{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:58:43Z","timestamp":1780963123058,"version":"3.54.1"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","funder":[{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD087230"],"award-info":[{"award-number":["UG1 HD087230"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD027869"],"award-info":[{"award-number":["UG1 HD027869"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD027915"],"award-info":[{"award-number":["UG1 HD027915"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD034208"],"award-info":[{"award-number":["UG1 HD034208"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD040500"],"award-info":[{"award-number":["UG1 HD040500"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD040485"],"award-info":[{"award-number":["UG1 HD040485"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD053097"],"award-info":[{"award-number":["UG1 HD053097"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD040544"],"award-info":[{"award-number":["UG1 HD040544"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD040545"],"award-info":[{"award-number":["UG1 HD040545"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD040560"],"award-info":[{"award-number":["UG1 HD040560"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD040512"],"award-info":[{"award-number":["UG1 HD040512"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD087192"],"award-info":[{"award-number":["UG1 HD087192"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["UG1 HD053109"],"award-info":[{"award-number":["UG1 HD053109"]}]},{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","award":["U24 HD036801"],"award-info":[{"award-number":["U24 HD036801"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n                  <jats:p>This was a secondary analysis of an observational, multi-site cohort study of all triage visits from 200\/7 to 346\/7 weeks' gestation occurring from January 1, 2019, to March 31, 2019. Individuals enrolled with geocode and CDC SVI data available were included. The primary exposure was the overall CDC SVI. The primary outcome was presentation to obstetric triage with greater acuity. Secondary outcomes included adverse maternal and neonatal outcomes. Outcomes were compared between groups based on overall SVI and by the four SVI themes. Baseline characteristics were compared. Logistic and quantile regressions were used with the lowest SVI quartile (Q1) group as referent, adjusting for hospital, parity, maternal age, tobacco use, body mass index (BMI) at delivery, drug use, and existing comorbidity.<\/jats:p>\n                  <jats:p>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\u20131.38; Q3 aOR: 1.10, 95% CI: 0.76\u20131.57; Q4 aOR: 1.04, 95% CI: 0.72\u20131.50).<\/jats:p>\n                  <jats:p>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.<\/jats:p>","DOI":"10.1055\/a-2883-6655","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T23:01:33Z","timestamp":1780009293000},"source":"Crossref","is-referenced-by-count":0,"title":["The Association of the Social Vulnerability Index with Acuity of Presentation to Obstetric Triage"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9961-5915","authenticated-orcid":false,"given":"Tracy Caroline","family":"Bank","sequence":"additional","affiliation":[{"name":"The Ohio State University, United States","place":["Columbus"],"department":["Obstetrics and Gynecology Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3601-6712","authenticated-orcid":false,"given":"Grecio J.","family":"Sandoval","sequence":"additional","affiliation":[{"name":"George Washington University, Maryland, United States","place":["Rockville"],"department":["Biostatistics Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George R.","family":"Saade","sequence":"additional","affiliation":[{"name":"The University of Texas Medical Branch at Galveston, Texas, United States","place":["Galveston"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9455-3973","authenticated-orcid":false,"given":"Michael W.","family":"Varner","sequence":"additional","affiliation":[{"name":"University of Utah Health Sciences Center, Utah, United States","place":["Salt Lake City"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan T. N.","family":"Tita","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham, Alabama, United States","place":["Birmingham"],"department":["Department of Obstetrics & Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Longo","sequence":"additional","affiliation":[{"name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development, Maryland, United States","place":["Bethesda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward F.","family":"Bell","sequence":"additional","affiliation":[{"name":"University of Iowa Carver College of Medicine, Iowa, United States","place":["Iowa City"],"department":["Department of Pediatrics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara J.","family":"Stoll","sequence":"additional","affiliation":[{"name":"Emory University, Georgia, United States","place":["Atlanta"],"department":["School of Medicine and Children's Healthcare of Atlanta"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Thorp","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill School of Medicine, North Carolina, United States","place":["Chapel Hill"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uma M.","family":"Reddy","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, New York, United States","place":["New York"],"department":["Department of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4076-469X","authenticated-orcid":false,"given":"Maged M.","family":"Costantine","sequence":"additional","affiliation":[{"name":"Ohio State University Wexner Medical Center, Ohio, United States","place":["Columbus"],"department":["Department of Maternal-Fetal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A.","family":"Grobman","sequence":"additional","affiliation":[{"name":"Northwestern University, United States","place":["Evanston"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dwight J.","family":"Rouse","sequence":"additional","affiliation":[{"name":"Brown University, Rhode Island, United States","place":["Providence"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyagriv N.","family":"Simhan","sequence":"additional","affiliation":[{"name":"University of Pittsburgh, Pennsylvania, United States","place":["Pittsburgh"],"department":["Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Bailit","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Ohio, United States","place":["Cleveland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Parry","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine, Pennsylvania, United States","place":["Philadelphia"],"department":["Departmnet of Obstetrics and Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baha M.","family":"Sibai","sequence":"additional","affiliation":[{"name":"University of Texas Health Sciences Center at Houston, Texas, United States","place":["Houston"],"department":["Department of Obstetrics & Gynecology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"e65","DOI":"10.1097\/AOG.0000000000004479","article-title":"Prediction and prevention of spontaneous preterm birth: ACOG practice bulletin, number 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