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01.02.2013 | Original Article

Maternal Experiences with Everyday Discrimination and Infant Birth Weight: A Test of Mediators and Moderators Among Young, Urban Women of Color

verfasst von: Valerie A. Earnshaw, Ph.D., Lisa Rosenthal, Ph.D., Jessica B. Lewis, LMFT, Emily C. Stasko, MPH, Jonathan N. Tobin, Ph.D., Tené T. Lewis, Ph.D., Allecia E. Reid, Ph.D., Jeannette R. Ickovics, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 1/2013

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Abstract

Background

Racial/ethnic disparities in birth weight persist within the USA.

Purpose

The purpose of this study is to examine the association between maternal everyday discrimination and infant birth weight among young, urban women of color as well as mediators (depressive symptoms, pregnancy distress, and pregnancy symptoms) and moderators (age, race/ethnicity, and attributions of discrimination) of this association.

Methods

A total of 420 women participated (14–21 years old; 62 % Latina, 38 % Black), completing measures of everyday discrimination and moderators during their second trimester of pregnancy and mediators during their third trimester. Birth weight was primarily recorded from medical record review.

Results

Path analysis demonstrated that everyday discrimination was associated with lower birth weight. Depressive symptoms mediated this relationship, and no tested factors moderated this relationship.

Conclusions

Given the association between birth weight and health across the lifespan, it is critical to reduce discrimination directed at young, urban women of color so that all children can begin life with greater promise for health.

Martin JA, Hamilton BE, Ventura SJ, et al. Births: Final data for 2009. National Vital Statistics Report. Hyattsville: National Center for Health; 2011.

Fuentes-Afflick E, Hessol NA, Perez-Stable EJ. Testing the epidemiologic paradox of low birth weight in Latinos. Arch Pediatr Adolesc Med. 1999;153:147-153.PubMed

Matthews TJ, Menacker F, MacDorman MF. Infant mortality statistics from the 2002 period linked birth/infant death data set. National Vital Statistics Report. Hyattsville, MD: National Center for Health; 2005;53.

McIntire DD, Bloom SL, Casey BM, Leveno KJ. Birth weight in relation to morbidity and mortality among newborn infants. N Engl J Med. 1999;340:1234-1238.PubMedCrossRef

Lemons JA, Bauer CR, Oh W, et al. Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1995 through December 1996. Pediatrics. 2001;107:e1.PubMedCrossRef

McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. N Engl J Med. 1985;312:82-90.PubMedCrossRef

Hack M, Klein NK, Taylor HG. Long-term developmental outcomes of low birth weight infants. Future Child. 1995;5:176-196.PubMedCrossRef

Barker DJ, Godfrey KM, Fall C, et al. Relation of birth weight and childhood respiratory infection to adult lung function and death from chronic obstructive airways disease. BMJ. 1991;303:671-675.PubMedCrossRef

Rich-Edwards JW, Stampfer MJ, Manson JE, et al. Birth weight and risk of cardiovascular disease in a cohort of women followed up since 1976. BMJ. 1997;315:396-400.PubMedCrossRef

10.

Hattersley AT, Tooke JE. The fetal insulin hypothesis: An alternative explanation of the association of low birth weight with diabetes and vascular disease. Lancet. 1999;353:1789-1792.PubMedCrossRef

11.

Dunkel SC. Psychological science on pregnancy: Stress processes, biopsychosocial models, and emerging research issues. Annu Rev Psychol. 2011;62:531-558.CrossRef

12.

Giscombé CL, Lobel M. Explaining disproportionately high rates of adverse birth outcomes among African Americans: The impact of stress, racism, and related factors in pregnancy. Psychol Bull. 2005;131:662-683.PubMedCrossRef

13.

Dominguez TP. Race, racism, and racial disparities in adverse birth outcomes. Clin Obstet Gynecol. 2008;51:360-370.PubMedCrossRef

14.

Rosenthal L, Lobel M. Explaining racial disparities in adverse birth outcomes: Unique sources of stress for Black American women. Soc Sci Med. 2011;72:977-983.PubMedCrossRef

15.

Collins JW, David RJ, Symons R, et al. Low-income African-American mothers’ perception of exposure to racial discrimination and infant birth weight. Epidemiology. 2000;11:337-339.PubMedCrossRef

16.

Dole N, Savitz DA, Hertz-Picciotto I, et al. Maternal stress and preterm birth. Am J Epidemiol. 2003;157:14-24.PubMedCrossRef

17.

Lespinasse AA, David RJ, Collins JW, Handler AS, Wall SN. Maternal support in the delivery room and birthweight among African-American women. J Natl Med Assoc. 2004;96:187-195.PubMed

18.

Dominguez TP, Dunkel-Schetter C, Glynn LM, Hobel C, Sandman CA. Racial differences in birth outcomes: The role of general, pregnancy, and racism stress. Health Psychol. 2008;27:194-203.PubMedCrossRef

19.

Rosenberg L, Palmer JR, Wise LA, Horton NJ, Corwin MJ. Perceptions of racial discrimination and the risk of preterm birth. Epidemiology. 2002;13:646-652.PubMedCrossRef

20.

