Original Investigation

Perspectives on Health-Related Social Needs Screening in Primary Care Among Black and Latine Patients

JAMA Network Open 10.1001/jamanetworkopen.2025.29538

August 28, 2025 at 11:00 AM EDT

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How do Black and Latine patients perceive screening for health-related social needs (HRSNs) and referral systems in primary care?In this qualitative study, 32 patients described HRSN screening and referral systems as promising but emphasized barriers that disproportionately affect minoritized patients, including lack of systematic protocols, insufficient resources, and limited trust in professionals and institutions. Patients described actively weighing perceived risks with low likelihood of benefits, ultimately limiting their disclosure of HRSNs.Compounding barriers may reduce the likelihood of Black and Latine patients’ HRSNs being recognized and addressed, suggesting the need for strategies to promote equitable implementation of social care systems.

Corresponding Author: Kristin A. Long, PhD, Department of Psychological kalong@bu.edu).

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