Integrating Social Determinants of Health Screening in Student Dental Hygiene Clinical Practice

Abstract

Purpose Social determinants of health (SDOH) significantly influence oral and systemic health outcomes yet are often unaddressed in dental hygiene clinical practice. The purpose of this study was to determine the feasibility of integrating SDOH screenings and referrals into a dental hygiene educational clinic and assess the impact on student learning.Methods This two-part, survey-based study included adult patients (n=208) receiving care at a dental hygiene clinic who had completed a validated SDOH needs assessment. Patients with identified needs were referred to community resources using findhelp.org and 211.org, with follow-up conducted via phone calls. A second survey captured reflections from student dental hygienists (n=15) on their experience with the screening and referral process.Results Findings showed that while most patients reported stable housing and food access, a modest number reported concerns related to personal safety, transportation, healthcare access, and emotional well-being. Only a small minority accessed resources post-referral, often due to barriers such as time constraints or that they were not given the website information. Student reflections indicated that the experience increased awareness of patient challenges beyond oral health and fostered empathy, although time limitations and patient discomfort were noted as barriers. Students expressed a variety of views on incorporating SDOH assessments into future practice.Conclusion This study demonstrated that SDOH screening and referral is feasible within dental hygiene education and can enhance student understanding of the broader context of patient care. Further research is needed to determine the experiences of patients and students in other dental hygiene entry-level programs. Future curriculum integration and expansion to additional programs may further support efforts to address health disparities beyond the educational setting to clinical dental hygiene practice.

Keywords: access to care; clinical education; cultural competency; dental hygiene education; health literacy.