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Very low birthweight in African American infants: The role of maternal exposure to interpersonal racial discrimination

Author

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  • Collins Jr., J.W.
  • David, R.J.
  • Handler, A.
  • Wall, S.
  • Andes, S.

Abstract

Objectives. We determined whether African American women's lifetime exposure to interpersonal racial discrimination is associated with pregnancy outcomes. Methods. We performed a case-control study among 104 African American women who delivered very low birthweight ( 2500g) term infants in Chicago, III. Results. The unadjusted and adjusted odds ratio of very low birthweight infants for maternal lifetime exposure to interpersonal racism in 3 or more domains equaled 3.2 (95% confidence intervals = 1.5, 6.6) and 2.6 (1.2, 5.3), respectively. This association tended to persist across maternal sociodemographic, biomedical, and behavioral characteristics. Conclusions. The lifelong accumulated experiences of racial discrimination by African American women constitute an independent risk factor for preterm delivery.

Suggested Citation

  • Collins Jr., J.W. & David, R.J. & Handler, A. & Wall, S. & Andes, S., 2004. "Very low birthweight in African American infants: The role of maternal exposure to interpersonal racial discrimination," American Journal of Public Health, American Public Health Association, vol. 94(12), pages 2132-2138.
    • Handle: RePEc:aph:ajpbhl:2004:94:12:2132-2138_3
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    Cited by:

