Tue. Nov 29th, 2022

Family Physicians Encouraged to Reply by Dec. 4 Deadline

Nov. 17, 2022, 8:48 a.m. News Staff — Family physicians and members of the general public are invited to comment on the draft version of a systematic review from the Agency for Healthcare Research and Quality that examines the relationship between social and structural determinants of health and risk factors for maternal morbidity and mortality.

Draft Report: Methods and Findings

AHRQ developed the draft report in conjunction with “Identifying Risks and Interventions to Optimize Postpartum Health,” an upcoming NIH Pathways to Prevention workshop.

The draft includes 109 studies published through April 2022 that reported social and structural determinants of health associated with maternal health outcomes. Outcomes included not only maternal mortality and morbidity but also hypertensive disorders, gestational diabetes, cardiometabolic disorders, “weathering” (the physiological effect of premature aging caused by chronic stress), depression, other mental health or substance use disorders, and cost/health care use.

The researchers found that both the depth and quality of available research was limited, which made it difficult to draw conclusions about the connections between social/structural determinants of health and risk factors for maternal morbidity and mortality. Most of the studies, they noted, used correlational study designs rather than analytic approaches to determine the cause of a particular health outcome.

Given the lack of quality studies available for review, the investigators said that “considerable opportunities exist for future research to improve the outcomes measured and captured.”  They called for the development of studies that

  • emphasize techniques and analytic approaches that improve the ability to estimate causal impacts,
  • have improved reporting standards, and
  • use datasets and other mechanisms to more fully capture information needed to better examine the effects of racism and other social determinants of health.

How to Comment

Individuals may submit comments through an online submission form. Users have the ability to comment on each section of the draft, as well as to provide general comments about the report’s results and conclusions. They may also submit supporting documents.

Individuals who have difficulty with the online submission form may email their comments to epc@ahrq.hhs.gov.

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