Lauren Belak, Kaitlyn James, Marya Rana, Victoria Viscosi, Imuetiyan Eweka, Jaiden Busso, Amy Sarma, Camille Powe, Katherine Economy, Michael C Honigberg
{"title":"与健康相关的社会需求与黑人和拉丁裔个体不良妊娠结局的关联","authors":"Lauren Belak, Kaitlyn James, Marya Rana, Victoria Viscosi, Imuetiyan Eweka, Jaiden Busso, Amy Sarma, Camille Powe, Katherine Economy, Michael C Honigberg","doi":"10.1097/AOG.0000000000005999","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":19483,"journal":{"name":"Obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233133/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association of Health-Related Social Needs With Adverse Pregnancy Outcomes Among Black and Latina Individuals.\",\"authors\":\"Lauren Belak, Kaitlyn James, Marya Rana, Victoria Viscosi, Imuetiyan Eweka, Jaiden Busso, Amy Sarma, Camille Powe, Katherine Economy, Michael C Honigberg\",\"doi\":\"10.1097/AOG.0000000000005999\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":19483,\"journal\":{\"name\":\"Obstetrics and gynecology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2025-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233133/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obstetrics and gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/AOG.0000000000005999\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetrics and gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AOG.0000000000005999","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Association of Health-Related Social Needs With Adverse Pregnancy Outcomes Among Black and Latina Individuals.
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.
期刊介绍：
"Obstetrics & Gynecology," affectionately known as "The Green Journal," is the official publication of the American College of Obstetricians and Gynecologists (ACOG). Since its inception in 1953, the journal has been dedicated to advancing the clinical practice of obstetrics and gynecology, as well as related fields. The journal's mission is to promote excellence in these areas by publishing a diverse range of articles that cover translational and clinical topics.
"Obstetrics & Gynecology" provides a platform for the dissemination of evidence-based research, clinical guidelines, and expert opinions that are essential for the continuous improvement of women's health care. The journal's content is designed to inform and educate obstetricians, gynecologists, and other healthcare professionals, ensuring that they stay abreast of the latest developments and best practices in their field.
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