ACOG Committee Opinion No. 729 Summary: Importance Of Social Determinants Of Health And Cultural Awareness In The Delivery Of Reproductive Health Care.

@article{2018ACOGCO,
  title={ACOG Committee Opinion No. 729 Summary: Importance Of Social Determinants Of Health And Cultural Awareness In The Delivery Of Reproductive Health Care.},
  author={},
  journal={Obstetrics and gynecology},
  year={2018},
  volume={131 1},
  pages={
          198-199
        }
}
  • Published 2018
  • Medicine, Political Science
  • Obstetrics and gynecology
Awareness of the broader contexts that influence health supports respectful, patient-centered care that incorporates lived experiences, optimizes health outcomes, improves communication, and can help reduce health and health care inequities. Although there is little doubt that genetics and lifestyle play an important role in shaping the overall health of individuals, interdisciplinary researchers have demonstrated how the conditions in the environment in which people are born, live, work, and… 
Experiences of Racism and Preterm Birth: Findings from a Pregnancy Risk Assessment Monitoring System, 2004 through 2012.
Social Support During Pregnancy Modifies the Association Between Maternal Adverse Childhood Experiences and Infant Birth Size
TLDR
Maternal ACEs can deleteriously affect birth size, yet social support during pregnancy provides some buffer from its enduring effects, and interventions designed to enhance pregnancy social support may not only improve maternal wellbeing, but may also safeguard infant health.
Changing Preterm Birth in Delaware
  • M. Hoffman
  • Medicine
    Delaware journal of public health
  • 2018
TLDR
Though preterm births prior to 34 weeks are less common, the most neonatal deaths result from children born before 34 weeks, and significant differences exist between different ethnic groups with African American women having an 11.8% rate of preterm birth compared to Hispanics (7.9%) and Caucasians (9.0%).

References

SHOWING 1-10 OF 23 REFERENCES
Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity
TLDR
Research demonstrates that improving population health and achieving health equity also will require broader approaches that address social, economic, and environmental factors that influence health.
Structural Vulnerability: Operationalizing the Concept to Address Health Disparities in Clinical Care
TLDR
A novel, practical medical vulnerability assessment questionnaire is outlined that operationalizes for clinical practice the social science concept of “structural vulnerability,” and may orient health care providers toward policy leadership to reduce health disparities and foster health equity.
Collecting and applying data on social determinants of health in health care settings.
TLDR
A framework for how social determinants interventions in the health care system can be construed across 3 tiers-patient, institution, and broader population-is proposed and ways to collect data and target interventions at these levels are described.
Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It
TLDR
A failure of outcome research to take culture seriously enough to routinely assess the cost-effectiveness of culturally informed therapeutic practices, not a lack of effort to introduce ulturally informed strategies into clinical settings is to be blamed.
Social conditions as fundamental causes of disease.
TLDR
It is argued that social factors such as socioeconomic status and social support are likely "fundamental causes" of disease that, because they embody access to important resources, affect multiple disease outcomes through multiple mechanisms, and consequently maintain an association with disease even when intervening mechanisms change.
Addressing Unmet Basic Resource Needs as Part of Chronic Cardiometabolic Disease Management
TLDR
Screening for and attempting to address unmet basic resource needs in primary care was associated with modest improvements in blood pressure and lipid, but not blood glucose, levels.
Structural Vulnerability and Health: Latino Migrant Laborers in the United States
Latino immigrants in the United States constitute a paradigmatic case of a population group subject to structural violence. Their subordinated location in the global economy and their culturally
The Social Determinants of Infant Mortality and Birth Outcomes in Western Developed Nations: A Cross-Country Systematic Review
TLDR
This review identifies several methodological gaps, including the underuse of prospective designs and the presence of residual confounding in a number of studies, and addresses such gaps including through novel approaches to strengthen causal inference and implementing both health and non-health policies to reduce inequities in IM/birth outcomes across the western developed world.
Structural competency: Theorizing a new medical engagement with stigma and inequality
...
1
2
3
...