Associations between Individual- and Structural-Level Racism and Gestational Age at Birth in the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be
Year: 2024
Type: article
Abstract: The purpose of this study was to investigate the associations between multilevel racism and gestational age at birth among nulliparous non-Hispanic Black, non-Hispanic White and Hispanic women. We conducted a secondary analysis of data of the nuMoM2b Study (2010-2013) to examine the associations between individual and structural-level experiences of racism and discrimination and gestational age at birth among nulliparous women (n=7,732) at eight sites across the U.S. Measures included the individual Experiences of Discrimination (EOD) scale and the Index of Concentration (ICE) at the Extremes to measure structural racism. After adjustment,we observed a significant individual and structural racism interaction on gestational length (p=0.03). In subgroup analyses, we found that among these with high EOD scores, women who were from households concentrated in the more privileged group had significantly longer gestations (β = 1.07, 95% CI: 0.24, 1.90). Women who reported higher EOD scores and more economic privilege had longer gestations, demonstrating the moderating effect of ICE as a measure of structural racism. In conclusion, ICE may represent a modifiable factor in the prevention of adverse birth outcomes in nulliparas.
Source: Journal of Urban Health
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
Funders: Institute of Clinical and Translational Sciences, Columbia Population Research Center, National Institutes of Health, National Heart, Lung, and Blood Institute, National Institute of Child Health and Human Development, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: G1216408729, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Indiana Clinical and Translational Sciences Institute, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk , G3788327699, Adverse Outcomes in Nulliparous Pregnancies: The Ohio Collaborative, G3929074732, California Center for Population Research Training Program, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Columbia Population Research Center, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Prevention of Preterm Birth in high Risk Nulliparous Patients, Preterm Birth in Nulliparous Women: An Understudied Population at Great Risk, Institute for Clinical and Translational Science, G8691667236, Dissecting the Genetic Etiology of Preterm Birth in Nulliparous Women, Continuation of the NuMoM2b Heart Health Study, Epigenomic Pathways from Racism to Preterm Birth, Columbia Population Research Center, G956146209
OpenAlex ID: W4400525360