@article{TEXTUAL,
      recid = {11243},
      author = {Cené, Crystal W. and Viswanathan, Meera and Fichtenberg,  Caroline M. and Sathe, Nila A. and Kennedy, Sara M. and  Gottlieb, Laura M. and Cartier, Yuri and Peek, Monica E.},
      title = {Racial Health Equity and Social Needs Interventions: A  Review of a Scoping Review},
      journal = {JAMA Network Open},
      address = {2023-01-19},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Importance: Social needs interventions aim to improve  health outcomes and mitigate inequities by addressing  health-related social needs, such as lack of transportation  or food insecurity. However, it is not clear whether these  studies are reducing racial or ethnic inequities.&lt;/p&gt;  &lt;p&gt;Objective: To understand how studies of interventions  addressing social needs among multiracial or multiethnic  populations conceptualize and analyze differential  intervention outcomes by race or ethnicity.&lt;/p&gt; &lt;p&gt;Evidence  Review: Sources included a scoping review of systematic  searches of PubMed and the Cochrane Library from January 1,  1995, through November 29, 2021, expert suggestions, and  hand searches of key citations. Eligible studies evaluated  interventions addressing social needs; reported behavioral,  health, or utilization outcomes or harms; and were  conducted in multiracial or multiethnic populations. Two  reviewers independently assessed titles, abstracts, and  full text for inclusion. The team developed a framework to  assess whether the study was "conceptually thoughtful" for  understanding root causes of racial health inequities (ie,  noted that race or ethnicity are markers of exposure to  racism) and whether analyses were "analytically  informative" for advancing racial health equity research  (ie, examined differential intervention impacts by race or  ethnicity).&lt;/p&gt; &lt;p&gt;Findings: Of 152 studies conducted in  multiracial or multiethnic populations, 44 studies included  race or ethnicity in their analyses; of these, only 4 (9%)  were conceptually thoughtful. Twenty-one studies (14%) were  analytically informative. Seven of 21 analytically  informative studies reported differences in outcomes by  race or ethnicity, whereas 14 found no differences. Among  the 7 that found differential outcomes, 4 found the  interventions were associated with improved outcomes for  minoritized racial or ethnic populations or reduced  inequities between minoritized and White populations. No  studies were powered to detect  differences.&lt;/p&gt;&lt;p&gt;Conclusions and Relevance: In this  review of a scoping review, studies of social needs  interventions in multiracial or multiethnic populations  were rarely conceptually thoughtful for understanding root  causes of racial health inequities and infrequently  conducted informative analyses on intervention  effectiveness by race or ethnicity. Future work should use  a theoretically sound conceptualization of how race (as a  proxy for racism) affects social drivers of health and use  this understanding to ensure social needs interventions  benefit minoritized racial and ethnic groups facing social  and structural barriers to health.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/11243},
}