Adaptation of Screening Tools for Social Determinants of Health in Pregnancy: A Pilot Project.
Federally qualified health center
Point of care interventions
Prenatal care
Social determinants of health
Stress in pregnancy
Journal
Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
accepted:
22
05
2023
medline:
21
7
2023
pubmed:
15
6
2023
entrez:
14
6
2023
Statut:
ppublish
Résumé
Social determinants of health (SDOH) and stress during pregnancy may contribute to adverse pregnancy outcomes. The objective of this in the field pilot project was to develop a comprehensive screening tool by combining existing validated screeners. Additionally, implement use of this tool within routine prenatal visits and assess feasibility. Pregnant patients accessing prenatal care at a single site of an urban Federally Qualified Health Center were recruited during prenatal visits to complete a Social Determinants of Health in Pregnancy Tool (SIPT). SIPT combines a series of questions from existing and well-validated tools and consists of five domains: (1) perceived stress, (2) relationship and family stress, (3) domestic violence, (4) substance abuse, and (5) financial stress. Between April 2018 and March 2019, 135 pregnant participants completed SIPT. Ninety-one percent of patients scored positive on at least one screener, 54% to three or more screeners. Despite guidelines to screen for SDOH during pregnancy there is no universal tool. Our pilot project demonstrated the concurrent use of adapted screening tools where participants reported at least one area of potential stress, and that linking to resources at the time of a visit is plausible. Future work should examine if screening and point of care linkages of services improves maternal child outcomes.
Identifiants
pubmed: 37316688
doi: 10.1007/s10995-023-03732-2
pii: 10.1007/s10995-023-03732-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1472-1480Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
ACOG Committee Opinion No. 343. (2006). Psychosocial risk factors: Perinatal screening and intervention. Obstetrics & Gynecology, 108, 469–477. https://doi.org/10.1097/00006250-200608000-00046
doi: 10.1097/00006250-200608000-00046
ACOG Committee Opinion No. 729. (2018a). Importance of social determinants of health and cultural awareness in the delivery of reproductive health care. Obstetrics & Gynecology, 131(1), 43. https://doi.org/10.1097/AOG.0000000000002459
doi: 10.1097/AOG.0000000000002459
ACOG Committee Opinion No. 757. (2018b). Screening for perinatal depression. Obstetrics & Gynecology, 132(5), 208–212. https://doi.org/10.1097/AOG.0000000000002927
doi: 10.1097/AOG.0000000000002927
Adler, N. E., & Newman, K. (2002). Socioeconomic disparities in health: Pathways and policies. Health Affairs, 21(2), 60–76.
doi: 10.1377/hlthaff.21.2.60
pubmed: 11900187
Adler, N. E., & Rehkopf, D. H. (2008). U.S. disparities in health: Descriptions, causes, and mechanisms. Annual Review of Public Health, 29, 235–252. https://doi.org/10.1146/annurev.publhealth.29.020907.090852
doi: 10.1146/annurev.publhealth.29.020907.090852
pubmed: 18031225
Auerbach, M. V., Nicoloro-SantaBarbara, J., Rosenthal, L., Kocis, C., Weglarz, E. R., Busso, C. E., & Lobel, M. (2017). Psychometric properties of the Prenatal Health Behavior Scale in mid-and late pregnancy. Journal of Psychosomatic Obstetrics & Gynecology, 38(2), 143–151.
doi: 10.1080/0167482X.2017.1285899
Blumenshine, P., Egerter, S., Barclay, C. J., Cubbin, C., & Braveman, P. A. (2010). Socioeconomic disparities in adverse birth outcomes: A systematic review. American Journal of Preventive Medicine, 39(3), 263–272.
doi: 10.1016/j.amepre.2010.05.012
pubmed: 20709259
Challis, J. R., Lockwood, C. J., Myatt, L., Norman, J. E., Strauss, J. F., & Petraglia, F. (2009). Inflammation and Pregnancy. Reproductive Sciences, 16(2), 206–215.
doi: 10.1177/1933719108329095
pubmed: 19208789
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.
doi: 10.2307/2136404
pubmed: 6668417
Coleman-Cowger, V. H., Oga, E. A., Peters, E. N., Trocin, K. E., Koszowski, B., & Mark, K. (2019). Accuracy of three screening tools for prenatal substance use. Obstetrics and Gynecology, 133(5), 952.
