Evidence map›Paper›PMID 41001222›Full record

ArticleO&G open2024

Social Determinants of Health and Disparities in Pregnancy Outcomes.

Kazuma Onishi, Alfred Abuhamad, George Saade, William Grobman, Robert Silver, Philip Greenland, Hyagriv Simhan, Noel C Bairey Merz, David Haas, Parry Samuel and 1 more

Abstract read
PubMed Full text at PMC Publisher
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Article in O&G open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kazuma OnishiDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Alfred AbuhamadDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
George SaadeDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
William GrobmanDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Robert SilverDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Philip GreenlandDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Hyagriv SimhanDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Noel C Bairey MerzDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
David HaasDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Parry SamuelDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Tetsuya KawakitaDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, The Ohio State University, Columbus, Ohio, University of Utah, Salt Lake City, Utah, University of Pittsburgh, Pittsburgh, Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, and Indiana University School of Medicine, Indianapolis, Indiana; the Departments of Preventive Medicine and Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and the Barbra Streisand Women's Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the extent to which racial and ethnic disparities in adverse pregnancy outcomes between non-Hispanic Black women and non-Hispanic White women may be explained by social determinants of health (SDoH).

methodsThis study was a secondary analysis of a prospective cohort study (nuMoM2b [Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be]) that enrolled 10,038 nulliparous individuals with singleton pregnancies. This analysis included only individuals who identified as non-Hispanic Black or non-Hispanic White. We used the nonlinear extension of the Oaxaca-Blinder decomposition based on logistic regression to estimate the percentage contribution of SDoH to racial and ethnic disparity in preterm birth (PTB) and preeclampsia. Eleven SDoH variables in the models covered various SDoH domains (ie, sociodemographic, psychological, behavioral, social relationship, and health care access and quality).

resultsOf 10,038 individuals, 1,321 non-Hispanic Black and 5,762 non-Hispanic White individuals composed the study population. Compared with non-Hispanic White individuals, non-Hispanic Black individuals had 3.9% (95% CI, 2.0-5.7) and 4.1% (95% CI, 2.2-6.0) higher frequencies of PTB and preeclampsia, respectively. A large proportion of disparities between non-Hispanic White women and non-Hispanic Black women in PTB (56.4%; 95% CI, 2.9-100.0) and preeclampsia (71.2%; 95% CI, 17.5-100.0) may be explained by SDoH.

conclusionA large percentage of the racial and ethnic disparities between non-Hispanic Black and non-Hispanic White individuals in PTB and preeclampsia were explained by SDoH. These findings underscore the contribution of SDoH to racial and ethnic disparities in adverse pregnancy outcomes and point to intervention targets to reduce racial health disparities.

Identifiers

PMID41001222
PMCPMC12456545

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.