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Social determination in the health of children born preterm: a scoping review

Mariana Fuentes Mendoza Rodrigues Soares1, Amanda de Azevedo Gomes1, Juliana Barony da Silva1

  • 1Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil.

Revista Latino-Americana De Enfermagem
|July 16, 2025
PubMed

Insights

This scoping review maps Social Determinants of Health (SDOH) impacting preterm infants. Findings show individual characteristics are most studied, while behavior and living conditions require more research for comprehensive care.

Area of Science:

  • Pediatrics
  • Public Health
  • Social Sciences

Background:

  • Preterm birth presents unique health challenges in early life.
  • Understanding the Social Determinants of Health (SDOH) is crucial for optimizing outcomes in vulnerable populations.
  • A comprehensive map of SDOH research for preterm infants is needed.

Purpose of the Study:

  • To systematically map scientific knowledge on the dimensions of Social Determinants of Health (SDOH) affecting the health of children born preterm.
  • To identify research gaps in the investigation of SDOH in this population within the first two years of life.

Main Methods:

  • A scoping review methodology was employed, guided by the Joanna Briggs Institute and PRISMA-ScR guidelines.
  • Searches were conducted across five databases, supplemented by reference list screening.
  • Data extraction utilized a coding tool based on the SDOH theoretical model, supported by MaxQDA software.

Main Results:

  • Thirty-one publications were included in the review.
  • The most frequently investigated SDOH dimensions related to individual characteristics, including health conditions, age, sex, and hereditary factors.
  • Child development was the most explored dimension of child health, while behavioral and living conditions were underrepresented.

Conclusions:

  • Current research on SDOH for preterm infants primarily focuses on individual characteristics and child development.
  • There is a need for broader, integrated investigations into SDOH, including behavioral and living conditions.
  • Future research should adopt a more holistic approach to inform centered care and early interventions for preterm infants.

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