{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T07:49:16Z","timestamp":1770536956686,"version":"3.49.0"},"reference-count":39,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T00:00:00Z","timestamp":1702166400000},"content-version":"am","delay-in-days":312,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG060935"],"award-info":[{"award-number":["R01AG060935"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG063759"],"award-info":[{"award-number":["R01AG063759"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R21AG065526"],"award-info":[{"award-number":["R21AG065526"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R01HL143421"],"award-info":[{"award-number":["R01HL143421"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020153","name":"Centene Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020153","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ajogmfm.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics &amp; Gynecology MFM"],"published-print":{"date-parts":[[2023,2]]},"DOI":"10.1016\/j.ajogmf.2022.100819","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T11:43:36Z","timestamp":1669376616000},"page":"100819","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Risk of delivery complications among pregnant people experiencing housing insecurity"],"prefix":"10.1016","volume":"5","author":[{"given":"Kristine","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.J.","family":"Waken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alina A.","family":"Luke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebony B.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn J.","family":"Lindley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3779-8653","authenticated-orcid":false,"given":"Karen E.","family":"Joynt Maddox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajogmf.2022.100819_bib0001","unstructured":"Henry M, de Sousa T, Roddey C, Gayen S, Bednar TJ. Abt associates. The 2020 annual homeless assessment report to congress. 2021. Available at: https:\/\/www.huduser.gov\/portal\/sites\/default\/files\/pdf\/2020-AHAR-Part-1.pdf. Accessed March 5, 2022."},{"key":"10.1016\/j.ajogmf.2022.100819_bib0002","unstructured":"Office of Disease Prevention and Health Promotion. Housing instability. United States Department of Health and Human Services. 2020. Available at: https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/social-determinants-health\/interventions-resources\/housing-instability#1. Accessed March 5, 2022."},{"key":"10.1016\/j.ajogmf.2022.100819_bib0003","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1001\/jamainternmed.2019.6010","article-title":"Disparities in care and mortality among homeless adults hospitalized for cardiovascular conditions","volume":"180","author":"Wadhera","year":"2020","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0004","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.2105\/AJPH.2009.180109","article-title":"The unmet health care needs of homeless adults: a national study","volume":"100","author":"Baggett","year":"2010","journal-title":"Am J Public Health"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0005","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1177\/0884217504266775","article-title":"Barriers to prenatal care for homeless pregnant women","volume":"33","author":"Bloom","year":"2004","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0006","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1542\/peds.2010-3491","article-title":"Health behaviors and infant health outcomes in homeless pregnant women in the United States","volume":"128","author":"Richards","year":"2011","journal-title":"Pediatrics"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0007","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1037\/0278-6133.19.6.524","article-title":"Severity of homelessness and adverse birth outcomes","volume":"19","author":"Stein","year":"2000","journal-title":"Health Psychol"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0008","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1377\/hlthaff.2018.05156","article-title":"Homelessness contributes to pregnancy complications","volume":"38","author":"Clark","year":"2019","journal-title":"Health Aff"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0009","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1007\/s10995-014-1633-6","article-title":"Homelessness during pregnancy: a unique, time-dependent risk factor of birth outcomes","volume":"19","author":"Cutts","year":"2015","journal-title":"Matern Child Health J"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0010","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1002\/wmh3.189","article-title":"Does race matter in addressing homelessness? A review of the literature","volume":"8","author":"Jones","year":"2016","journal-title":"World Med Health Policy"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0011","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1056\/NEJMms2025396","article-title":"How structural racism works - racist policies as a root cause of U.S. racial health inequities","volume":"384","author":"Bailey","year":"2021","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0012","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/GRF.0000000000000349","article-title":"Reducing disparities in severe maternal morbidity and mortality","volume":"61","author":"Howell","year":"2018","journal-title":"Clin Obstet Gynaecol"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0013","series-title":"Racial inequalities in homelessness, by the numbers","year":"2020"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0014","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1111\/jmwh.12490","article-title":"Racial discrimination and adverse birth outcomes: an integrative review","volume":"61","author":"Alhusen","year":"2016","journal-title":"J Midwif Womens Health"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0015","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1097\/MLR.0000000000001418","article-title":"Utilization of social determinants of health ICD-10 Z-codes among hospitalized patients in the United States, 2016-2017","volume":"58","author":"Truong","year":"2020","journal-title":"Med Care"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0016","unstructured":"Reidhead M. Decoding social determinants of health. 2018. Available at: https:\/\/www.mhanet.com\/mhaimages\/Policy_Briefs\/PolicyBrief_SDOH.pdf. Accessed March 10, 2022"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0017","unstructured":"Reidhead M, Moyer L, A G. Z Codes for social determinants of health: which hospitals are most likely to use them and for which patients? Accessed January 1, 2022 Available at: http:\/\/bit.ly\/PolicyBriefSDOH, vol. 2020; 2020."},{"key":"10.1016\/j.ajogmf.2022.100819_bib0018","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.43407","article-title":"Hospitalizations for COVID-19 among US people experiencing incarceration or homelessness","volume":"5","author":"Montgomery","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0019","unstructured":"Fingar KR, Hambrick MM, Heslin KC, Moore JE. Trends and disparities in delivery hospitalizations involving severe maternal morbidity, 2006\u20132015. 2018 Sep 4. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. Statistical Brief #243. PMID: 30371995."