abstract: 'Background Social history (SH) makes it possible to learn the social

  environment of children in pediatric practice and enables interventions

  into social risks such as poverty. While SH has been evolving in use as

  an advocacy practice in high-income countries, that seems not to be the

  case in low- and middle-income countries. We explored pediatricians'' and

  pediatric residents'' opinions and experiences of SH with an aim to

  promote advocacy-based SH practices in Turkey. Methods A qualitative

  study conducted involving interviews with pediatrics residents,

  pediatricians and educators, and a focus group with residents.

  Interviews and the focus group were transcribed and reviewed for themes

  using qualitative content analysis. Results The principal objective of

  SH was found to be diagnosis rather than advocacy. Although all

  participants expressed opinions about socioeconomic conditions'' vital

  influence on child health, most reported limited use of SH. When asked

  about social needs screening with SH, most participants opposed with

  various reasons, primarily time concerns and doubts about the necessity

  for each child. Lack of time was reported as the leading barrier to SH

  by participants. Other barriers were identified as lack of structured SH

  education, problems regarding referrals and interdisciplinary work, and

  the biomedical health approach which defines the physician''s role within

  the physical health domain. Conclusions for Practice To achieve an

  advocacy-based SH practice, the biomedical health approach should be

  questioned. Action is needed to implement a social determinants of

  health approach and equity focus to health policies and to medical and

  residency education.'
affiliation: 'Kanatli, MC (Corresponding Author), Ankara Univ, Sch Med, Dev Behav
  Pediat Div, Dept Pediat, TR-06620 Ankara, Turkey.

  Kanatli, Merve cicek, Ankara Univ, Sch Med, Dev Behav Pediat Div, Dept Pediat, TR-06620
  Ankara, Turkey.

  Yalcin, Siddika Songul, Hacettepe Univ, Unit Social Pediat, Fac Med, Dept Pediat,
  TR-06100 Ankara, Turkey.'
author: Kanatli, Merve cicek and Yalcin, Siddika Songul
author-email: mervecicekkanatli@yahoo.com
author_list:
- family: Kanatli
  given: Merve cicek
- family: Yalcin
  given: Siddika Songul
da: '2023-09-28'
doi: 10.1007/s10995-021-03191-7
earlyaccessdate: JUN 2021
eissn: 1573-6628
files: []
issn: 1092-7875
journal: MATERNAL AND CHILD HEALTH JOURNAL
keywords: 'Social history; Social determinants of health; Child health advocacy;

  Low- and middle-income countries; Biomedical health approach'
keywords-plus: HEALTH-CARE; SYSTEMS; EQUITY
language: English
month: SEP
number: '9'
number-of-cited-references: '35'
orcid-numbers: 'YALCIN, SIDDIKA SONGUL/0000-0001-9061-4281

  Kanatli, Merve Cicek/0000-0003-4697-9886'
pages: 1426-1436
papis_id: 312af8eb5a5c1ad4205bce38f6cd31f9
ref: Kanatli2021socialdeterminants
researcherid-numbers: 'YALCIN, SIDDIKA SONGUL/I-9331-2013

  '
times-cited: '1'
title: 'Social Determinants Screening with Social History: Pediatrician and Resident
  Perspectives from a Middle-Income Country'
type: article
unique-id: WOS:000664402200001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '25'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2021'