{"id":"https://openalex.org/W2883497010","doi":"https://doi.org/10.3389/fped.2018.00207","title":"Disparities in Utilization of Social Determinants of Health Referrals Among Children in Immigrant Families","display_name":"Disparities in Utilization of Social Determinants of Health Referrals Among Children in Immigrant Families","publication_year":2018,"publication_date":"2018-07-24","ids":{"openalex":"https://openalex.org/W2883497010","doi":"https://doi.org/10.3389/fped.2018.00207","mag":"2883497010","pmid":"https://pubmed.ncbi.nlm.nih.gov/30087887","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6066553"},"language":"en","primary_location":{"id":"doi:10.3389/fped.2018.00207","doi":"https://doi.org/10.3389/fped.2018.00207","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2018.00207","pdf_url":"https://www.frontiersin.org/articles/10.3389/fped.2018.00207/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/articles/10.3389/fped.2018.00207/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013121262","display_name":"Omolara Thomas Uwemedimo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I139290212","display_name":"Hofstra University","ror":"https://ror.org/03pm18j10","country_code":"US","type":"education","lineage":["https://openalex.org/I139290212"]},{"id":"https://openalex.org/I4210106353","display_name":"Donald & Barbara Zucker School of Medicine at Hofstra/Northwell","ror":"https://ror.org/01ff5td15","country_code":"US","type":"education","lineage":["https://openalex.org/I1302444339","https://openalex.org/I139290212","https://openalex.org/I4210106353"]},{"id":"https://openalex.org/I4210116459","display_name":"Cohen Children's Medical Center","ror":"https://ror.org/026n33e29","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1302444339","https://openalex.org/I2800560132","https://openalex.org/I4210116459"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Omolara T. Uwemedimo","raw_affiliation_strings":["Department of Occupational Medicine, Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, NY, United States","Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, NY, United States","GLOhBAL (Global Learning Optimizing Health Building Alliances Locally) at Cohen Children's Medical Center of New York, New Hyde Park, NY, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Occupational Medicine, Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, NY, United States","institution_ids":["https://openalex.org/I139290212","https://openalex.org/I4210106353"]},{"raw_affiliation_string":"Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, NY, United States","institution_ids":["https://openalex.org/I139290212","https://openalex.org/I4210106353"]},{"raw_affiliation_string":"GLOhBAL (Global Learning Optimizing Health Building Alliances Locally) at Cohen Children's Medical Center of New York, New Hyde Park, NY, United States","institution_ids":["https://openalex.org/I4210116459"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030686018","display_name":"Hanna May","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189731429","display_name":"Wellesley College","ror":"https://ror.org/01srpnj69","country_code":"US","type":"education","lineage":["https://openalex.org/I189731429"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hanna May","raw_affiliation_strings":["Wellesley College, Wellesley, MA, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wellesley College, Wellesley, MA, United States","institution_ids":["https://openalex.org/I189731429"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5013121262"],"corresponding_institution_ids":["https://openalex.org/I139290212","https://openalex.org/I4210106353","https://openalex.org/I4210116459"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":5.5817,"has_fulltext":true,"cited_by_count":73,"citation_normalized_percentile":{"value":0.9577441,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"6","issue":null,"first_page":"207","last_page":"207"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10762","display_name":"Migration, Health and Trauma","score":0.7401999831199646,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10762","display_name":"Migration, Health and Trauma","score":0.7401999831199646,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.11429999768733978,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11610","display_name":"Food Security and Health in Diverse Populations","score":0.029400000348687172,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.9610000252723694},{"id":"https://openalex.org/keywords/immigrant-families","display_name":"immigrant families","score":0.656000018119812},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.6110000014305115},{"id":"https://openalex.org/keywords/limited-english-proficiency","display_name":"limited English proficiency","score":0.890999972820282},{"id":"https://openalex.org/keywords/social-services-referral","display_name":"social services referral","score":0.6119999885559082},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.5899999737739563},{"id":"https://openalex.org/keywords/material-hardship","display_name":"material hardship","score":0.5109999775886536},{"id":"https://openalex.org/keywords/pediatric-primary-care","display_name":"pediatric primary care","score":0.4909999966621399},{"id":"https://openalex.org/keywords/loss-to-follow-up","display_name":"loss to follow-up","score":0.7720000147819519},{"id":"https://openalex.org/keywords/citizenship-status","display_name":"citizenship status","score":0.38100001215934753}],"concepts":[{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.8240217566490173},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8087403178215027},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.6066991686820984},{"id":"https://openalex.org/C70036468","wikidata":"https://www.wikidata.org/wiki/Q131288","display_name":"Immigration","level":2,"score":0.6053174734115601},{"id":"https://openalex.org/C2778979077","wikidata":"https://www.wikidata.org/wiki/Q330190","display_name":"Receipt","level":2,"score":0.5885049104690552},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5368576049804688},{"id":"https://openalex.org/C2781255760","wikidata":"https://www.wikidata.org/wiki/Q18354027","display_name":"Limited English