Stigma GE. Notes on the Management of Spoiled Identity. 1st ed. New York: Simon & Schuster; 1963.

21.

Dovidio J, Gaertner S. Aversive racism. In: Zanna MP, ed. Advances in Experimental Social Psychology, vol. 36. San Diego: Elsevier; 2004:1-52.

22.

Nuru-Jeter A, Dominguez TP, Hammond WP, et al. “It’s the skin you’re in”: African-American women talk about their experiences of racism. An exploratory study to develop measures of racism for birth outcome studies. Matern Child Health J. 2008;13:29-39.PubMedCrossRef

23.

Swim JK, Aikin KJ, Hall WS, Hunter BA. Sexism and racism: Old-fashioned and modern prejudices. J Pers Soc Psychol. 1995;68:199-214.CrossRef

24.

Glick P, Fiske ST. The ambivalent sexism inventory: Differentiating hostile and benevolent sexism. J Pers Soc Psychol. 1996;70:491-512.CrossRef

25.

Swim JK, Hyers LL, Cohen LL, Ferguson MJ. Everyday sexism: Evidence for its incidence, nature, and psychological impact from three daily diary studies. J Soc Issues. 2001;57:31-53.CrossRef

26.

Kimmel DC. Ageism, psychology, and public policy. Am Psychol. 1988;43:175-178.PubMedCrossRef

27.

Gordon HR. Allies within and without: How adolescent activists conceptualize ageism and navigate adult power in youth social movements. J Contemp Ethnogr. 2007;36:631-668.CrossRef

28.

Marván ML, Islas M, Vela L, Chrisler JC, Warren EA. Stereotypes of women in different stages of their reproductive life: Data from Mexico and the United States. Health Care Women Int. 2008;29:673-687.PubMedCrossRef

29.

Halpert JA, Wilson ML, Hickman JL. Pregnancy as a source of bias in performance appraisals. J Organ Behav. 1993;14:649-663.CrossRef

30.

Whitehead E. Teenage pregnancy: On the road to social death. Int J Nurs Stud. 2001;38:437-446.PubMedCrossRef

31.

Wiemann CM, Rickert VI, Berenson AB, Volk RJ. Are pregnant adolescents stigmatized by pregnancy? J Adolesc Health. 2005;36:352.e1-352.e7.CrossRef

32.

Williams DR, Neighbors HW, Jackson JS. Racial/ethnic discrimination and health: Findings from community studies. Am J Public Health. 2003;93:200-208.PubMedCrossRef

33.

Pascoe EA, Richman LS. Perceived discrimination and health: A meta-analytic review. Psychol Bull. 2009;135:531-554.PubMedCrossRef

34.

Essed P. Understanding Everyday Racism: An Interdisciplinary Theory. Thousand Oaks: Sage; 1991.

35.

Williams DR, Neighbors HW, Jackson JS. Racial/ethnic discrimination and health: Findings from community studies. Am J Public Health. 2008;98:S29-S37.PubMedCrossRef

36.

Dunkel Schetter C, Lobel M. Pregnancy and birth outcomes: A multi-level analysis of prenatal maternal stress and birth weight. In: Baum A, Revenson TA, Singer J, eds. Handbook of Health Psychology. 2nd ed. New York: Psychology Press; 2011.

37.

McElrath TF, Hecht O, Dammann K, et al. Pregnancy disorders that lead to delivery before the 28^th week of gestation: An epidemiologic approach to classification. Am J Epidemiol. 2008;168:980-989.PubMedCrossRef

38.

Yali AM, Lobel M. Coping and distress in pregnancy: An investigation of medically high risk women. J Psychosom Obstet Gynecol. 1999;20:39-52.CrossRef

39.

Schmader T, Johns M, Forbes C. An integrated process model of stereotype threat effects on performance. Psych Rev. 2008;115:336-356.CrossRef

40.

Lobel M, Cannella DL, Graham JE, et al. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychol. 2008;27:604-615.PubMedCrossRef

41.

Paarlberg KM, Vingerhoets A, Passchier J, et al. Psychosocial factors as predictors of maternal well-being and pregnancy-related complaints. J Psychosom Obstet Gynecol. 1996;17:93-102.CrossRef

42.

Zhou Q, O’Brien B, Relyea J. Severity of nausea and vomiting during pregnancy: What does it predict? Birth. 1999;26:108-114.PubMedCrossRef

43.

Smart Richman L, Pek J, Pascoe E, Bauer DJ. The effects of perceived discrimination on ambulatory blood pressure and affective responses to interpersonal stress modeled over 24 hours. Health Psychol. 2010;29:403-411.PubMedCrossRef

44.

Tomfohr L, Cooper DC, Mills PJ, Nelesen RA, Dimsdale JE. Everyday discrimination and nocturnal blood pressure dipping in Black and White Americans. Psychosom Med. 2010;72:266-272.PubMedCrossRef

45.

