Integrating Social Determinants of Health With Treatment and Prevention: A New Tool to Assess Local Area Deprivation
Open accessAbstract
We assessed the appropriate geographic scale to apply an area deprivation index (ADI), which reflects a geographic area's level of socioeconomic deprivation and is associated with health outcomes, to identify and screen patients for social determinants of health. We estimated the relative strength of the association between the ADI at various geographic levels and a range of hospitalization rates by using age-adjusted odds ratios in an 8-county region of New York State. The 10-km local ADI estimates had the strongest associations with all hospitalization rates (higher odds ratios) followed by estimates at 20 km, 30 km, and the regional scale. A locally sensitive ADI is an ideal measure to identify and screen for the health care and social services needs and to advance the integration of social determinants of health with clinical treatment and disease prevention.
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Existing research has explored integrating patient SDoH data with geospatial datasets like census demographics and social vulnerability index (SVI) to estimate SDoH factors at a community or neighborhood level.
“Existing research has also explored integrating patient SDoH data with geospatial datasets like census demographics and social vulnerability index (SVI) to estimate SDoH factors at a community or neighborhood level41–44.”
From Social determinants of health extraction from clinical notes across institutions using large language models (2025) · cites this paper as [43]
The Results describe a local area deprivation index built from 17 census variables, and the Methods compare it with hospitalization data aggregated by ZIP code. This supports estimating neighborhood-level deprivation, but the paper does not report integrating patient SDoH data with geospatial datasets or using a social vulnerability index (SVI). (LLM, conf=0.88)
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- Authors
- Maroko, A. R., Doan, T. M., Arno, P. S., Hubel, M., Yi, S., & Viola, D.
- Affiliations
- Westchester Medical Center (US)
- Corresponding author
- Maroko, Andrew R.
- Venue
- Preventing Chronic Disease
- Published
- 2016-09-15
- Volume
- 13
- Pages
- E128-E128
- ISSN
- 1545-1151 (ISSN-L)
- PMC
- PMC5027849
- OpenAlex
- W2511464381
- Cited by
- 230
- References
- 7
- Citations by year
- 2026: 33 · 2025: 63 · 2024: 53 · 2023: 41 · 2022: 27 · 2021: 9 · 2020: 2 · 2019: 1 · 2012: 1
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- public-domain
- Locations
- Preventing Chronic Disease (publishedVersion, public-domain)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- CUNY Academic Works (City University of New York) (submittedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
- Keywords
- social determinants of health, Area Deprivation Index, socioeconomic deprivation, geographic scale, hospitalization rates, disease prevention, New York State
- MeSH terms
- Hospitalization, Humans, New York, Preventive Health Services, Social Work, Socioeconomic Factors, Social Determinants of Health
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