Association of Neighborhood Socioeconomic Disadvantage and Postpartum Readmission

Jenna Meiman; William A Grobman; David M Haas; Lynn M Yee; Jiqiang Wu; Becky McNeil; Jun Wu; Brian Mercer; Hyagriv Simhan; Uma Reddy; Robert Silver; Samuel Parry; George Saade; Courtney D Lynch; Kartik K Venkatesh

doi:10.1097/AOG.0000000000005151

Association of Neighborhood Socioeconomic Disadvantage and Postpartum Readmission

Obstet Gynecol. 2023 May 1;141(5):967-970. doi: 10.1097/AOG.0000000000005151. Epub 2023 Apr 5.

Authors

Jenna Meiman^{1

2}, William A Grobman^{1

2}, David M Haas^{1

2}, Lynn M Yee^{1

2}, Jiqiang Wu^{1

2}, Becky McNeil^{1

2}, Jun Wu^{1

2}, Brian Mercer^{1

2}, Hyagriv Simhan^{1

2}, Uma Reddy^{1

2}, Robert Silver^{1

2}, Samuel Parry^{1

2}, George Saade^{1

2}, Courtney D Lynch^{1

2}, Kartik K Venkatesh^{1

2}

Affiliations

¹ Departments of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
² Indiana University, Indianapolis, Indiana, Northwestern University, Chicago, Illinois, Case Western Reserve University, Cleveland, Ohio, the University of Pittsburgh, Pittsburgh, Pennsylvania, Columbia University, New York, New York, the University of Utah, Salt Lake City, Utah, the University of Pennsylvania, Philadelphia, Pennsylvania, and the University of Texas Medical Branch, Galveston, Texas; RTI International, Durham, North Carolina; and the Department of Environmental and Occupational Health, University of California, Irvine, Irvine, California.

Abstract

We assessed whether neighborhood socioeconomic disadvantage, as measured by the Area Deprivation Index (ADI), was associated with an increased risk of postpartum readmission. This is a secondary analysis from nuMoM2b (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be), a prospective cohort of nulliparous pregnant individuals from 2010 to 2013. The exposure was the ADI in quartiles, and the outcome was postpartum readmission; Poisson regression was used. Among 9,061 assessed individuals, 154 (1.7%) were readmitted postpartum within 2 weeks of delivery. Individuals living with the most neighborhood deprivation (ADI quartile 4) were at increased risk of postpartum readmission compared with those living with the lowest neighborhood deprivation (ADI quartile 1) (adjusted risk ratio 1.80, 95% CI 1.11-2.93). Measures of community-level adverse social determinants of health, such as the ADI, may inform postpartum care after delivery discharge.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Letter

MeSH terms

Female
Humans
Patient Readmission*
Postpartum Period
Pregnancy
Prospective Studies
Residence Characteristics
Retrospective Studies
Socioeconomic Disparities in Health*
Socioeconomic Factors

Abstract

Publication types

MeSH terms

Grants and funding