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Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
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Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
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Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Prenatal Racial Discrimination Associated With Dissatisfaction With Prenatal Care.

Katie Gillespie1,2, Fiona Weeks3,4,5

  • 1Prevention Research Center, University of Wisconsin-Madison, Madison, Wisconsin, khgillespie@wisc.edu.

WMJ : Official Publication of the State Medical Society of Wisconsin
|April 5, 2021
PubMed
Summary

Racial discrimination in healthcare is linked to inadequate prenatal and postpartum care for non-White mothers in Wisconsin. Addressing racism may help reduce maternal and infant mortality rates.

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Area of Science:

  • Public Health
  • Health Disparities
  • Maternal and Child Health

Background:

  • Persistent racial and ethnic health disparities exist in Wisconsin, with Black infants experiencing significantly higher mortality rates than White infants.
  • These disparities highlight critical inequities in maternal and infant care access and outcomes.

Purpose of the Study:

  • To investigate the relationship between women's experiences of racism and their access to prenatal and postnatal care.
  • To analyze data from the Wisconsin Pregnancy Risk Assessment Monitoring System (PRAMS) to understand these connections.

Main Methods:

  • Utilized data from the 2016-2018 Wisconsin Pregnancy Risk Assessment Monitoring System (PRAMS).
  • Included 2,571 non-White respondents, with data weighted for nonresponse and nonsampling errors.
  • Employed multivariable logistic regression to model the association between racial discrimination and perinatal care utilization.

Main Results:

  • Racial discrimination was associated with a higher likelihood of inadequate prenatal care (OR 1.4) and significantly associated with not receiving a postpartum visit (OR 1.6).
  • These associations remained significant even after adjusting for maternal sociodemographic characteristics.
  • Experience of racial discrimination increased the odds of lacking a postpartum visit by approximately 1.5 times.

Conclusions:

  • Completing postpartum visits is crucial for maternal health and survival.
  • Reducing experiences of racial discrimination within healthcare settings may be a key strategy to decrease maternal and infant mortality.
  • Addressing systemic racism is essential for improving perinatal care equity.