title: Associations Between Social Determinants of Health and Pregnancy Among Young People: A Systematic Review of Research Published During the Past 25 Years.
abstract: OBJECTIVE
  Major health disparities exist in pregnancy among young people. Although social determinant of health (SDH) approaches in interventions are promoted to reduce these disparities, little research exists that synthesizes empirical links between SDHs and pregnancy among young people. This systematic literature review utilized the Healthy People 2020 SDH framework to analyze and synthesize the empirical associations between SDHs and pregnancy among young people.
  
  
  METHODS
  We included studies that were published in the past 25 years from PubMed, PsycINFO®, and Academic Search" Premier databases. Twenty-two studies met all inclusion criteria and, following the Matrix Method, were assessed for methodological quality and empirical links between determinant areas and pregnancy.
  
  
  RESULTS
  Seventeen studies reported an empirical association between at least one SDH and pregnancy among young people. Areas most represented were poverty and family structure. No studies examined the relationship between pregnancies among young people and quality of housing, access to healthy foods, access to health-care services and primary care, health technology, social cohesion, perceptions of discrimination/equity, access to employment, employment status, school policies that support health promotion, safe school environments, or higher education enrollment.
  
  
  CONCLUSIONS
  This research indicates a need to expand the range of SDHs that are analyzed with pregnancy among young people and to focus interventions on areas that have been determined to have an empirical link with pregnancy.
authors: University of South Florida, Department of Community and Family Health, Tampa, FL; Current affiliation: University of Oklahoma, Department of Health and Exercise Science, Norman, OK.
authors: Sarah B
authors: SB
authors: Maness
authors: University of South Florida, Department of Community and Family Health, Tampa, FL; Current affiliation: San Diego State University, Graduate School of Public Health, Division of Health Promotion and Behavioral Science, San Diego, CA.
authors: Eric R
authors: ER
authors: Buhi
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D040361:Healthy People Programs; D006801:Humans; D011247:Pregnancy / Q000706:statistics & numerical data*; D064890:Social Determinants of Health / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D055815:Young Adult