Poster Session 1
Category: Health Equity/Community Health
Poster Session 1
Jessica D. Sisco, MD
Resident
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Kristie R. Wilburn-Wren, MD
Assistant Professor
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Donald D. McIntire, PhD
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Robert B. Martin, MD
Assistant Professor
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Elaine L. Duryea, MD
Associate Professor
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Catherine Y. Spong, MD
Professor and Chair
University of Texas Southwestern Medical Center
Dallas, Texas, United States
David B. Nelson, MD (he/him/his)
Associate Professor and Division Chief
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Because the majority of modifiable contributors that affect maternal health are driven by nonmedical factors, the purpose of this study was to assess individual, patient-reported community needs among postpartum women in underserved areas of an urban community.
Study Design:
This was a prospective analysis of individual, patient-reported community needs among postpartum women enrolled in the extending Maternal Care After Pregnancy (eMCAP) program. This program provides postpartum care through mobile and telehealth services for up to 12 months for residents in a high-risk underserved region. Upon enrollment, patient-reported community needs were collected by a dedicated team using a standardized instrument modeled after Healthy People 2030. Area Deprivation Indices (ADI) were assigned according to patients’ home residence and dichotomized according to decile of ADI. Patient-reported community needs were examined for association with ADI using the chi-square test. Demographics, pregnancy characteristics, and perinatal outcomes were examined through univariate analysis followed by logistic regression including interaction terms to test the association of ADI and selected patient responses with P< 0.05 considered significant.
Results:
Between 1 Oct 2020-30 Sept 2024 4419 patients were enrolled in eMCAP. Because the eMCAP program targets an underserved region, ADI 70 was identified as the dichotomized cut-point (< 70 = lower area deprivation, >70 = greater area deprivation). In reporting what community improvement would most improve their quality of life, patients within the ADI >70 were more likely to report community safety (P< 0.001) and less likely to report housing and public transportation (P< 0.001). These findings persisted with logistic regression for factors associated with ADI (Table 1) wherein community safety was the most important factor for patients living in areas of greatest deprivation (Figure 1, P< 0.001).
Conclusion:
Among postpartum women living in underserved areas, community safety was the most important patient-reported feature for those living in areas with greatest deprivation.