• Kaitlyn K Stanhope, Anna Goebel, Monica Simmonds, Patience Timi, Sristi Das, Asha Immanuelle, Denise J Jamieson, and Sheree L Boulet.
• Department of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States. Electronic address: Kaitlyn.keirsey.stanhope@emory.edu.
• J Natl Med Assoc. 2023 Aug 1; 115 (4): 405420405-420.

BackgroundIncreasingly, policymakers and professional organizations support screening for social assets and risks during clinical care. Scant evidence exists on how screening impacts patients, providers, or health systems.ObjectiveTo systematically review published literature for evidence of the clinical utility of screening for social determinants of health in clinical obstetric and gynecologic (OBGYN) care.Search StrategyWe systematically searched Pubmed (March 2022, 5,302 identified) and identified additional articles using hand sorting (searching articles citing key articles (273 identified) and through bibliography review (20 identified)).Selection CriteriaWe included all articles that measured a quantitative outcome of systematic social determinants of health (SDOH) screening in an OBGYN clinical setting. Each identified citation was reviewed by two independent reviewers at both the title/abstract and full text stages.Data Collection And AnalysisWe identified 19 articles for inclusion and present the results using narrative synthesis.Main ResultsThe majority of articles reported on SDOH screening during prenatal care (16/19) and the most common SDOH was intimate partner violence (13/19 studies). Overall, patients had favorable attitudes towards SDOH screening (in 8/9 articles measuring attitudes), and referrals were common following positive screening (range 5.3%-63.6%). Only two articles presented data on the effects of SDOH screening on clinicians and none on health systems. Three articles present data on resolution of social needs, with inconsistent results.ConclusionsLimited evidence exists on the benefits of SDOH screening in OBGYN clinical settings. Innovative studies leveraging existing data collection are needed to expand and improve SDOH screening.Copyright © 2023 National Medical Association. Published by Elsevier Inc. All rights reserved.

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