    1. Marilyn Stringer & Tali Averbuch & Pamela Mack Brooks & Loretta Sweet Jemmott, 2012. "Response to Homeless Childbearing Women’s Health Care Learning Needs," Clinical Nursing Research, , vol. 21(2), pages 195-212, May.
    2. Daoud, Nihaya & Abu-Hamad, Sirat & Berger-Polsky, Alexandra & Davidovitch, Nadav & Orshalimy, Sharon, 2022. "Mechanisms for racial separation and inequitable maternal care in hospital maternity wards," Social Science & Medicine, Elsevier, vol. 292(C).
    3. Daniel Kim & Adrianna Saada, 2013. "The Social Determinants of Infant Mortality and Birth Outcomes in Western Developed Nations: A Cross-Country Systematic Review," IJERPH, MDPI, vol. 10(6), pages 1-40, June.
    4. Chae, David H. & Clouston, Sean & Martz, Connor D. & Hatzenbuehler, Mark L. & Cooper, Hannah L.F. & Turpin, Rodman & Stephens-Davidowitz, Seth & Kramer, Michael R., 2018. "Area racism and birth outcomes among Blacks in the United States," Social Science & Medicine, Elsevier, vol. 199(C), pages 49-55.
    5. Leah Zilversmit Pao & Emily W. Harville & Jeffrey K. Wickliffe & Arti Shankar & Pierre Buekens, 2019. "The Cumulative Risk of Chemical and Nonchemical Exposures on Birth Outcomes in Healthy Women: The Fetal Growth Study," IJERPH, MDPI, vol. 16(19), pages 1-16, October.
    6. Tiffany Green & Tod Hamilton, 2019. "Maternal educational attainment and infant mortality in the United States: Does the gradient vary by race/ethnicity and nativity?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(25), pages 713-752.
    7. Diane Lauderdale, 2006. "Birth outcomes for Arabic-named women in California before and after September 11," Demography, Springer;Population Association of America (PAA), vol. 43(1), pages 185-201, February.
    8. Kramer, Michael R. & Cooper, Hannah L. & Drews-Botsch, Carolyn D. & Waller, Lance A. & Hogue, Carol R., 2010. "Metropolitan isolation segregation and Black-White disparities in very preterm birth: A test of mediating pathways and variance explained," Social Science & Medicine, Elsevier, vol. 71(12), pages 2108-2116, December.
    9. Dominguez, Tyan Parker & Strong, Emily Ficklin & Krieger, Nancy & Gillman, Matthew W. & Rich-Edwards, Janet W., 2009. "Differences in the self-reported racism experiences of US-born and foreign-born Black pregnant women," Social Science & Medicine, Elsevier, vol. 69(2), pages 258-265, July.
    10. Paris Ekeke & Dara D. Mendez & Toby D. Yanowitz & Janet M. Catov, 2020. "Racial Differences in the Biochemical Effects of Stress in Pregnancy," IJERPH, MDPI, vol. 17(19), pages 1-15, September.
    11. Lee, Shih-Yu & Hsu, Hui-Chin, 2012. "Stress and health-related well-being among mothers with a low birth weight infant: The role of sleep," Social Science & Medicine, Elsevier, vol. 74(7), pages 958-965.
    12. Vu, Cecilia & Arcaya, Mariana C. & Kawachi, Ichiro & Williams, David R., 2023. "Moving to opportunity? Low birth weight outcomes among Southern-born Black mothers during the Great Migration," Social Science & Medicine, Elsevier, vol. 328(C).
    13. Harris, Ricci & Tobias, Martin & Jeffreys, Mona & Waldegrave, Kiri & Karlsen, Saffron & Nazroo, James, 2006. "Racism and health: The relationship between experience of racial discrimination and health in New Zealand," Social Science & Medicine, Elsevier, vol. 63(6), pages 1428-1441, September.
    14. Ruqaiijah Yearby, 2018. "Racial Disparities in Health Status and Access to Healthcare: The Continuation of Inequality in the United States Due to Structural Racism," American Journal of Economics and Sociology, Wiley Blackwell, vol. 77(3-4), pages 1113-1152, May.
    15. Priest, Naomi & Paradies, Yin & Trenerry, Brigid & Truong, Mandy & Karlsen, Saffron & Kelly, Yvonne, 2013. "A systematic review of studies examining the relationship between reported racism and health and wellbeing for children and young people," Social Science & Medicine, Elsevier, vol. 95(C), pages 115-127.
    16. Bécares, Laia & Nazroo, James & Kelly, Yvonne, 2015. "A longitudinal examination of maternal, family, and area-level experiences of racism on children's socioemotional development: Patterns and possible explanations," Social Science & Medicine, Elsevier, vol. 142(C), pages 128-135.
    17. Kate W. Strully & Robert Bozick & Ying Huang & Lane F. Burgette, 2020. "Employer Verification Mandates and Infant Health," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(6), pages 1143-1184, December.
    18. Anders Larrabee Sonderlund & Antoinette Schoenthaler & Trine Thilsing, 2021. "The Association between Maternal Experiences of Interpersonal Discrimination and Adverse Birth Outcomes: A Systematic Review of the Evidence," IJERPH, MDPI, vol. 18(4), pages 1-31, February.
    19. Scholaske, Laura & Brose, Annette & Spallek, Jacob & Entringer, Sonja, 2019. "Perceived discrimination and risk of preterm birth among Turkish immigrant women in Germany," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    20. Williams, David R. & Gonzalez, Hector M. & Williams, Stacey & Mohammed, Selina A. & Moomal, Hashim & Stein, Dan J., 2008. "Perceived discrimination, race and health in South Africa," Social Science & Medicine, Elsevier, vol. 67(3), pages 441-452, August.
    21. Bell, Janice F. & Zimmerman, Frederick J. & Almgren, Gunnar R. & Mayer, Jonathan D. & Huebner, Colleen E., 2006. "Birth outcomes among urban African-American women: A multilevel analysis of the role of racial residential segregation," Social Science & Medicine, Elsevier, vol. 63(12), pages 3030-3045, December.
    22. Homan, Patricia, 2017. "Political gender inequality and infant mortality in the United States, 1990–2012," Social Science & Medicine, Elsevier, vol. 182(C), pages 127-135.
    23. Heard-Garris, N.J. & Cale, M. & Camaj, L. & Hamati, M.C. & Dominguez, T.P., 2018. "Transmitting Trauma: A systematic review of vicarious racism and child health," Social Science & Medicine, Elsevier, vol. 199(C), pages 230-240.

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