Evidence mapPaperPMID 39716509Full record

ArticleAmerican journal of preventive medicine2025

Associations between Health-Related Social Needs and Postpartum Linkage to Care.

Mara E Murray Horwitz, Julianne N Dugas, Lois McCloskey, Kaku So-Armah, Christina D Yarrington, Pablo Buitron de la Vega, Emelia J Benjamin, Tracy A Battaglia

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mara E Murray HorwitzDepartment of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; Women's Health Unit, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts. Electronic address: Mara.MurrayHorwitz@bmc.org.
Julianne N DugasBiostatistics and Epidemiology Data Analytics Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; Department of Pediatrics, Women and Infants Hospital, Providence, Rhode Island.
Lois McCloskeyDepartment of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts.
Kaku So-ArmahDepartment of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts.
Christina D YarringtonDepartment of Obstetrics & Gynecology, Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts; University of New Mexico and University of New Mexico Medical School, Albuquerque, New Mexico.
Pablo Buitron de la VegaDepartment of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts.
Emelia J BenjaminDepartment of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts.
Tracy A BattagliaDepartment of Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts; Women's Health Unit, Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts; Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts; Yale Cancer Center, Yale School of Medicine, New Haven, Connecticut.

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · MASSACHUSETTS GENERAL HOSPITAL · 2025 to 2025
$715k
Postpartum Remote Blood Pressure Monitoring Program: Study of Reducing Severe Maternal Morbidity among Black and Latina Women by Incorporating Patient Experiences and Systems ScienceR01HL158864 · BOSTON UNIVERSITY MEDICAL CAMPUS · 2025 to 2025
$473k
From Hypertensive Pregnancy to Heart Health: Understanding and Addressing Multi-Level Barriers to Cardiovascular Health after Hypertensive Disorders of PregnancyK23HL165097 · BOSTON MEDICAL CENTER · 2025 to 2025
$181k
American Heart Association-American Stroke Association 18SFRN34110082American Heart Association-American Stroke Association 937987American Heart Association-American Stroke Association 979464NCATS NIH HHS UL1 TR001430NHLBI NIH HHS K23 HL165097NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL158864
6 · The paper itself

Abstract

introductionOngoing care after pregnancy is recommended. Health-related social needs are recognized barriers to care, yet their pregnancy-related prevalence and associations with care are unknown. Researchers sought to assess (1) the prevalence of health-related social needs during pregnancy-based care, and (2) their associations with ongoing care after pregnancy.

methodsElectronic health record data were analyzed for individuals with prenatal care and delivery (2018-2021) at an urban safety-net hospital, with routine screening for health-related social needs multiple times during pregnancy through 6 weeks postpartum. Health-related social needs were summarized as screened negative, screened positive, or not screened. Linkage to ongoing care was defined as a completed non-urgent visit separate from pregnancy-based care, >6 weeks through 1 year postpartum. Data were collected in 2022 and analyzed in 2023-2024.

resultsOf 4,941 individuals, 53% identified as Black non-Hispanic and 21% as Hispanic, 68% were publicly insured, and 93% completed ≥1 health-related social needs screening. Nearly 1 in 4 screened positive for health-related social needs, and 53% linked to ongoing care. Compared with those who screened negative for health-related social needs (n=3,491), linkage to ongoing care was similar among those who screened positive (n=1,079; adjusted risk ratio, aRR=1.04, 95% CI=0.98, 1.10) and lower among those not screened (n=371; aRR=0.77, 95% CI=0.68, 0.86).

conclusionsResearchers identified a 24% prevalence of pregnancy-related health-related social needs and 53% subsequent linkage to ongoing care. Compared with screening negative for health-related social needs, screening positive was not associated with linkage to care, while being not screened was associated with a 20% lower likelihood of linkage to ongoing care.

Indexed as

Health Services AccessibilityHealth Services Needs and DemandPostnatal CarePostpartum PeriodPrenatal CareAdultElectronic Health RecordsFemaleHumansNeeds AssessmentPregnancyYoung Adult

Identifiers

PMID39716509
PMCPMC11925669

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.