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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Discovering Social Determinant of Health Risk Factors for Perinatal Morbidity Through Real World Data

Cheng Gao1, You Chen1,2

  • 1Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.

Studies in Health Technology and Informatics
|January 25, 2024
PubMed

Insights

Social vulnerability significantly impacts gestational diabetes and preterm birth risks. Addressing social determinants of health is crucial for improving maternal and infant outcomes in reproductive health.

Area of Science:

  • Perinatal health
  • Social epidemiology
  • Reproductive health

Background:

  • Gestational diabetes and preterm birth are major perinatal morbidities.
  • Clinical factors are known contributors, but social determinants of health are increasingly recognized as critical.
  • Understanding these social factors is vital for effective public health strategies.

Purpose of the Study:

  • To quantify the association between the Social Vulnerability Index (SVI) and perinatal morbidities.
  • To identify specific social determinants contributing to adverse pregnancy outcomes.
  • To inform targeted interventions for improved reproductive health.

Main Methods:

  • Multivariate logistic regression models were employed.
  • The Social Vulnerability Index (SVI) was used as a key exposure variable.
  • Associations between SVI themes and perinatal morbidities were analyzed.

Main Results:

  • Significant associations were found between SVI and both gestational diabetes and preterm birth.
  • Factors across all four themes of the SVI demonstrated significant links to these conditions.
  • This highlights the pervasive influence of social vulnerability on pregnancy outcomes.

Conclusions:

  • Social vulnerability is a significant predictor of gestational diabetes and preterm birth.
  • Interventions must address social determinants of health to reduce these perinatal morbidities.
  • Targeting SVI-related factors is essential for advancing reproductive health equity.

Keywords:
Preterm birthSDoHelectronic health recordgestational diabetes

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