Screening for Social Determinants of Health Among Pregnant Patients With Diabetes [ID 1079]

INTRODUCTION: Social determinants of health (SDOH) are known to exacerbate chronic medical conditions; however, there is limited research available on the frequency of adverse SDOH among pregnant patients with diabetes. The objective of this study was to assess the frequency of adverse SDOH among pregnant patients with diabetes. METHODS: We distributed the Social Determinants of Health in Pregnancy Tool (SIPT) among patients cared for in the diabetes in pregnancy clinic at a single academic center between August and September 2024. Demographics and relevant clinical data were abstracted from the medical record. All data are summarized as percentages and means (±SDs). RESULTS: A total of 35 patients completed the questionnaire with a mean age of 32.3 (±7.8) years. They identified as 60.0% White, 36.7% Black, and 3.3% American Indian/Alaska Native with 18.2% also identifying as Hispanic ethnicity. Among included participants, 20.6% had gestational diabetes mellitus and 79.4% had pregestational diabetes. Approximately 94.3% of patients had a positive SIPT, with the most common domain of adverse SDOH being related to financial and food insecurity. Nearly half (45.7%) of respondents worried they would run out of food before they had money to buy more, and nearly one-quarter (22.9%) worried about not having a place to live. CONCLUSIONS/IMPLICATIONS: It is imperative to incorporate evaluation and screening for adverse SDOH among pregnant patients with diabetes as these are significant factors affecting treatment success. Future research should study interventions aimed at mitigating adverse SDOH to improve perinatal outcomes.