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Table 3 Patient and practice characteristics associated with expressing social needs, with and without social risk factors on health-related social needs (HRSN) screening

From: Prevalence of social risk factors and social needs in a Medicaid Accountable Care Organization (ACO)

 

Social Needs with Social Risks Factors

Social Needs without Social Risk Factors

PR

CI

P-value

PR

CI

P-value

Age

 Adult (≥ 19 years)

–

–

–

–

–

–

 Pediatric (0–18 years)

0.9

0.9–1.0

0.03

0.8

0.7–1.0

0.02

Sex

 Male

–

–

–

–

–

–

 Female

1.1

1.0–1.1

0.03

1.0

0.9–1.2

0.53

Race/ethnicity

 NH White

–

–

–

–

–

–

 NH Black

1.4

1.4–1.5

 < 0.001

2.1

1.7–2.6

 < 0.001

 Hispanic

1.3

1.2–1.4

 < 0.001

1.8

1.5–2.3

 < 0.001

 NH other race

1.2

1.2–1.3

 < 0.001

1.5

1.2–2.0

0.001

Primary language

 English

–

–

–

–

–

–

 Spanish

1.1

1.1–1.2

 < 0.001

1.2

0.9–1.5

0.19

 Other language

1.1

1.0–1.2

0.03

1.4

1.0–1.9

0.08

Number of social risks

  < 3 social risks

–

–

–

–

–

–

  ≥ 3 social risks

2.1

2.0–2.2

 < 0.001

–

–

–

Practice level LEP

 Quartile 1 practice LEP

–

–

–

–

–

–

 Quartile 2 practice LEP

1.2

1.1–1.4

0.001

1.1

0.8–1.4

0.68

 Quartile 3 practice LEP

1.3

1.2–1.5

 < 0.001

1.5

1.2–2.0

0.002

 Quartile 4 practice LEP

1.4

1.3–1.6

 < 0.001

1.4

1.2–1.8

0.002

  1. Abbreviations: CI Confidence interval, LEP Limited English proficiency, NH Non-Hispanic, PR Prevalence ratio