Fundamental to the study of SDoH is understanding that differences in how population groups experience these conditions are key drivers of disparities in health and health care. 1 SDoH include a wide range of social, structural, and economic factors that relate to housing, access to healthy food, transportation, education, crime and violence, and the environment, among other conditions that contribute to a person's quality of life. 1, 2 The SDoH have been defined as the conditions in which people are born, grow, live, work, and age. More rigorous research is imperative to augment the knowledge of social needs interventions, especially in domains outside of IPV.Įvidence indicates that the social determinants of health (SDoH) shape health in powerful ways. However, the strength of this evidence is limited by the paucity of studies. The results of this review suggest that interventions with counseling or ongoing support may show promise in alleviating social risk factors and improving some clinical outcomes. No intervention with only screening showed a reduction in rate of IPV.Ĭonclusion: This systematic review shines light on several avenues to support pregnant and postpartum women through interventions that embed acknowledgment of social needs and actions addressing these needs into the clinical environment. Most IPV interventions that included counseling or ongoing support resulted in reduced IPV recurrence and severity. There was wide heterogeneity in outcomes investigated. Types of interventions varied from simple screening to ongoing counseling and case management. The next most common need addressed was social support ( n=5), followed by food insecurity ( n=3), and housing ( n=2). Most studies addressed intimate partner violence ( n=19). The mean age of women ranged from 17.4 to 34.1 years. Most studies were either randomized-controlled trials ( n=10) or observational studies ( n=7) and study settings were both public and private. Results: Thirty-one publications describing 26 unique studies were identified. We required that studies include pregnant or postpartum women and be based in a clinical setting. Methods: We conducted a search of six databases through May 2020 for articles describing screening or intervention activities addressing social needs in at least one SDoH domain as defined by Healthy People 2020. This study seeks to identify and analyze clinic-based interventions aimed at addressing patients' social needs in perinatal care, including prenatal, antepartum, and postpartum care. ![]() ![]() As the mechanisms by which these factors influence wellness and disease continue to be uncovered, health systems are beginning to assess their roles in addressing patient's social needs. Introduction: Health is impacted by a wide range of nonmedical factors, collectively termed the social determinants of health (SDoH).
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