A Multisite Examination of Everyday Discrimination and the Prevalence of Spontaneous Preterm Birth in African American and Latina Women in the United States

Kimberly E. Fryer; Anissa I. Vines; Alison M. Stuebe

doi:10.1055/s-0039-1693696

American Journal of Perinatology, Table of Contents

Am J Perinatol 2020; 37(13): 1340-1350
DOI: 10.1055/s-0039-1693696

Original Article

A Multisite Examination of Everyday Discrimination and the Prevalence of Spontaneous Preterm Birth in African American and Latina Women in the United States

Kimberly E. Fryer

¹Department of Obstetrics and Gynecology, Division of General Obstetrics and Gynecology, University of South Florida, Tampa, Florida

,

Anissa I. Vines

²Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

,

Alison M. Stuebe

³Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

⁴Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

› Author Affiliations

Abstract

Objective African American women have a higher risk of spontaneous preterm birth than White and Latina women. Although Latina women are exposed to similar social determinants of health, they have lower rates of spontaneous preterm birth. One theory for this difference is the maternal stress biological pathway, whereby lifetime stressors, such as racial discrimination, lead to a premature activation of parturition. We investigated the prevalence of self-reported discrimination and its association with the prevalence of spontaneous preterm birth.

Study Design Using data from the Community Child Health Research Network Study, a multisite cohort study from 2008 to 2012, we conducted a cross-sectional analysis of 1,154 African American women and 578 Latina women.

Results Adjusting for multiple risk factors, African American and Latina women who experienced the highest tertile of discrimination had a higher prevalence of preterm birth compared with those who experienced discrimination less than once per year, adjusted hazard ratio (aHR) = 1.5 (0.7–3.1) and 3.6 (0.9–14.4), respectively.

Conclusion In our cohort, we found a statistically significant association only in the medium discrimination group in Latina women, but we did not find a statistically significant association in African American women. Reduction in experienced discrimination may be an important intervention for reducing adverse pregnancy outcomes.

Keywords

discrimination - preterm delivery - preterm birth - race - ethnicity - Latina - African American - Hispanic

