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Published on: January 12, 2018
Racial discrimination and the black-white gap in adverse birth outcomes: a review
Insights
Racial discrimination is linked to adverse birth outcomes like preterm birth and low birth weight in African American women. Further research is needed to understand its role as a chronic stressor.
Area of Science:
- Perinatal health
- Social determinants of health
- Public health
Background:
- Racial discrimination is a significant societal issue with potential health implications.
- Adverse birth outcomes represent a critical public health concern, particularly among minority populations.
Purpose of the Study:
- To synthesize existing research on the association between racial discrimination and adverse birth outcomes.
- To identify the current state of knowledge regarding this relationship in the scientific literature.
Main Methods:
- An integrative review of studies was performed.
- Searches were conducted in CINAHL, MEDLINE, and PsycINFO using keywords related to birth outcomes and racial discrimination.
- Ten studies focusing on African American women in the United States were included.
Main Results:
- A consistent positive relationship was observed between perceived racial discrimination and preterm birth.
- Racial discrimination was also associated with low birth weight and very low birth weight.
- No significant association was found between racial discrimination and gestational age at birth.
Conclusions:
- Racial discrimination may act as a chronic stressor impacting birth outcomes.
- Understanding this relationship is crucial for addressing disparities in perinatal health.
- Further research is recommended to explore the long-term effects of racial discrimination on birth outcomes.
Introduction:
The purpose of this integrative review was to evaluate what is known about the relationship between racial discrimination and adverse birth outcomes.
Methods:
A search of the Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and PsycINFO was conducted. The keywords used were: preterm birth, premature birth, preterm delivery, preterm labor, low birth weight, very low birth weight, racism, racial discrimination, and prejudice. Ten research studies were reviewed. All of the studies included African American women in their samples, were conducted in the United States, and were written in English. We did not limit the year of publication for the studies. Data were extracted based on the birth outcomes of preterm birth, low birth weight, or very low birth weight.
Results:
A consistent positive relationship existed between perceptions of racial discrimination and preterm birth, low birth weight, and very low birth weight. No relationship was found between racial discrimination and gestational age at birth.
Discussion:
Future research should explore the effects of racial discrimination as a chronic stressor contributing to the persistent gap in birth outcomes between racial groups.
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