Document Detail

Racial discrimination and the black-white gap in adverse birth outcomes: a review.
MedLine Citation:
PMID:  21733107     Owner:  NLM     Status:  MEDLINE    
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.
Carmen Giurgescu; Barbara L McFarlin; Jeneen Lomax; Cindy Craddock; Amy Albrecht
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Journal of midwifery & women's health     Volume:  56     ISSN:  1542-2011     ISO Abbreviation:  J Midwifery Womens Health     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-07     Completed Date:  2011-11-08     Revised Date:  2014-01-24    
Medline Journal Info:
Nlm Unique ID:  100909407     Medline TA:  J Midwifery Womens Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  362-70     Citation Subset:  IM; N    
Copyright Information:
© 2011 by the American College of Nurse-Midwives.
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MeSH Terms
African Continental Ancestry Group / statistics & numerical data*
Attitude to Health / ethnology*
European Continental Ancestry Group / statistics & numerical data*
Health Status
Health Status Disparities*
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Pregnancy Outcome / ethnology*
Premature Birth / ethnology*
Prenatal Care
Socioeconomic Factors
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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