Full Text

References

References
1 Mathews TJ, Macdorman MF. Infant mortality statistics from the 2010 period linked birth/infant death data set. Natl Vital Stat Rep 2010; 62 (08) 1-27
2 Martin JA, Hamilton BE, Osterman MJK, Driscoll AK, Drake P. Births: final data for 2016. Natl Vital Stat Rep 2018; 67 (01) 1-55
3 Matthews TJ, MacDorman MF, Thoma ME. Infant mortality statistics from the 2013 period linked birth/infant death data set. Natl Vital Stat Rep 2015; 64 (09) 1-30
4 Healthy People. Maternal, Infant, and Child Health. Available at: https://www.healthypeople.gov/2020/data-search/Search-the-Data#objid=4833 . Accessed May 23, 2017
5 McGrady GA, Sung JFC, Rowley DL, Hogue CJR. Preterm delivery and low birth weight among first-born infants of black and white college graduates. Am J Epidemiol 1992; 136 (03) 266-276
6 Goldenberg RL, Cliver SP, Mulvihill FX. et al. Medical, psychosocial, and behavioral risk factors do not explain the increased risk for low birth weight among black women. Am J Obstet Gynecol 1996; 175 (05) 1317-1324
7 Copper RL, Goldenberg RL, Das A. et al; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation. Am J Obstet Gynecol 1996; 175 (05) 1286-1292
8 Hogue CJ, Hoffman S, Hatch MC. Stress and preterm delivery: a conceptual framework. Paediatr Perinat Epidemiol 2001; 15 (Suppl. 02) 30-40
9 Wadhwa PD, Culhane JF, Rauh V. et al. Stress, infection and preterm birth: a biobehavioural perspective. Paediatr Perinat Epidemiol 2001; 15 (02) (Suppl. 02) 17-29
10 Lu MC, Chen B. Racial and ethnic disparities in preterm birth: the role of stressful life events. Am J Obstet Gynecol 2004; 191 (03) 691-699
11 Wadhwa PD, Entringer S, Buss C, Lu MC. The contribution of maternal stress to preterm birth: issues and considerations. Clin Perinatol 2011; 38 (03) 351-384
12 Olson DM, Severson EM, Verstraeten BS, Ng JW, McCreary JK, Metz GA. Allostatic Load and Preterm Birth. Int J Mol Sci 2015; 16 (12) 29856-29874
13 Rich-Edwards JW, Grizzard TA. Psychosocial stress and neuroendocrine mechanisms in preterm delivery. Am J Obstet Gynecol 2005; 192 (5, Suppl.): S30-S35
14 Abdou CM, Dunkel Schetter C, Campos B. et al. Communalism predicts prenatal affect, stress, and physiology better than ethnicity and socioeconomic status. Cultur Divers Ethnic Minor Psychol 2010; 16 (03) 395-403
15 Britton ML, Shin H. Metropolitan residential segregation and very preterm birth among African American and Mexican-origin women. Soc Sci Med 2013; 98: 37-45
16 Ramey SL, Schafer P, DeClerque JL. et al; Community Child Health Network. The Preconception Stress and Resiliency Pathways Model: a multi-level framework on maternal, paternal, and child health disparities derived by community-based participatory research. Matern Child Health J 2015; 19 (04) 707-719
17 Hobel CJ, Goldstein A, Barrett ES. Psychosocial stress and pregnancy outcome. Clin Obstet Gynecol 2008; 51 (02) 333-348
18 Dole N, Savitz DA, Siega-Riz AM, Hertz-Picciotto I, McMahon MJ, Buekens P. Psychosocial factors and preterm birth among African American and White women in central North Carolina. Am J Public Health 2004; 94 (08) 1358-1365
19 Nkansah-Amankra S, Luchok KJ, Hussey JR, Watkins K, Liu X. Effects of maternal stress on low birth weight and preterm birth outcomes across neighborhoods of South Carolina, 2000-2003. Matern Child Health J 2010; 14 (02) 215-226
20 Bermúdez-Millán A, Damio G, Cruz J. et al. Stress and the social determinants of maternal health among Puerto Rican women: a CBPR approach. J Health Care Poor Underserved 2011; 22 (04) 1315-1330
21 Jones CP. Levels of racism: a theoretic framework and a gardener's tale. Am J Public Health 2000; 90 (08) 1212-1215
22 Hogue CJR, Bremner JD. Stress model for research into preterm delivery among black women. Am J Obstet Gynecol 2005; 192 (5, Suppl.): S47-S55
23 Rich-Edwards JW, Grizzard TA. Psychosocial stress and neuroendocrine mechanisms in preterm delivery. Am J Obstet Gynecol 2005; 192 (5, Suppl.): S30-S35
24 Collins Jr JW, David RJ, Handler A, Wall S, Andes S. Very low birthweight in African American infants: the role of maternal exposure to interpersonal racial discrimination. Am J Public Health 2004; 94 (12) 2132-2138 2
25 Erickson K, Thorsen P, Chrousos G. et al. Preterm birth: associated neuroendocrine, medical, and behavioral risk factors. J Clin Endocrinol Metab 2001; 86 (06) 2544-2552
26 Kramer MS, Lydon J, Séguin L. et al. Stress pathways to spontaneous preterm birth: the role of stressors, psychological distress, and stress hormones. Am J Epidemiol 2009; 169 (11) 1319-1326
27 Hogue C, Bremmer J. Stress model for research into preterm delivery among black women. Am J Obstet Gynecol 2005; 192 (5, Suppl.): S47-S55
28 Attanasio L, Kozhimannil KB. Patient-reported communication quality and perceived discrimination in maternity care. Med Care 2015; 53 (10) 863-871
29 Mendez DD, Hogan VK, Culhane J. Institutional racism and pregnancy health: using home mortgage disclosure act data to develop an index for mortgage discrimination at the community level. Public Health Rep 2011; 126 (3 Suppl.): 102-114
