ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2025
Association of Area Deprivation Index with perinatal and COVID-19 outcomes during the early pandemic: a secondary analysis of a prospective cohort study.
Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Impact of Telehealth and Social Drivers of Health on Utilization of Fetal Center Services.Children (Basel, Switzerland) · 2026Article
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12 authors.
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Abstract
objectiveWe sought to evaluate the relationship between neighborhood-level deprivation and perinatal outcomes, particularly preterm birth, as well as COVID-19 outcomes among pregnant patients during the early pandemic.
methodsWe performed a secondary analysis of a prospective longitudinal cohort study that investigated the impact of prenatal COVID-19 exposure on perinatal outcomes. Pregnant patients were recruited 12/23/20-7/18/22 and serially assessed for COVID-19 exposure during pregnancy, with serum antibody testing, electronic medical record review, and patient report. For this secondary analysis, address at the time of delivery was used to categorize patients into low ADI (≤50
results306 patients were included: 124 in the low ADI group and 182 in the highest ADI group. Baseline characteristics differed between groups, including notably lower rates of COVID-19 vaccination in the highest ADI group (24.2% vs 54.0%,
conclusionPatients in the highest ADI group, therefore living in the most deprived neighborhoods, were more likely to experience extremely preterm birth, contract SARS-CoV-2 infection, and become hospitalized due to COVID-19. The interplay of social determinants of health and perinatal outcomes must be better studied to target interventions to modifiable risk factors.
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