doi: 10.1097/AOG.0000000000003230
pubmed: 30969217
Committee Opinion No. (2015). 633 alcohol abuse and other substance use disorders ethical issues in obstetric and gynecologic practice. Obstetrics & Gynecology, 125, 1529–1537. https://doi.org/10.1097/01.AOG.0000466371.86393.9b
doi: 10.1097/01.AOG.0000466371.86393.9b
Committee Opinion No. 711. (2017). Opioid use and opioid use disorder in pregnancy. Obstetrics & Gynecology, 130(2), 81. https://doi.org/10.1097/AOG.0000000000002235
doi: 10.1097/AOG.0000000000002235
Committee Opinion No. 721. (2017). Smoking cessation during pregnancy. Obstetrics & Gynecology, 130(4), 200. https://doi.org/10.1097/AOG.0000000000002353
doi: 10.1097/AOG.0000000000002353
Committee Opinion No. 722. (2017). Marijuana use during pregnancy and lactation. Obstetrics & Gynecology, 130(4), e205. https://doi.org/10.1097/AOG.0000000000002354
doi: 10.1097/AOG.0000000000002354
Crone, M., Luurssen-Masurel, N., Bruinsma-van Zwicht, B., van Lith, J., & Rijnders, M. (2019). Pregnant women at increased risk of adverse perinatal outcomes: A combination of less healthy behaviors and adverse psychosocial and socio-economic circumstances. Preventive Medicine, 127, 105817.
doi: 10.1016/j.ypmed.2019.105817
pubmed: 31445113
Curry, M. A., Burton, D., & Fields, J. (1998). The prenatal psychosocial profile: A research and clinical tool. Research in Nursing & Health, 21(3), 211–219.
doi: 10.1002/(SICI)1098-240X(199806)21:3<211::AID-NUR4>3.0.CO;2-K
Darity, W., Jr., Hamilton, D., Paul, M., Aja, A., Price, A., Moore, A., & Chiopris, C. (2018). What we get wrong about closing the racial wealth gap. Samuel DuBois Cook Center on Social Equity and Insight Center for Community Economic Development., 1(1), 1–67.
Elsenbruch, S., Benson, S., Rücke, M., Rose, M., Dudenhausen, J., Pincus-Knackstedt, M. K., Klapp, B. F., & Arck, P. C. (2007). Social support during pregnancy: Effects on maternal depressive symptoms, smoking and pregnancy outcome. Human Reproduction, 22(3), 869–877.
doi: 10.1093/humrep/del432
pubmed: 17110400
Gadson, A., Akpovi, E., & Mehta, P. K. (2017). Exploring the social determinants of racial/ethnic disparities in prenatal care utilization and maternal outcome. Seminars in Perinatology. https://doi.org/10.1053/j.semperi.2017.04.008
doi: 10.1053/j.semperi.2017.04.008
pubmed: 28625554
Grineski, S. E., & Collins, T. W. (2018). Geographic and social disparities in exposure to air neurotoxicants at U.S. public schools. Environmental Research, 161, 580–587. https://doi.org/10.1016/j.envres.2017.11.047
doi: 10.1016/j.envres.2017.11.047
pubmed: 29245126
pmcid: 5760180
Gurewich, D., Garg, A., & Kressin, N. R. (2020). Addressing social determinants of health within healthcare delivery systems: A framework to ground and inform health outcomes. Journal of General Internal Medicine, 35(5), 1571–1575. https://doi.org/10.1007/s11606-020-05720-6
doi: 10.1007/s11606-020-05720-6
pubmed: 32076989
pmcid: 7210348
Hager, E. R., Quigg, A. M., Black, M. M., Coleman, S. M., Heeren, T., Rose-Jacobs, R., Cook, J. T., de Cuba, S. A. E., Casey, P. H., & Chilton, M. (2010). Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics, 126(1), e26–e32.
doi: 10.1542/peds.2009-3146
pubmed: 20595453
Hobel, C. J., Goldstein, A., & Barrett, E. S. (2008). Psychosocial stress and pregnancy outcome. Clinical Obstetrics and Gynecology, 51(2), 333–348.
doi: 10.1097/GRF.0b013e31816f2709
pubmed: 18463464
Karam, F., Bérard, A., Sheehy, O., Huneau, M. C., Briggs, G., Chambers, C., Einarson, A., Johnson, D., Kao, K., & Koren, G. (2012). Reliability and validity of the 4-item Perceived Stress Scale among pregnant women: Results from the OTIS antidepressants study. Research in Nursing & Health, 35(4), 363–375.
