ArticleAmerican journal of perinatology2026
The Association of the Social Vulnerability Index with Acuity of Presentation to Obstetric Triage.
Article in American journal of perinatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
17 authors.
Funding
Abstract
Objective: Adverse social determinants of health are known to be associated with adverse pregnancy outcomes. The objective of this analysis was to assess the association between adverse community-level social determinants of health, measured with the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry Social Vulnerability Index (CDC/ATSDR SVI), and acute presentation to obstetric triage. We hypothesized that adverse community-level social determinants of health would be associated with greater clinical acuity at time of presentation. Study Design: This was a secondary analysis of an observational, multi-site cohort study of all triage visits from 20 Results: A total of 2,659 individuals were eligible for analysis. Individuals with higher overall SVI scores were younger and had higher BMI, and were more likely to be multiparous, use tobacco or illicit drugs, and live with co-morbidities. Higher SVI quartiles were not associated with acuity of presentation to triage (Q1 reference; Q2 adjusted odds ratio [aOR]: 0.97, 95% confidence interval [CI]: 0.68-1.38; Q3 aOR: 1.10, 95% CI: 0.76-1.57; Q4 aOR: 1.04, 95% CI: 0.72-1.50). Conclusion: We found no consistent association between the CDC SVI and acuity of presentation to obstetrical triage. Further research is needed to understand the relationships between adverse community-level social determinants of health and adverse perinatal outcomes. Key Points: · There was no association between the CDC SVI and acuity of presentation to obstetric triage, whether SVI was assessed as an overall score or by subtheme.. · This analysis adds to the understanding of the association between adverse community-level social determinants of health and conditions related to preterm delivery.. · This study indicates a need for ongoing research to better understand the mechanisms through which social vulnerability affects pregnancy outcomes..
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