Lewis TT, Kravitz HM, Janssen I, Powell LH. Self-reported experiences of discrimination and visceral fat in middle-aged African-American and Caucasian women. Am J Epidemiol. 2011;173:1223-1231.PubMedCrossRef

46.

Lewis TT. Chronic exposure to everyday discrimination and coronary artery calcification in African-American women: The SWAN heart study. Psychosom Med. 2006;68:362-368.PubMedCrossRef

47.

Ickovics JR, Kershaw TS, Westdahl C, et al. Group prenatal care and perinatal outcomes: A randomized controlled trial. Obstet Gynecol. 2007;110:330-339.PubMedCrossRef

48.

Kershaw TS, Magriples U, Westdahl C, Rising SS, Ickovics JR. Pregnancy as a window of opportunity for HIV prevention: Effects of an HIV intervention delivered within prenatal care. Am J Public Health. 2009;99:2079-2086.PubMedCrossRef

49.

Lewis TT, Yang FM, Jacobs EA, Fitchett G. Racial/ethnic differences in response to the everyday discrimination scale: A differential item functioning analysis. Am J Epidemiol. 2012;175(5):391-401.PubMedCrossRef

50.

Williams DR, Yu Y, Jackson JS, Anderson NB. Racial differences in physical and mental health: Socio-economic status, stress and discrimination. J Health Psychol. 1997;2:335-351.PubMedCrossRef

51.

Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Appl Psychol Measurement. 1977;1:385-401.CrossRef

52.

McCorkle R, Young K. Development of a symptom distress scale. Cancer Nurs. 1978;1:373-378.PubMedCrossRef

53.

Magriples U, Kershaw TS, Rising SS, Massey Z, Ickovics JR. Prenatal health care beyond the obstetrics service: Utilization and predictors of unscheduled care. Am J Obstet Gynecol. 2008;198:75.e1-75.e7.CrossRef

54.

Gans GM, Ross E, Barner CW, Wylie-Rosett J, McMurray J, Eaton C. REAP and WAVE: New tools to rapidly assess/discuss nutrition with patients. J Nutr. 2003;133:556S-562S.PubMed

55.

Kline RB. Principles and Practice of Structural Equation Modeling. 2nd ed. New York: The Guilford Press; 2005.

56.

Shrout PE, Bolger N. Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychol Methods. 2002;7:422-445.PubMedCrossRef

57.

Beatty DL, Hall MH, Kamarck TA, et al. Unfair treatment is associated with poor sleep in African American and Caucasian adults: Pittsburgh SleepSCORE project. Health Psychol. 2011;30:351-359.PubMedCrossRef

58.

Kramer MS. Determinants of low birth weight: Methodological assessment and meta-analysis. Bull World Health Organ. 1987;65:663-737.PubMed

59.

Black SE, Devereux PJ, Salvanes KG. From the cradle to the labor market? The effect of birth weight on adult outcomes. Q J Econ. 2007;122:409-439.CrossRef

60.

Matte TD, Bresnahan M, Begg MD, Susser E. Influence of variation in birth weight within normal range and within sibships on IQ at age 7 years: Cohort study. BMJ. 2001;323:310-314.PubMedCrossRef

61.

Richards M, Hardy R, Kuh D, Wadsworth ME. Birth weight and cognitive function in the British 1946 birth cohort: Longitudinal population based study. BMJ. 2001;322:199-203.PubMedCrossRef

62.

Oreopoulos P, Stabile M, Walld R, Roos LL. Short-, medium-, and long-term consequences of poor infant health: An analysis using siblings and twins. J Hum Resour. 2008;43:88-138.CrossRef

63.

Jackson FM, Hogue CR, Phillips MT. The development of a race and gender-specific stress measure for African-American women: Jackson, Hogue, Phillips contextualized stress measure. Ethn Dis. 2005;15:594-600.PubMed

64.

Woods-Giscombé CL, Lobel M. Race and gender matter: A multidimensional approach to conceptualizing and measuring stress in African American women. Cultur Divers Ethnic Minor Psychol. 2008;14:173-182.PubMedCrossRef

65.

Berger MT. Workable Sisterhood: The Political Journey of Stigmatized Women with HIV/AIDS. Princeton: Princeton University Press; 2004.

Titel: Maternal Experiences with Everyday Discrimination and Infant Birth Weight: A Test of Mediators and Moderators Among Young, Urban Women of Color
verfasst von: Valerie A. Earnshaw, Ph.D.
Lisa Rosenthal, Ph.D.
Jessica B. Lewis, LMFT
Emily C. Stasko, MPH
Jonathan N. Tobin, Ph.D.
Tené T. Lewis, Ph.D.
Allecia E. Reid, Ph.D.
Jeannette R. Ickovics, Ph.D.
Publikationsdatum: 01.02.2013
Verlag: Springer-Verlag
Erschienen in: Annals of Behavioral Medicine / Ausgabe 1/2013
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI: https://doi.org/10.1007/s12160-012-9404-3

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Maternal Experiences with Everyday Discrimination and Infant Birth Weight: A Test of Mediators and Moderators Among Young, Urban Women of Color