J Health Care Poor Underserved. 2023;34(2):685-702. doi: 10.1353/hpu.2023.0058.
To understand perinatal risks associated with social needs in pregnancy Methods. Multivariable log-binomial regression analyses adjusting for age, parity, and insurance were used to evaluate the relationship between any social need (e.g., housing, transportation, food, and intimate partner violence) and adverse perinatal outcomes (stillbirth, prematurity, maternal morbidity) in a cohort of English and Spanish-speaking patients who obtained prenatal care and birthed at our institution during a one-year period.
Of 2,435 patients, 1,608 (66%) completed social needs screening at least once during prenatal care. The cohort was predominantly non-Hispanic Black (1,294, 80%) and publicly insured (1,395, 87%). Having one or more social need was associated with three-fold increased risk of stillbirth (aRR 3.35, 95%CI 1.31,8.6) and 14% reduction in postpartum care attendance (aRR 0.86, 95%CI 0.78-0.95) and was highest in individuals reporting transportation needs.
Social needs during pregnancy were associated with increased risk of stillbirth.
了解与妊娠社会需求相关的围产期风险。
采用多变量对数二项式回归分析，调整年龄、产次和保险状况，评估在一个英语和西班牙语患者队列中，任何社会需求（如住房、交通、食品和亲密伴侣暴力）与不良围产期结局（死胎、早产、产妇发病率）之间的关系，这些患者在一年期间在我们的机构获得产前护理并分娩。
在 2435 名患者中，1608 名（66%）在产前护理期间至少完成了一次社会需求筛查。队列主要是非西班牙裔黑人（1294 名，80%）和公共保险（1395 名，87%）。有一个或多个社会需求与死胎风险增加三倍相关（调整后的相对风险 3.35，95%置信区间 1.31-8.6），产后护理就诊率降低 14%（调整后的相对风险 0.86，95%置信区间 0.78-0.95），在报告交通需求的个体中风险最高。
妊娠期间的社会需求与死胎风险增加相关。