proficiency","level":3,"score":0.5265148878097534},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.49542152881622314},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.41756394505500793},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3697541356086731},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.36540693044662476},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3054947555065155},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C19165224","wikidata":"https://www.wikidata.org/wiki/Q23404","display_name":"Anthropology","level":1,"score":0.0},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.3389/fped.2018.00207","doi":"https://doi.org/10.3389/fped.2018.00207","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2018.00207","pdf_url":"https://www.frontiersin.org/articles/10.3389/fped.2018.00207/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5027674","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6066553","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6066553","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6066553","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Pediatr","raw_type":"Text"},{"id":"pmid:30087887","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30087887","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in pediatrics","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:adbf7c5f032b41c699e03efe9e0fc6c1","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/adbf7c5f032b41c699e03efe9e0fc6c1","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Pediatrics, Vol 6 (2018)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fped.2018.00207","doi":"https://doi.org/10.3389/fped.2018.00207","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fped.2018.00207","pdf_url":"https://www.frontiersin.org/articles/10.3389/fped.2018.00207/pdf","source":{"id":"https://openalex.org/S2596117549","display_name":"Frontiers in Pediatrics","issn_l":"2296-2360","issn":["2296-2360"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2883497010.pdf","grobid_xml":"https://content.openalex.org/works/W2883497010.grobid-xml"},"referenced_works_count":22,"referenced_works":["https://openalex.org/W860300084","https://openalex.org/W1656987524","https://openalex.org/W1996656518","https://openalex.org/W2012271080","https://openalex.org/W2027554273","https://openalex.org/W2027645936","https://openalex.org/W2033448635","https://openalex.org/W2041190614","https://openalex.org/W2041359373","https://openalex.org/W2063773357","https://openalex.org/W2068670355","https://openalex.org/W2072399290","https://openalex.org/W2121617840","https://openalex.org/W2127416094","https://openalex.org/W2127771070","https://openalex.org/W2129695575","https://openalex.org/W2162166102","https://openalex.org/W2163231028","https://openalex.org/W2185575917","https://openalex.org/W2339337244","https://openalex.org/W2863645766","https://openalex.org/W4249136011"],"related_works":["https://openalex.org/W4408052058","https://openalex.org/W4402985669","https://openalex.org/W4229336590","https://openalex.org/W4404287309","https://openalex.org/W4415908763","https://openalex.org/W4416254148","https://openalex.org/W3043268351","https://openalex.org/W2014399375","https://openalex.org/W4411286112","https://openalex.org/W7223456320"],"abstract_inverted_index":{"Objective:":[0],"Children":[1],"in":[2,54,81,177,251],"immigrant":[3,65,246],"families":[4],"(CIF)":[5],"are":[6],"at":[7,114,158,216],"elevated":[8],"risk":[9,218],"of":[10,15,42,51,74,111,142,219],"experiencing":[11],"adverse":[12],"social":[13,43,52],"determinants":[14],"health":[16,25],"(SDH),":[17],"particularly":[18],"material":[19],"hardship,":[20],"which":[21],"contribute":[22],"to":[23,169,198,228,239,242],"disparate":[24],"outcomes.":[26],"Previous":[27],"studies":[28,47,238],"have":[29,39,48],"found":[30],"that":[31],"SDH":[32,84,252],"screening":[33,85,253],"programs":[34,56],"integrated":[35],"into":[36],"pediatric":[37],"practices":[38],"increased":[40],"receipt":[41],"service":[44],"resources.":[45,230],"Few":[46],"examined":[49],"use":[50],"services":[53],"these":[55],"among":[57,245],"ethnically-diverse":[58],"patient":[59],"populations":[60],"and":[61,91,102,121,134,146,163,247],"associations":[62],"with":[63,109,209],"caregiver":[64,96],"status":[66,101],"or":[67,212],"limited":[68],"English":[69,104],"proficiency":[70,105],"(LEP).":[71],"Methods:":[72],"Caregivers":[73],"children":[75],"(<18":[76],"years)":[77],"were":[78,117,131,139,148,166,215,225],"routinely":[79],"screened":[80],"a":[82],"practice-based,":[83],"program":[86,179],"offering":[87],"referral,":[88],"assisted":[89],"navigation":[90],"follow-up":[92],"support.":[93],"Information":[94],"on":[95],"race/ethnicity,":[97],"US":[98,199],"nativity,":[99],"citizenship":[100],"self-reported":[103],"was":[106],"collected.":[107],"Associations":[108],"utilization":[110],"referral":[112],"resources":[113,157,181],"12":[115],"weeks":[116],"measured":[118],"using":[119],"Chi-square":[120],"Fisher\u2019s":[122],"Exact":[123],"tests.":[124],".":[125],"Results:":[126],"Of":[127],"148":[128],"caregivers,":[129],"most":[130],"mothers":[132],"(83.2%)":[133],"non-White":[135],"(91.9%).":[136],"Over":[137],"half":[138],"born":[140],"outside":[141],"the":[143,178,234],"U.S":[144],"(59.7%)":[145],"one-third":[147,152],"LEP":[149,161,173,213,248],"(33.6%).":[150],"Approximately":[151],"(30.9%)":[153],"successfully":[154],"utilized":[155,180,195],"program-provided":[156],"12-week":[159],"follow-up.":[160],"caregivers":[162,165,174,185,194,214,249],"undocumented":[164],"more":[167,182,192,226],"likely":[168,227],"be":[170],"lost-to-follow-up.":[171],"However,":[172],"who":[175],"remained":[176],"than":[183],"English-proficient":[184],"(38.4%":[186],"vs.":[187,202,204],"18.4%,":[188],"p=0.031).":[189],"Similarly,":[190],"significantly":[191],"non-citizen":[193],"referrals":[196],"compared":[197],"citizens":[200],"(37.4%":[201],"23.1%":[203],"0.0%,":[205],"p=0.043).":[206],"Conclusions:":[207],"Families":[208],"non-US":[210],"citizen":[211],"highest":[217],"being":[220],"lost-to-follow-up,":[221],"but":[222],"if":[223],"engaged,":[224],"utilize":[229],"These":[231],"findings":[232],"indicate":[233],"need":[235],"for":[236],"larger":[237],"determine":[240],"how":[241],"prevent":[243],"loss-to-follow-up":[244],"participating":[250],"programs.":[254]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":16},{"year":2022,"cited_by_count":13},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1}],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2018-08-03T00:00:00"}