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Association of Health-Related Social Needs With Adverse Pregnancy Outcomes Among Black and Latina Individuals
Lauren Belak1, Kaitlyn James, Marya Rana
1Department of Medicine, the Department of Obstetrics and Gynecology, the Cardiovascular Research Center, the Heart Vascular Institute, the Diabetes Unit, Department of Medicine, and the Cardiology Division, Massachusetts General Hospital, Harvard Medical School, and the Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, and the Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts.
Abstract:
Rates of adverse pregnancy outcomes (APOs) are increasing among Black and Latina Americans. Whether health-related social needs (HRSNs) are prospectively associated with APOs among racial and ethnic minoritized groups is unclear. Black and Latina pregnant individuals completed a Centers for Medicare & Medicaid Services-endorsed screening tool encompassing 13 domains of HRSNs. We tested the association of cumulative HRSN scores with APOs, adjusted for age, prior APO history, and parity. Among 320 participants, 119 (37.2%) had at least one APO. Each 1-point increase in a composite HRSN score was associated with 11.0% higher odds of developing an APO. An HRSN score of 7 or higher, compared with 0-4, was associated with 2.34-fold odds of APOs (95% CI, 1.26-4.34, P =.007). Pregnancy may provide an opportunity to identify and address HRSNs that place Black and Latina Americans at risk for APOs.
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