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Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States

Women represent the cornerstone of a family’s overall health. Therefore, supporting women’s health, particularly in pregnancy, is important to promote public health. Emerging data highlight the contribution of social determinants of health (SDOH) on pregnancy outcomes in understudied, underrepresent...

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Autores principales: Girardi, Guillermina, Longo, Monica, Bremer, Andrew A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483713/
https://www.ncbi.nlm.nih.gov/pubmed/37674167
http://dx.doi.org/10.1186/s12939-023-01963-x
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author Girardi, Guillermina
Longo, Monica
Bremer, Andrew A.
author_facet Girardi, Guillermina
Longo, Monica
Bremer, Andrew A.
author_sort Girardi, Guillermina
collection PubMed
description Women represent the cornerstone of a family’s overall health. Therefore, supporting women’s health, particularly in pregnancy, is important to promote public health. Emerging data highlight the contribution of social determinants of health (SDOH) on pregnancy outcomes in understudied, underrepresented, and underreported (U3) populations. Importantly, women are uniquely affected by and more vulnerable to adverse outcomes associated with SDOH. The maternal mortality rate has also increased significantly in the United States, especially among U3 individuals. Factors such as access to safe food, housing and environment, access to education and emergency/health services, and stressors such as interpersonal racism, poverty, unemployment, residential segregation, and domestic violence may make women from U3 populations more vulnerable to adverse reproductive health outcomes. Despite progress in promoting women’s health, eliminating social and health disparities in pregnant individuals remains an elusive goal in U3 populations. Moreover, chronic exposure to excessive social/cultural stressors may have a physiologic cost leading to pregnancy complications such as miscarriages, preterm birth, and preeclampsia. Thus, the identification of SDOH-related factors that drive differences in pregnancy-related complications and deaths and the implementation of prevention strategies to address them could reduce disparities in pregnancy-related mortality in U3 populations.
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spelling pubmed-104837132023-09-08 Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States Girardi, Guillermina Longo, Monica Bremer, Andrew A. Int J Equity Health Comment Women represent the cornerstone of a family’s overall health. Therefore, supporting women’s health, particularly in pregnancy, is important to promote public health. Emerging data highlight the contribution of social determinants of health (SDOH) on pregnancy outcomes in understudied, underrepresented, and underreported (U3) populations. Importantly, women are uniquely affected by and more vulnerable to adverse outcomes associated with SDOH. The maternal mortality rate has also increased significantly in the United States, especially among U3 individuals. Factors such as access to safe food, housing and environment, access to education and emergency/health services, and stressors such as interpersonal racism, poverty, unemployment, residential segregation, and domestic violence may make women from U3 populations more vulnerable to adverse reproductive health outcomes. Despite progress in promoting women’s health, eliminating social and health disparities in pregnant individuals remains an elusive goal in U3 populations. Moreover, chronic exposure to excessive social/cultural stressors may have a physiologic cost leading to pregnancy complications such as miscarriages, preterm birth, and preeclampsia. Thus, the identification of SDOH-related factors that drive differences in pregnancy-related complications and deaths and the implementation of prevention strategies to address them could reduce disparities in pregnancy-related mortality in U3 populations. BioMed Central 2023-09-06 /pmc/articles/PMC10483713/ /pubmed/37674167 http://dx.doi.org/10.1186/s12939-023-01963-x Text en © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Comment
Girardi, Guillermina
Longo, Monica
Bremer, Andrew A.
Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States
title Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States
title_full Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States
title_fullStr Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States
title_full_unstemmed Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States
title_short Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States
title_sort social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the united states
topic Comment
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483713/
https://www.ncbi.nlm.nih.gov/pubmed/37674167
http://dx.doi.org/10.1186/s12939-023-01963-x
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