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Social Determinants of Health and Diabetes in Pregnancy.
Field, Christine; Wang, Xiao-Yu; Costantine, Maged M; Landon, Mark B; Grobman, William A; Venkatesh, Kartik K.
Affiliation
  • Field C; Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
  • Wang XY; Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
  • Costantine MM; Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
  • Landon MB; Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
  • Grobman WA; Department of Obstetrics and Gynecology, Brown University, Providence, Rhode Island.
  • Venkatesh KK; Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
Am J Perinatol ; 2024 Sep 19.
Article de En | MEDLINE | ID: mdl-39209304
ABSTRACT
Social determinants of health (SDOH) are the conditions in which people are born, grow, work, live, and age. SDOH are systemic factors that may explain, perpetuate, and exacerbate disparities in health outcomes for different populations and can be measured at both an individual and neighborhood or community level (iSDOH, nSDOH). In pregnancy, increasing evidence shows that adverse iSDOH and/or nSDOH are associated with a greater likelihood that diabetes develops, and that when it develops, there is worse glycemic control and a greater frequency of adverse pregnancy outcomes. Future research should not only continue to examine the relationships between SDOH and adverse pregnancy outcomes with diabetes but should determine whether multi-level interventions that seek to mitigate adverse SDOH result in equitable maternal care and improved patient health outcomes for pregnant individuals living with diabetes. KEY POINTS · SDOH are conditions in which people are born, grow, work, live, and age.. · SDOH are systemic factors that may explain, perpetuate, and exacerbate disparities in health outcomes.. · SDOH can be measured at the individual and neighborhood level.. · Adverse SDOH are associated with worse outcomes for pregnant individuals living with diabetes.. · Interventions that mitigate adverse SDOH to improve maternal health equity and outcomes are needed..

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Langue: En Journal: Am J Perinatol Année: 2024 Type de document: Article Pays de publication: États-Unis d'Amérique

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Langue: En Journal: Am J Perinatol Année: 2024 Type de document: Article Pays de publication: États-Unis d'Amérique