Keith and Martin Publish Article from CSDE Supported Research
Posted: 9/28/2023 (CSDE Research)
CSDE Affiliates Monica Keith (Anthropology) and Melanie Martin (Anthropology) recently published a paper in Women’s Health Issues, titled the “Social Determinant Pathways to Hypertensive Disorders of Pregnancy Among Nulliparous U.S. Women“. The article is a write-up of their winning solution for the NICHD DASH Data Challenge, which was supported by CSDE. The study used data in the NICHD Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (n = 6,501) to examine links between upstream social determinants of health, allostatic load during pregnancy, and risk of hypertensive disorders during pregnancy. Our model results demonstrated that the social environment exerted stronger effects on allostatic markers than did individually, behaviorally mediated dietary, exercise, or smoking pathways. Demographic aspects of the social environment (e.g., household income, partnered status) were the most salient predictor of hypertensive risk across groups, but showed stronger effects among Black women.