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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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The Association Between Experiencing Racial Discrimination and Delivery Method Among Women in the United States,
Chelse Spinner1,2, Lorenzo N Hopper3, Sharon Watson4
1Department of Pediatrics, Stanford University School of Medicine, 1701 Page Mill Rd, Palo Alto, CA, 94304, USA. cspinner@stanford.edu.
Journal of Racial and Ethnic Health Disparities
|July 31, 2025
Summary
Racial discrimination may influence cesarean birth rates, but this study found no statistically significant association. Further research is needed to understand structural factors impacting maternal health disparities and delivery methods.
Area of Science:
- Maternal Health
- Health Disparities Research
- Sociology of Health
Background:
- Racial and ethnic disparities in cesarean birth rates persist, increasing complication risks.
- Previous research has overlooked the impact of structural factors on these disparities.
- Understanding the role of racial discrimination is crucial for addressing inequities in maternal care.
Purpose of the Study:
- To examine the association between experiencing racial discrimination and delivery method.
- To explore women's lived experiences with racial discrimination during pregnancy and childbirth.
Main Methods:
- Secondary data analysis of the 2016-2021 Pregnancy Risk Assessment Monitoring System (PRAMS).
- Included nulliparous and primiparous women (N=27,994).
- Used logistic regression to model the relationship between racial discrimination (exposure) and delivery method (outcome).
Main Results:
- Minority women reported significantly higher odds of experiencing racial discrimination compared to non-Hispanic White women.
- Racial discrimination showed a significant bivariate association with primary cesarean birth (OR, 1.19).
- This association became marginally significant after adjusting for confounders (OR, 1.09).
Conclusions:
- The study did not find a statistically significant association between racial discrimination and delivery method.
- Expanded measures of racial discrimination in datasets are recommended for future research.
- A comprehensive understanding of how racial discrimination contributes to cesarean birth disparities is vital for reducing health inequities.
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