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Introduction: This study explores the relationship between health-related social needs and cervical cancer screening among community health center patients. Methods: The authors analyzed data from March 2020 to March 2023 for women aged 24-64 years seeking care at a community health center across 19 states that share an electronic data repository. Health-related social needs were assessed through (1) health-related social needs questionnaire, (2) health-related social needs questionnaire + keyword search for health-related social needs (expanded health-related social needs capture), and (3) a homelessness flag. The authors examined the completion of cervical cancer screening before and after health-related social need screenings in unadjusted and adjusted analyses. Results: <0.01). After health-related social need screenings, the rates of cervical cancer screening were similar by health-related social need, regardless of age. Conclusions: Our findings showed that health-related social needs were associated with cervical cancer screening, with differences varying by age group and type of social need. Women aged 24-30 years with food insecurity had significantly higher cervical cancer screening rates than those without health-related social needs, and women of any age with housing insecurity had significantly lower cervical cancer screening rates than those without health-related social needs. After health-related social need screenings, disparities persisted among women who had experiences of homelessness.
Salazar et al. (Mon,) studied this question.