Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups
Background and Objective: Social determinants of health impact various clinical health outcomes in the population. We conducted this study to examine the impact of adverse social determinants of health (SDOH) characteristics on maternal obesity among hospitalized pregnant women in the US and its po...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Global Health and Education Projects, Inc.
2023-04-01
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| Series: | International Journal of Maternal and Child Health and AIDS |
| Subjects: | |
| Online Access: | https://mchandaids.org/index.php/IJMA/article/view/570 |
| _version_ | 1797844412915515392 |
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| author | Deepa Dongarwar Morgan Lee Christo Manikkuttiyil Hamisu Salihu |
| author_facet | Deepa Dongarwar Morgan Lee Christo Manikkuttiyil Hamisu Salihu |
| author_sort | Deepa Dongarwar |
| collection | DOAJ |
| description |
Background and Objective: Social determinants of health impact various clinical health outcomes in the population. We conducted this study to examine the impact of adverse social determinants of health (SDOH) characteristics on maternal obesity among hospitalized pregnant women in the US and its potential differential impact on women of different races/ethnicities.
Methods: The nationwide pregnancy hospitalization data analyzed in this study were collected through the Nationwide Inpatient Sample (NIS) database during 2016-2018. We conducted descriptive analyses to evaluate the relationship between patient characteristics and maternal obesity. Using the adjusted survey logistic regression model, we calculated the independent association between social determinants of health (SDOH) risk factors and hospitalization characteristics (exposure) and maternal obesity (outcome). Lastly, stratified survey logistic regression models were created for each racial/ethnic group to examine the differential impact in the association between SDOH issues and maternal obesity.
Results: The prevalence of SDOH issues was highest in non-Hispanic (NH) Black women (6.59 per 1000 hospitalizations), whereas the prevalence of obesity among those with SDOH issues was highest in Hispanic women (15.3 per 100 hospitalizations). We observed that pregnant women with SDOH issues were 1.15 times as likely (95% CI: 1.05-1.25) to experience maternal obesity compared to those without SDOH issues. Relative to their counterparts without SDOH issues, Hispanics and NH-Others with SDOH issues had increased odds of obesity, whereas NH-White and NH-Black mothers with SDOH had similar odds of obesity (p>0.05).
Conclusion and Global Health Implications: In conclusion, pregnant women with SDOH issues had an increased likelihood of obesity diagnosis and the association demonstrated differential impact across racial/ethnic sub-populations. This information has potential utility for counseling and formulation of targeted interventions for pregnant women.
Copyright © 2023 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.
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| first_indexed | 2024-04-09T17:21:31Z |
| format | Article |
| id | doaj.art-69a14b42966249ccaa87d368b6878f36 |
| institution | Directory Open Access Journal |
| issn | 2161-8674 2161-864X |
| language | English |
| last_indexed | 2024-04-09T17:21:31Z |
| publishDate | 2023-04-01 |
| publisher | Global Health and Education Projects, Inc. |
| record_format | Article |
| series | International Journal of Maternal and Child Health and AIDS |
| spelling | doaj.art-69a14b42966249ccaa87d368b6878f362023-04-18T21:25:43ZengGlobal Health and Education Projects, Inc.International Journal of Maternal and Child Health and AIDS2161-86742161-864X2023-04-0112110.21106/ijma.570Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic GroupsDeepa Dongarwar0Morgan Lee1Christo Manikkuttiyil2Hamisu Salihu3Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas, USAGraduate School of Biomedical Sciences, Baylor College of Medicine, Houston, Texas, USAGraduate School of Biomedical Sciences, Baylor College of Medicine, Houston, Texas, USACenter of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas, USA; Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA Background and Objective: Social determinants of health impact various clinical health outcomes in the population. We conducted this study to examine the impact of adverse social determinants of health (SDOH) characteristics on maternal obesity among hospitalized pregnant women in the US and its potential differential impact on women of different races/ethnicities. Methods: The nationwide pregnancy hospitalization data analyzed in this study were collected through the Nationwide Inpatient Sample (NIS) database during 2016-2018. We conducted descriptive analyses to evaluate the relationship between patient characteristics and maternal obesity. Using the adjusted survey logistic regression model, we calculated the independent association between social determinants of health (SDOH) risk factors and hospitalization characteristics (exposure) and maternal obesity (outcome). Lastly, stratified survey logistic regression models were created for each racial/ethnic group to examine the differential impact in the association between SDOH issues and maternal obesity. Results: The prevalence of SDOH issues was highest in non-Hispanic (NH) Black women (6.59 per 1000 hospitalizations), whereas the prevalence of obesity among those with SDOH issues was highest in Hispanic women (15.3 per 100 hospitalizations). We observed that pregnant women with SDOH issues were 1.15 times as likely (95% CI: 1.05-1.25) to experience maternal obesity compared to those without SDOH issues. Relative to their counterparts without SDOH issues, Hispanics and NH-Others with SDOH issues had increased odds of obesity, whereas NH-White and NH-Black mothers with SDOH had similar odds of obesity (p>0.05). Conclusion and Global Health Implications: In conclusion, pregnant women with SDOH issues had an increased likelihood of obesity diagnosis and the association demonstrated differential impact across racial/ethnic sub-populations. This information has potential utility for counseling and formulation of targeted interventions for pregnant women. Copyright © 2023 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0. https://mchandaids.org/index.php/IJMA/article/view/570Social Determinants of Health Maternal Obesity Pregnant Women Hospitalizations Racial/Ethnic Differences |
| spellingShingle | Deepa Dongarwar Morgan Lee Christo Manikkuttiyil Hamisu Salihu Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups International Journal of Maternal and Child Health and AIDS Social Determinants of Health Maternal Obesity Pregnant Women Hospitalizations Racial/Ethnic Differences |
| title | Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups |
| title_full | Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups |
| title_fullStr | Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups |
| title_full_unstemmed | Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups |
| title_short | Association Between Social Determinants of Health Issues and Maternal Obesity Among American Racial/Ethnic Groups |
| title_sort | association between social determinants of health issues and maternal obesity among american racial ethnic groups |
| topic | Social Determinants of Health Maternal Obesity Pregnant Women Hospitalizations Racial/Ethnic Differences |
| url | https://mchandaids.org/index.php/IJMA/article/view/570 |
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