doi: 10.1002/nur.21482
Keenan-Devlin, L. S., Ernst, L. M., Ross, K. M., Qadir, S., Grobman, W. A., Holl, J. L., Crockett, A., Miller, G. E., & Borders, A. E. (2017). Maternal income during pregnancy is associated with chronic placental inflammation at birth. American Journal of Perinatology, 34(10), 1003–1010.
doi: 10.1055/s-0037-1601353
pubmed: 28384838
Kramer, M. S., Lydon, J., Séguin, L., Goulet, L., Kahn, S. R., McNamara, H., Genest, J., Dassa, C., Chen, M. F., & Sharma, S. (2009). Stress pathways to spontaneous preterm birth: The role of stressors, psychological distress, and stress hormones. American Journal of Epidemiology, 169(11), 1319–1326.
doi: 10.1093/aje/kwp061
pubmed: 19363098
Lantz, P. M., House, J. S., Mero, R. P., & Williams, D. R. (2005). Stress, life events, and socioeconomic disparities in health: Results from the Americans’ Changing Lives Study. Journal of Health and Social Behavior, 46(3), 274–288. https://doi.org/10.1177/002214650504600305
doi: 10.1177/002214650504600305
pubmed: 16259149
Lu, M. C., & Halfon, N. (2003). Racial and ethnic disparities in birth outcomes: A life-course perspective. Maternal and Child Health Journal, 7(1), 13–30.
doi: 10.1023/A:1022537516969
pubmed: 12710797
McFarlane, J., Parker, B., Soeken, K., & Bullock, L. (1992). Assessing for abuse during pregnancy: Severity and frequency of injuries and associated entry into prenatal care. JAMA, 267(23), 3176–3178.
doi: 10.1001/jama.1992.03480230068030
pubmed: 1593739
Miller, G. E., Borders, A. E., Crockett, A. H., Ross, K. M., Qadir, S., Keenan-Devlin, L., Leigh, A. K., Ham, P., Ma, J., & Arevalo, J. M. (2017). Maternal socioeconomic disadvantage is associated with transcriptional indications of greater immune activation and slower tissue maturation in placental biopsies and newborn cord blood. Brain, Behavior, and Immunity, 64, 276–284.
doi: 10.1016/j.bbi.2017.04.014
pubmed: 28434870
pmcid: 5493326
Mitchell, A. M., & Christian, L. M. (2017). Financial strain and birth weight: The mediating role of psychological distress. Archives of Women’s Mental Health, 20(1), 201–208. https://doi.org/10.1007/s00737-016-0696-3
doi: 10.1007/s00737-016-0696-3
pubmed: 27957597
National Institute on Drug Abuse. (2012). Resource guide: screening for drug use in general medical settings.
Palmer, R. C., Ismond, D., Rodriquez, E. J., & Kaufman, J. S. (2019). Social determinants of health: Future directions for health disparities research. American Journal of Public Health, 109(S1), S70–S71. https://doi.org/10.2105/AJPH.2019.304964
doi: 10.2105/AJPH.2019.304964
pubmed: 30699027
pmcid: 6356128
Romero, R., Dey, S. K., & Fisher, S. J. (2014). Preterm labor: One syndrome, many causes. Science, 345(6198), 760–765.
doi: 10.1126/science.1251816
pubmed: 25124429
pmcid: 4191866
Sandhu, S., Sharma, A., Cholera, R., & Bettger, J. P. (2021). Integrated Health and Social Care in the United States: A decade of policy progress. International Journal of Integrated Care, 21(4), 9. https://doi.org/10.5334/ijic.5687
doi: 10.5334/ijic.5687
pubmed: 34785994
pmcid: 8570194
Wadhwa, P. D., Entringer, S., Buss, C., & Lu, M. C. (2011). The contribution of maternal stress to preterm birth: Issues and considerations. Clinics in Perinatology, 38(3), 351–384.
doi: 10.1016/j.clp.2011.06.007
pubmed: 21890014
pmcid: 3179976
Woods, S. M., Melville, J. L., Guo, Y., Fan, M. Y., & Gavin, A. (2010). Psychosocial stress during pregnancy. American Journal of Obstetrics and Gynecology, 202(1), e61-67. https://doi.org/10.1016/j.ajog.2009.07.041
doi: 10.1016/j.ajog.2009.07.041
World Health Organization. (2020). About Social Determinants of Health. Retrieved from https://www.who.int/social_determinants/sdh_definition/en/