@inproceedings{mitra-etal-2025-synth,
title = "Synth-{SBDH}: A Synthetic Dataset of Social and Behavioral Determinants of Health for Clinical Text",
author = "Mitra, Avijit and
Yang, Zhichao and
Druhl, Emily and
Goodwin, Raelene and
Yu, Hong",
editor = "Christodoulopoulos, Christos and
Chakraborty, Tanmoy and
Rose, Carolyn and
Peng, Violet",
booktitle = "Proceedings of the 2025 Conference on Empirical Methods in Natural Language Processing",
month = nov,
year = "2025",
address = "Suzhou, China",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2025.emnlp-main.1418/",
pages = "27887--27923",
ISBN = "979-8-89176-332-6",
abstract = "Social and behavioral determinants of health (SBDH) play a crucial role in health outcomes and are frequently documented in clinical text. Automatically extracting SBDH information from clinical text relies on publicly available good-quality datasets. However, existing SBDH datasets exhibit substantial limitations in their availability and coverage. In this study, we introduce Synth-SBDH, a novel synthetic dataset with detailed SBDH annotations, encompassing status, temporal information, and rationale across 15 SBDH categories. We showcase the utility of Synth-SBDH on three tasks using real-world clinical datasets from two distinct hospital settings, highlighting its versatility, generalizability, and distillation capabilities. Models trained on Synth-SBDH consistently outperform counterparts with no Synth-SBDH training, achieving up to 63.75{\%} macro-F improvements. Additionally, Synth-SBDH proves effective for rare SBDH categories and under-resource constraints while being substantially cheaper than expert-annotated real-world data. Human evaluation reveals a 71.06{\%} Human-LLM alignment and uncovers areas for future refinements."
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<abstract>Social and behavioral determinants of health (SBDH) play a crucial role in health outcomes and are frequently documented in clinical text. Automatically extracting SBDH information from clinical text relies on publicly available good-quality datasets. However, existing SBDH datasets exhibit substantial limitations in their availability and coverage. In this study, we introduce Synth-SBDH, a novel synthetic dataset with detailed SBDH annotations, encompassing status, temporal information, and rationale across 15 SBDH categories. We showcase the utility of Synth-SBDH on three tasks using real-world clinical datasets from two distinct hospital settings, highlighting its versatility, generalizability, and distillation capabilities. Models trained on Synth-SBDH consistently outperform counterparts with no Synth-SBDH training, achieving up to 63.75% macro-F improvements. Additionally, Synth-SBDH proves effective for rare SBDH categories and under-resource constraints while being substantially cheaper than expert-annotated real-world data. Human evaluation reveals a 71.06% Human-LLM alignment and uncovers areas for future refinements.</abstract>
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%0 Conference Proceedings
%T Synth-SBDH: A Synthetic Dataset of Social and Behavioral Determinants of Health for Clinical Text
%A Mitra, Avijit
%A Yang, Zhichao
%A Druhl, Emily
%A Goodwin, Raelene
%A Yu, Hong
%Y Christodoulopoulos, Christos
%Y Chakraborty, Tanmoy
%Y Rose, Carolyn
%Y Peng, Violet
%S Proceedings of the 2025 Conference on Empirical Methods in Natural Language Processing
%D 2025
%8 November
%I Association for Computational Linguistics
%C Suzhou, China
%@ 979-8-89176-332-6
%F mitra-etal-2025-synth
%X Social and behavioral determinants of health (SBDH) play a crucial role in health outcomes and are frequently documented in clinical text. Automatically extracting SBDH information from clinical text relies on publicly available good-quality datasets. However, existing SBDH datasets exhibit substantial limitations in their availability and coverage. In this study, we introduce Synth-SBDH, a novel synthetic dataset with detailed SBDH annotations, encompassing status, temporal information, and rationale across 15 SBDH categories. We showcase the utility of Synth-SBDH on three tasks using real-world clinical datasets from two distinct hospital settings, highlighting its versatility, generalizability, and distillation capabilities. Models trained on Synth-SBDH consistently outperform counterparts with no Synth-SBDH training, achieving up to 63.75% macro-F improvements. Additionally, Synth-SBDH proves effective for rare SBDH categories and under-resource constraints while being substantially cheaper than expert-annotated real-world data. Human evaluation reveals a 71.06% Human-LLM alignment and uncovers areas for future refinements.
%U https://aclanthology.org/2025.emnlp-main.1418/
%P 27887-27923
Markdown (Informal)
[Synth-SBDH: A Synthetic Dataset of Social and Behavioral Determinants of Health for Clinical Text](https://aclanthology.org/2025.emnlp-main.1418/) (Mitra et al., EMNLP 2025)
ACL