to measure associations between a high SRS (\u22653) and obesity, frequent nonurgent visits, food insecurity, or an at-risk CC (physical abuse, sexual abuse, assault, mammalian bites, reproductive\/sexual health complaints, intoxication, ingestion\/poisoning, psychiatric\/behavioral complaints, or any complaint triaged as \u201cleast urgent\u201d).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Five hundred seventy caregivers completed the survey. Eighty-one percent reported at least one unmet social need, and 33% identified \u22653 social needs. Caregivers of patients with an at-risk CC had twice the odds of a high SRS (adjusted odds ratio [aOR], 1.8; 95% confidence interval [CI], 1.0\u20133.3). Caregivers of patients reporting food insecurity had 4 times the odds of a high SRS (aOR, 4.3; 95% CI, 2.5\u20137.3). Neither obesity (aOR, 1.5; 95% CI, 0.9\u20132.6) nor frequent nonurgent visits (aOR, 0.9; 95% CI, 0.4\u20131.9) were predictive of a high SRS.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Unmet social needs are prevalent among caregivers of pediatric ED patients, supporting universal screening in this population. Patients with an at-risk CC or reported food insecurity might benefit from proactive intervention. Future studies should examine optimal methods for ED-based interventions that address social determinants of health.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002489","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:08:52Z","timestamp":1625530132000},"page":"e910-e917","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["Predictors of Elevated Social Risk in Pediatric Emergency Department Patients and Families"],"prefix":"10.1097","volume":"38","author":[{"given":"Alexandra C.","family":"Rucker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ar'Reon","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Center for Child and Human Development, Georgetown University, Washington, 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