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.
Abstract

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