Role of discrimination and resilience on birth weight: A systematic examination in a sample of Black, Latina, and White women

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2022-01-01 DOI:10.1177/17455057221093927

K. Mickelson, P. Doehrman, C. Chambers, Hayley D. Seely, Marianna Kaneris, Rachel Stancl, Chelsea E Stewart, Shea Sullivan

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引用次数: 2

Abstract

Introduction: Health inequities begin before birth with Black women being more likely to have low birth weight babies than White and Latina women. Although both Latina and Black women experience discrimination, only Black women appear to be affected. Methods: In this study using medical records and face-to-face interviews, we systematically examined the role of discrimination (daily, environmental, vicarious) on continuous birth weight (controlling for gestational age and baby’s gender) in a sample of 329 Black, Latina, and White pregnant women, as well as whether familism, prayer, and/or discrimination attribution buffered this association. Results: Linear regression analyses revealed that only prayer acted as a resilience factor, with Latina women appearing to benefit from prayer in the link between vicarious and daily discrimination on birth weight conditional on gestational age, whereas Black women showed no moderation and White women showed an exacerbation in the link. Discussion: The results of this study suggest that sociocultural norms may play a role in explaining the Latina epidemiological paradox, but more research is needed to understand the significance.

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歧视和复原力对出生体重的作用：对黑人、拉丁裔和白人女性样本的系统检查

引言：健康不平等始于出生前，黑人女性比白人和拉丁裔女性更有可能生下低出生体重的婴儿。尽管拉丁裔和黑人女性都受到歧视，但似乎只有黑人女性受到影响。方法：在这项使用医疗记录和面对面访谈的研究中，我们系统地检查了歧视（日常、环境、替代）对329名黑人、拉丁裔和白人孕妇的连续出生体重（控制胎龄和婴儿性别）的作用，以及家庭主义、祈祷、，和/或歧视归因缓冲了这种关联。结果：线性回归分析显示，只有祈祷才是一个恢复因素，拉丁裔女性似乎从祈祷中受益，因为代孕和以胎龄为条件的出生体重日常歧视之间存在联系，而黑人女性则没有表现出适度性，白人女性则表现出这种联系的恶化。讨论：这项研究的结果表明，社会文化规范可能在解释拉丁裔流行病学悖论中发挥作用，但还需要更多的研究来理解其意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.