Category: Hypertension
Poster Session I
Of the 1,427 patients in the parent study with cHTN, 231 (16.2%) resided in the least deprived, 363 (25.4%) average, and 833 (58.4%) in the most deprived neighborhood. After adjusting for confounders, there were no associations between neighborhood deprivation and cHTN prevalence. Maximum systolic and diastolic blood pressures at time of diagnosis were not significantly different by neighborhood deprivation. There were no statistically significant differences in gestational age at delivery between neighborhoods.
Conclusion: Within a cohort of high-risk pregnant patients in Rhode Island, state-specific neighborhood deprivation was not independently associated with increased rates of cHTN or maximum blood pressure values at cHTN diagnosis or gestational age at delivery. Yet, social determinants of health do not exist in isolation, and the higher proportion of those with cHTN residing in most high-needs neighborhoods suggest targeting these areas may improve perinatal outcomes.
Brock Polnaszek, MD
Maternal Fetal Medicine Fellow
Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University
Providence, Rhode Island, United States
Lauren Murphy, MD
Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University
Providence, Rhode Island, United States
Christina Raker, DSc
Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University
Providence, Rhode Island, United States
Valery A. Danilack, PhD,MPH
Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University
Providence, Rhode Island, United States
David A. Savitz, PhD
Department of Epidemiology, Brown University School of Public Health
Providence, Rhode Island, United States
Methodius G. Tuuli, MD, MPH, MBA
Chace-Joukowsky Professor and Chair
Women & Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University
East Greenwich, Rhode Island, United States
Emily S. Miller, MD, MPH (she/her/hers)
Director, Division of Maternal-Fetal Medicine
Alpert Medical School of Brown University and Women & Infants Hospital of Rhode Island
Providence, Rhode Island, United States
Adam K. Lewkowitz, MD, MPHS
Assistant Professor
Alpert Medical School of Brown University and Women & Infants Hospital of Rhode Island
Providence, Rhode Island, United States