Minority Health Archive

Very Low Birthweight in African American Infants: The Role of Maternal Exposure to Interpersonal Racial Discrimination

Collins, James W. Jr and David, Richard J. and Handler, Arden and Wall, Stephen and Andes, Steven (2004) Very Low Birthweight in African American Infants: The Role of Maternal Exposure to Interpersonal Racial Discrimination. American Journal of Public Health, 94 (12). pp. 2132-2138. ISSN 0090-0036

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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 (<1500 g) preterm (<37 weeks) infants and 208 African American women who delivered non–low-birthweight (>2500g) term infants in Chicago, Ill. 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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: pregnancy outcomes; interpersonal racism; independent risk factor; preterm delivery
Subjects: Health > Health Equity
Health > Prenatal & Pediatric Health
Health > Public Health > Health Risk Factors
Research
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Depositing User: Users 141 not found.
Date Deposited: 03 Oct 2008
Last Modified: 30 Jun 2011 10:11
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/1038

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