ArticleBMC pregnancy and childbirth2023
Association between social vulnerability profiles, prenatal care use and pregnancy outcomes.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Implementation and evaluation of the effectiveness of the continuous midwifery care model in socially vulnerable women: a convergent parallel mixed methods study protocol.Journal of health, population, and nutrition · 2026Trial
- Implementing a prenatal health screening intervention for future fathers in Montreuil, France: most users are immigrants facing hardship.BMC public health · 2024Trial
- The association between the degree of social vulnerability and maternal anemia and other adverse perinatal outcomes.Pregnancy (Hoboken, N.J.) · 2026Article
- From the Atacama to Patagonia: Understanding the Effects of Extreme Temperatures on Birth Weight Across Climate Regions in Chile.GeoHealth · 2025Article
- Poverty and Social Disadvantage in Women and Men and Fertility Outcomes.JAMA network open · 2025Article
- Social Vulnerability and Pregnancy Option Counseling in the Setting of Periviable Delivery.Journal of clinical medicine · 2025Article
- Is live birth rate decline from frozen cycles performed during Chinese new year holiday season: A single center retrospective cohort.PloS one · 2025Article
- Article
- Maternal social deprivation and preterm birth: The PreCARE cohort study.Paediatric and perinatal epidemiology · 2025Article
- Effect of Social Vulnerability Index on Betamethasone Timing in Patients at Risk of Preterm Birth.Journal of clinical medicine · 2024Article
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7 authors.
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Abstract
backgroundEvaluating social vulnerability is a challenging task. Indeed, former studies demonstrated an association between geographical social deprivation indicators, administrative indicators, and poor pregnancy outcomes.
objectiveTo evaluate the association between social vulnerability profiles, prenatal care use (PCU) and poor pregnancy outcomes (Preterm birth (PTB: <37 gestational weeks (GW)), small for gestational age (SGA), stillbirth, medical abortion, and late miscarriage).
methodsRetrospective single center study between January 2020 and December 2021. A total of 7643 women who delivered a singleton after 14 GW in a tertiary care maternity unit were included. Multiple component analysis (MCA) was used to assess the associations between the following social vulnerabilities: social isolation, poor or insecure housing conditions, not work-related household income, absence of standard health insurance, recent immigration, linguistic barrier, history of violence, severe dependency, psychologic vulnerability, addictions, and psychiatric disease. Hierarchical clustering on principal component (HCPC) from the MCA was used to classify patients into similar social vulnerability profiles. Associations between social vulnerability profiles and poor pregnancy outcomes were tested using multiple logistic regression or Poisson regression when appropriate.
resultsThe HCPC analysis revealed 5 different social vulnerability profiles. Profile 1 included the lowest rates of vulnerability and was used as a reference. After adjustment for maternal characteristics and medical factors, profiles 2 to 5 were independently associated with inadequate PCU (highest risk for profile 5, aOR = 3.14, 95%CI[2.33-4.18]), PTB (highest risk for profile 2, aOR = 4.64, 95%CI[3.80-5.66]) and SGA status (highest risk for profile 5, aOR = 1.60, 95%CI[1.20-2.10]). Profile 2 was the only profile associated with late miscarriage (adjusted incidence rate ratio (aIRR) = 7.39, 95%CI[4.17-13.19]). Profiles 2 and 4 were independently associated with stillbirth (highest association for profile 2 (aIRR = 10.9, 95%CI[6.11-19.99]) and medical abortion (highest association for profile 2 (aIRR = 12.65, 95%CI[5.96-28.49]).
conclusionsThis study unveiled 5 clinically relevant social vulnerability profiles with different risk levels of inadequate PCU and poor pregnancy outcomes. A personalized patient management according to their profile could offer better pregnancy management and reduce adverse outcomes.
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