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. 2021 Apr 28;9:633285. doi: 10.3389/fpubh.2021.633285

Table 2.

10-item screening domains for social determinants of health related to COVID-19.

Domain of health-related social needs Questions used by community health workers to assess needs
Employment Are you currently working? Is it full-time?
Food insecurity Are you worried about food?
Rent or utility assistance Do you have any worries about your home? How are you doing with rent? Are you worried about not having enough money to pay next month's rent? Are you worried about electricity/heating?
Medication access Are you worried about medications?
Hygiene Are you worried about soap, clean water, hand sanitizer?
Baby supplies Are you worried about baby supplies (i.e., formula, diapers, wipes)?
Transportation to health care How do you get to your doctor's appointments?
Social support Who lives with you at home? Who do you to talk to or turn to for support?
Child care Who can help you when you need someone to care for your child?
Additional concerns Do you have other concerns you would like to discuss?