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Updated: Aug 15, 2026

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Association between census-tract Social Vulnerability Index and preterm birth rates
Jocelyn V Burridge1, Rebecca J Baer1, Christina D Chambers1
1Department of Pediatrics, San Diego School of Medicine University of California La Jolla California USA.
Pregnancy (Hoboken, N.J.)
|August 14, 2026
Summary
Higher Social Vulnerability Index (SVI) scores are linked to increased preterm birth (PTB) risk. This highlights SVI
Area of Science:
- Public Health
- Epidemiology
- Sociomedical Sciences
Background:
- Preterm birth (PTB) is a major cause of infant mortality and morbidity.
- Sociodemographic factors significantly influence PTB risk, particularly in marginalized populations.
- The Social Vulnerability Index (SVI) quantifies these factors, offering a tool for targeted interventions.
Purpose of the Study:
- To investigate the association between census-tract level SVI and PTB risk.
- To examine the relationship between individual SVI themes and PTB and very PTB.
- To inform the development of interventions for high-risk populations.
Main Methods:
- Retrospective cohort study using California birth data (2018-2021).
- Linked hospital and birth certificate records with 2020 census tract data and CDC SVI.
- Used mixed-effect logistic regression, adjusting for confounders and spatial dependencies.
Main Results:
- A significant association was found between higher SVI quintiles and increased PTB risk.
- The highest PTB risk was observed in the Very High SVI quintile (aOR 1.34).
- Increased risks for very PTB and individual SVI themes were also identified.
Conclusions:
- Higher SVI at the census-tract level is significantly associated with increased PTB.
- SVI and its themes can serve as valuable tools for PTB risk assessment.
- Findings support targeted interventions in high-SVI areas to reduce PTB disparities.
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