},{"key":"10.1016\/j.ajogmf.2022.100819_bib0020","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1089\/jwh.2020.8606","article-title":"Severe maternal morbidity, race, and rurality: trends using the National Inpatient Sample, 2012-2017","volume":"30","author":"Luke","year":"2021","journal-title":"J Womens Health (Larchmt)"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0022","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1001885","article-title":"The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) Statement","volume":"12","author":"Benchimol","year":"2015","journal-title":"PLoS Med"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0024","unstructured":"Centers for Disease Control and Prevention. Severe maternal morbidity in the United States. 2021. Available at: https:\/\/www.cdc.gov\/reproductivehealth\/maternalinfanthealth\/severematernalmorbidity.html. Accessed January 1, 2022"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0025","unstructured":"Agency for Healthcare Research and Quality. Healthcare Cost and Utilization Project. HCUP NIS Description of Data Elements. 2008. Available at: https:\/\/www.hcup-us.ahrq.gov\/db\/vars\/race\/nisnote.jsp#general. Accessed January 1, 2022"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0026","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/AOG.0000000000004022","article-title":"An expanded obstetric comorbidity scoring system for predicting severe maternal morbidity","volume":"136","author":"Leonard","year":"2020","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0027","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2015.11.004","article-title":"Measuring severe maternal morbidity: validation of potential measures","volume":"214","author":"Main","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0028","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2007.12.020","article-title":"Identification of severe maternal morbidity during delivery hospitalizations, United States, 1991-2003","volume":"199","author":"Callaghan","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0029","unstructured":"The American College of Obstetricians and Gynecologists. Severe maternal morbidity: screening and review. 2016. Available at: https:\/\/www.acog.org\/clinical\/clinical-guidance\/obstetric-care-consensus\/articles\/2016\/09\/severe-maternal-morbidity-screening-and-review. Accessed March 5, 2022."},{"key":"10.1016\/j.ajogmf.2022.100819_bib0030","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1002\/wps.20769","article-title":"Perinatal mental health: a review of progress and challenges","volume":"19","author":"Howard","year":"2020","journal-title":"World Psychiatry"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0031","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.adolescence.2008.02.001","article-title":"Pregnancy and sexual health among homeless young injection drug users","volume":"32","author":"Hathazi","year":"2009","journal-title":"J Adolesc"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0032","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1089\/jwh.2020.8875","article-title":"Pregnancy-associated deaths from homicide, suicide, and drug overdose: review of research and the intersection with intimate partner violence","volume":"30","author":"Campbell","year":"2021","journal-title":"J Womens Health (Larchmt)"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0033","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1111\/hsc.12972","article-title":"Barriers and facilitators perceived by women while homeless and pregnant in accessing antenatal and or postnatal healthcare: a qualitative evidence synthesis","volume":"28","author":"McGeough","year":"2020","journal-title":"Health Soc Care Community"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0034","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jadohealth.2007.12.015","article-title":"Runaway and pregnant: risk factors associated with pregnancy in a national sample of runaway\/homeless female adolescents","volume":"43","author":"Thompson","year":"2008","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0035","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.7491","article-title":"Comparison of childbirth delivery outcomes and costs of care between women experiencing vs not experiencing homelessness","volume":"4","author":"Yamamoto","year":"2021","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0036","doi-asserted-by":"crossref","first-page":"E152","DOI":"10.5888\/pcd13.160212","article-title":"Food insecurity and cardiovascular health in pregnant women: results from the food for families program, Chelsea, Massachusetts, 2013-2015","volume":"13","author":"Morales","year":"2016","journal-title":"Prev Chronic Dis"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0037","doi-asserted-by":"crossref","first-page":"4154","DOI":"10.3390\/ijerph16214154","article-title":"Effects of maternal homelessness, supplemental nutrition programs, and prenatal PM2.5 on birthweight","volume":"16","author":"Rhee","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0038","unstructured":"Committee on Health Care for Undeserved Women. Importance of social determinants of health and cultural awareness in the delivery of reproductive health care. 2018. Available at: https:\/\/www.acog.org\/-\/media\/project\/acog\/acogorg\/clinical\/files\/committee-opinion\/articles\/2018\/01\/importance-of-social-determinants-of-health-and-cultural-awareness-in-the-delivery-of-reproductive-health-care.pdf. Accessed March 5, 2022."},{"key":"10.1016\/j.ajogmf.2022.100819_bib0039","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1089\/heq.2020.0051","article-title":"Interventions addressing social needs in perinatal care: a systematic review","volume":"5","author":"Reyes","year":"2021","journal-title":"Health Equity"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0040","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1353\/hpu.2008.0003","article-title":"Systematic prenatal screening for psychosocial risks","volume":"19","author":"Harrison","year":"2008","journal-title":"J Health Care Poor Underserved"},{"key":"10.1016\/j.ajogmf.2022.100819_bib0041","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s40985-018-0094-7","article-title":"Screening for social determinants of health in clinical care: moving from the margins to the mainstream","volume":"39","author":"Andermann","year":"2018","journal-title":"Public Health Rev"}],"container-title":["American Journal of Obstetrics &amp; Gynecology MFM"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S258993332200249X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S258993332200249X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T23:50:12Z","timestamp":1762905012000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S258993332200249X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["S258993332200249X"],"URL":"https:\/\/doi.org\/10.1016\/j.ajogmf.2022.100819","relation":{},"ISSN":["2589-9333"],"issn-type":[{"value":"2589-9333","type":"print"}],"subject":[],"published":{"date-parts":[[2023,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk of delivery complications among pregnant people experiencing housing insecurity","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics & Gynecology MFM","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajogmf.2022.100819","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"100819"}}