Associations between Health-Related Social Needs and Postpartum Linkage to Care

被引:0
作者
Horwitz, Mara E. Murray [1 ,2 ]
Dugas, Julianne N. [3 ,4 ]
Mccloskey, Lois [5 ]
So-Armah, Kaku [1 ]
Yarrington, Christina D. [6 ,7 ,8 ,9 ]
de la Vega, Pablo Buitron [1 ]
Benjamin, Emelia J. [1 ,10 ]
Battaglia, Tracy A. [1 ,2 ,10 ,11 ]
机构
[1] Boston Univ, Chobanian & Avedisian Sch Med, Dept Med, Boston, MA USA
[2] Boston Med Ctr, Womens Hlth Unit, Sect Gen Internal Med, Boston, MA USA
[3] Boston Univ, Sch Publ Hlth, Biostat & Epidemiol Data Analyt Ctr, Boston, MA USA
[4] Women & Infants Hosp Rhode Isl, Dept Pediat, Providence, RI USA
[5] Boston Univ, Sch Publ Hlth, Dept Community Hlth Sci, Boston, MA USA
[6] Boston Med Ctr, Dept Obstet & Gynecol, Boston, MA USA
[7] Boston Univ, Chobanian & Avedisian Sch Med, Boston, MA USA
[8] Univ New Mexico, Albuquerque, NM USA
[9] Univ New Mexico, Med Sch, Albuquerque, NM USA
[10] Boston Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
[11] Yale Sch Med, Yale Canc Ctr, New Haven, CT USA
关键词
ADVERSE PREGNANCY OUTCOMES; HYPERTENSIVE DISORDERS; DISEASE PREVENTION; UNITED-STATES; ICD-10; CODES; LOW-INCOME; WOMEN; VALIDATION; PROMOTION;
D O I
10.1016/j.amepre.2024.12.013
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: Ongoing care after pregnancy is recommended. Health-related social needs are recognized barriers to care, yet their pregnancy-related prevalence and associations with care are unknown. Researchers sought to assess (1) the prevalence of health-related social needs during pregnancy-based care, and (2) their associations with ongoing care after pregnancy. Methods: Electronic health record data were analyzed for individuals with prenatal care and delivery (2018 -2021) at an urban safety-net hospital, with routine screening for health-related social needs multiple times during pregnancy through 6 weeks postpartum. Health-related social needs were summarized as screened negative, screened positive, or not screened. Linkage to ongoing care was defined as a completed non-urgent visit separate from pregnancy-based care, >6 weeks through 1 year postpartum. Data were collected in 2022 and analyzed in 2023-2024. Results: Of 4,941 individuals, 53% identified as Black non-Hispanic and 21% as Hispanic, 68% were publicly insured, and 93% completed >= 1 health-related social needs screening. Nearly 1 in 4 screened positive for health-related social needs, and 53% linked to ongoing care. Compared with those who screened negative for health-related social needs (n=3,491), linkage to ongoing care was similar among those who screened positive (n=1,079; adjusted risk ratio, aRR=1.04, 95% CI=0.98, 1.10) and lower among those not screened (n=371; aRR=0.77, 95% CI=0.68, 0.86). Conclusions: Researchers identified a 24% prevalence of pregnancy-related health-related social needs and 53% subsequent linkage to ongoing care. Compared with screening negative for healthrelated social needs, screening positive was not associated with linkage to care, while being not screened was associated with a 20% lower likelihood of linkage to ongoing care.
引用
收藏
页码:707 / 716
页数:10
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