Examining the Influence of Racial Discrimination on Adverse Birth Outcomes: An Analysis of the Virginia Pregnancy Risk Assessment Monitoring System (PRAMS), 2016–2018.
Objectives: In Virginia, Black women experience higher rates of adverse birth and labor outcomes that may not be explained solely by risky behaviors or social standing. Previous studies have found an association between racial discrimination and adverse birth outcomes; however, their findings may be...
| Publicado en: | Maternal & Child Health Journal Vol. 26; no. 4; pp. 691 - 700 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156342014&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156342014 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Apr2022 vid: 26 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156342014 151998572 156342014 156342014 10.1007/s10995-021-03223-2 156342014 ppf: 691 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Examining the Influence of Racial Discrimination on Adverse Birth Outcomes: An Analysis of the Virginia Pregnancy Risk Assessment Monitoring System (PRAMS), 2016–2018. aug: au: Barber, Kenesha F. Smith Robinson, Meagan D. affil: Virginia Department of Health, Office of Family Health Services/ Division of Population Health Data, 10th Floor, 109 Governor Street, 23219, Richmond, VA, USA sug: subj: Racism Adverse Health Care Event Pregnancy Outcomes Virginia Risk Assessment Ethnic Groups Human Pregnancy Female Secondary Analysis Adolescence Adult Descriptive Statistics Logistic Regression Infant, Low Birth Weight Infant, Small for Gestational Age Odds Ratio Confidence Intervals African Americans Virginia Adolescent: 13-18 years Adult: 19-44 years Female ab: Objectives: In Virginia, Black women experience higher rates of adverse birth and labor outcomes that may not be explained solely by risky behaviors or social standing. Previous studies have found an association between racial discrimination and adverse birth outcomes; however, their findings may be underpowered due to small sample sizes. The purpose of this study was to examine the relationship between racial discrimination and poor birth outcomes. Methods: VA PRAMS (2016–2018) was used for this secondary data analysis of mothers age 15–44. The exposure was measured using two VA PRAMS questions on racial discrimination and information on the outcomes were extracted from birth certificate data. Simple logistic regression was used obtain an association between experiencing racial discrimination and adverse birth outcomes (i.e. preterm birth, low birth weight, and small for gestational age) and to identify risk factors for experiencing racial discrimination. Multivariate logistic regressions were performed after controlling for other covariates. Results: Virginia women (N = 2634) who experienced racial discrimination had statistically significant increased odds of having a low birth weight infant (OR 2.27; 95% CI 1.18, 4.38); however, when stratified by race, only non-Hispanic Black (n = 540) women had statistically significant increased odds of preterm birth and low birth weight (PTB OR 7.18; 95% CI 2.28, 22.65; LBW OR 3.56; 95% CI 1.28, 9.91). Conclusions: Non-Hispanic Black women in Virginia who experience racial discrimination are more likely to have low birth weight and preterm births. Efforts to effectively reduce adverse birth outcomes and eliminate racial inequities must consider upstream, holistic approaches beyond the biomedical model. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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