30 McGlade MS, Saha S, Dahlstrom ME. The Latina paradox: an opportunity for restructuring prenatal care delivery. Am J Public Health 2004; 94 (12) 2062-2065
31 Valles SA. The challenges of choosing and explaining a phenomenon in epidemiological research on the “Hispanic Paradox”. Theor Med Bioeth 2016; 37 (02) 129-148
32 Shaw RJ, Pickett KE. The health benefits of Hispanic communities for non-Hispanic mothers and infants: another Hispanic paradox. Am J Public Health 2013; 103 (06) 1052-1057
33 McGlade MS, Saha S, Dahlstrom ME. The Latina paradox: an opportunity for restructuring prenatal care delivery. Am J Public Health 2004; 94 (12) 2062-2065
34 Mustillo S, Krieger N, Gunderson EP, Sidney S, McCreath H, Kiefe CI. Self-reported experiences of racial discrimination and Black-White differences in preterm and low-birthweight deliveries: the CARDIA Study. Am J Public Health 2004; 94 (12) 2125-2131
35 Dailey DE. Social stressors and strengths as predictors of infant birth weight in low-income African American women. Nurs Res 2009; 58 (05) 340-347
36 Earnshaw VA, Rosenthal L, Lewis JB. et al. Maternal experiences with everyday discrimination and infant birth weight: a test of mediators and moderators among young, urban women of color. Ann Behav Med 2013; 45 (01) 13-23
37 Mendez DD, Hogan VK, Culhane JF. Institutional racism, neighborhood factors, stress, and preterm birth. Ethn Health 2014; 19 (05) 479-499
38 Alhusen JL, Bower KM, Epstein E, Sharps P. Racial Discrimination and Adverse Birth Outcomes: An Integrative Review. J Midwifery Womens Health 2016; 61 (06) 707-720
39 Rankin KM, David RJ, Collins Jr JW. African American women's exposure to interpersonal racial discrimination in public settings and preterm birth: the effect of coping behaviors. Ethn Dis 2011; 21 (03) 370-376
40 Misra D, Strobino D, Trabert B. Effects of social and psychosocial factors on risk of preterm birth in black women. Paediatr Perinat Epidemiol 2010; 24 (06) 546-554
41 Rosenberg L, Palmer JR, Wise LA, Horton NJ, Corwin MJ. Perceptions of racial discrimination and the risk of preterm birth. Epidemiology 2002; 13 (06) 646-652
42 Abdou CM, Schetter CD, Jones F. et al. Community perspectives: mixed-methods investigation of culture, stress, resilience, and health HHS public access. Ethn Dis 2010; 20 (01) (Suppl. 02) S2 –41–8
43 Dunkel Schetter C, Schafer P, Lanzi RG, Clark-Kauffman E, Raju TNK, Hillemeier MM. Community Child Health Network. shedding light on the mechanisms underlying health disparities through community participatory methods: the stress pathway. Perspect Psychol Sci 2013; 8 (06) 613-633
44 Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD). NICHD DASH - Eunice Kennedy Shriver National Institute of Child Health and Human Development Data and Specimen Hub. Available at: https://dash.nichd.nih.gov/ . Accessed March 19, 2019
45 Williams DR, , Yan Yu, Jackson JS, Anderson NB. Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination. J Health Psychol 1997; 2 (03) 335-351
46 Krieger N, Smith K, Naishadham D, Hartman C, Barbeau EM. Experiences of discrimination: validity and reliability of a self-report measure for population health research on racism and health. Soc Sci Med 2005; 61 (07) 1576-1596
47 Taylor TR, Kamarck TW, Shiffman S. Validation of the Detroit Area Study Discrimination Scale in a community sample of older African American adults: the Pittsburgh healthy heart project. Int J Behav Med 2004; 11 (02) 88-94
48 Roberts CB, Vines AI, Kaufman JS, James SA. Cross-sectional association between perceived discrimination and hypertension in African-American men and women: the Pitt County Study. Am J Epidemiol 2008; 167 (05) 624-632
49 Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet 2008; 371 (9606): 75-84
50 Giurgescu C, McFarlin BL, Lomax J, Craddock C, Albrecht A. Racial discrimination and the black-white gap in adverse birth outcomes: a review. J Midwifery Womens Health 2011; 56 (04) 362-370
51 Hunt MO, Wise LA, Jipguep MC, Cozier YC, Rosenberg L. Neighborhood racial composition and perceptions of racial discrimination: evidence from the Black women's health study. Soc Psychol Q 2007; 70 (03) 272-289
52 Dailey AB, Kasl SV, Holford TR, Lewis TT, Jones BA. Neighborhood- and individual-level socioeconomic variation in perceptions of racial discrimination. Ethn Health 2010; 15 (02) 145-163
53 Gyamfi-Bannerman C, Ananth CV. Trends in spontaneous and indicated preterm delivery among singleton gestations in the United States, 2005-2012. Obstet Gynecol 2014; 124 (06) 1069-1074
54 Sanchez-Vaznaugh EV, Braveman PA, Egerter S, Marchi KS, Heck K, Curtis M. Latina Birth Outcomes in California: Not so Paradoxical. Matern Child Health J 2016; 20 (09) 1849-1860
55 Landale NS, Oropesa RS, Noah AJ. Experiencing discrimination in Los Angeles: Latinos at the intersection of legal status and socioeconomic status. Soc Sci Res 2017; 67: 34-48