黑人与拉丁裔人群中与健康相关的社会需求与不良妊娠结局的关联
Association of Health-Related Social Needs With Adverse Pregnancy Outcomes Among Black and Latina Individuals.
作者信息
Belak Lauren, James Kaitlyn, Rana Marya, Viscosi Victoria, Eweka Imuetiyan, Busso Jaiden, Sarma Amy, Powe Camille, Economy Katherine, Honigberg Michael C
机构信息
Department 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.
出版信息
Obstet Gynecol. 2025 Jul 3. doi: 10.1097/AOG.0000000000005999.
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.
美国黑人和拉丁裔美国人不良妊娠结局（APO）的发生率正在上升。尚不清楚与健康相关的社会需求（HRSN）是否与少数族裔群体的APO存在前瞻性关联。黑人和拉丁裔孕妇完成了一项由医疗保险和医疗补助服务中心认可的筛查工具，该工具涵盖了HRSN的13个领域。我们测试了累积HRSN得分与APO之间的关联，并对年龄、既往APO史和产次进行了调整。在320名参与者中，119名（37.2%）至少有一项APO。综合HRSN得分每增加1分，发生APO的几率就会高出11.0%。与0-4分相比，HRSN得分为7分或更高与APO几率高出2.34倍相关（95%CI，1.26-4.34，P=0.007）。怀孕可能为识别和解决使美国黑人和拉丁裔面临APO风险的HRSN提供机会。
Zotero 插件