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Updated: Jul 19, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Closing the gap, opening the process: why study social contributors to preterm delivery among black women
1National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Insights
The persistent racial gap in preterm birth rates among African American families requires a multidisciplinary approach. Understanding social stressors and racism is crucial for developing effective interventions to eliminate this disparity.
Area of Science:
- Reproductive Health
- Social Epidemiology
- Health Disparities
Background:
- Significant disparities exist in infant mortality, VLBW, and preterm delivery rates between African American and white families in the U.S.
- These disparities, termed 'the gap,' necessitate a comprehensive investigation into their underlying causes.
Purpose of the Study:
- To explore the multifaceted causes of the racial gap in preterm birth.
- To identify potential interventions for eliminating preterm birth disparities.
Main Methods:
- Employed a multidisciplinary approach involving anthropologists, sociologists, medical researchers, and epidemiologists.
- Examined biologic pathways, stressors, and the social environment associated with preterm birth.
- Incorporated lived experiences and theoretical interpretations from study participants.
Main Results:
- Highlighted the need to study the social and political impact of being an African American woman.
- Identified racism and the combined effects of gender, racism, and social position as potential contributing factors.
- Emphasized the importance of integrating participant perspectives in understanding causes and prevention.
Conclusions:
- A multidisciplinary approach is essential for understanding and addressing the racial gap in preterm birth.
- Social determinants, including racism and systemic inequities, play a critical role in preterm birth disparities.
- Future research should prioritize community-engaged methodologies and incorporate lived experiences to inform interventions.
Abstract:
In the United States, the excess rates of infant mortality, VLBW, and preterm delivery among African American families relative to white families are known as "the gap." A group of researchers in the Division of Reproductive Health at the Centers for Disease Control and Prevention proposed that the study of causes of the gap in preterm delivery and the potential interventions to eliminate this disparity required a multidisciplinary approach to elucidate the biologic pathways, stressors, and social environment associated with preterm birth. They encouraged studies that examined the social and political impact of being an African American woman in the United States, racism, and the combined effects of gender, racism, and relative social position, as potential unmeasured etiologic factors that contribute to the gap. The studies conducted represent the expertise of anthropologists, sociologists, medical researchers, and epidemiologists who study both individual and social causes and then also provide a theoretical interpretation by those who lived the experience, (e.g., the study participants) rather than just the researchers' interpretation of the causes of and prevention strategies for the gap.
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