Document Detail

Is race a risk factor or a risk marker for preterm delivery?
MedLine Citation:
PMID:  7888988     Owner:  NLM     Status:  MEDLINE    
Reasons for the persistent difference in rates of preterm delivery among black and white women are not clear. Known risk factors explain very little of the variance. Recent studies have shown that social class does not fully account for poor pregnancy outcomes among black women. Cultural and environmental factors that vary between the races, but not between the different socioeconomic levels within a race, may account for some of the unexplained ethnic differences in preterm delivery. Any potentially negative exposure that is distributed differentially between racial groups warrants particular attention. The major hypothesis of this research is that US black women are chronically exposed to specific stressors that adversely affect the outcomes of their pregnancies. A psychosocial stress model has been proposed to explain the complex interactions of social, environmental, and medical factors that are unique among women of color. To generate data for the stress model, a research strategy has been designed to identify psychosocial and behavioral risk factors that have a physiologic impact on pregnancy outcome. We propose that race is a marker for this stress but is not in itself a risk factor for preterm delivery.
C A Blackmore; C D Ferré; D L Rowley; C J Hogue; J Gaiter; H Atrash
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Ethnicity & disease     Volume:  3     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  1993  
Date Detail:
Created Date:  1995-04-17     Completed Date:  1995-04-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  372-7     Citation Subset:  IM    
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA 30333.
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MeSH Terms
African Americans*
Data Interpretation, Statistical*
European Continental Ancestry Group
Genetic Markers
Infant Mortality
Obstetric Labor, Premature / epidemiology,  ethnology*,  psychology
Risk Factors
Social Environment
Socioeconomic Factors
Stress, Psychological / complications*
United States / epidemiology
Reg. No./Substance:
0/Genetic Markers

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

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