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These findings highlight the need for tailored screening and treatment strategies, particularly in underserved communities who face elevated risk and barriers to health care

Although front-line clinicians can see patterns of key determinants for populations, leadership within health care organizations must advance this work by alignment with strategic directions, board support for community partnerships, adopting a culture that values the SDoH in addition to quality and affordable health care, measurement/evaluation, role clarification, creation of new skill sets, and realignment of resources [21], i.e., building a system approach to integration

Availability of data and materials All data used in this analysis can be downloaded directly from the DHS program (after registration) at: Funding None

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