Maternal Experiences with Everyday Discrimination and Infant Birth Weight: A Test of Mediators and Moderators Among Young, Urban Women of Color
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Racial/ethnic disparities in birth weight persist within the USA.
The purpose of this study is to examine the association between maternal everyday discrimination and infant birth weight among young, urban women of color as well as mediators (depressive symptoms, pregnancy distress, and pregnancy symptoms) and moderators (age, race/ethnicity, and attributions of discrimination) of this association.
A total of 420 women participated (14–21 years old; 62 % Latina, 38 % Black), completing measures of everyday discrimination and moderators during their second trimester of pregnancy and mediators during their third trimester. Birth weight was primarily recorded from medical record review.
Path analysis demonstrated that everyday discrimination was associated with lower birth weight. Depressive symptoms mediated this relationship, and no tested factors moderated this relationship.
Given the association between birth weight and health across the lifespan, it is critical to reduce discrimination directed at young, urban women of color so that all children can begin life with greater promise for health.
KeywordsEveryday discrimination Birth weight Depressive symptoms Pregnancy distress Adolescents Pregnancy
The project described was supported by grants from the National Institute of Mental Health, including R01MH074399, a research grant that funded the study, and T32MH020031, a training grant that funded Dr. Earnshaw’s effort. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health. The authors thank three anonymous reviewers and Dr. Laura Bogart for their helpful comments on earlier versions of this manuscript.
Conflict of Interest
The authors have no conflict of interest to disclose.
- 1.Martin JA, Hamilton BE, Ventura SJ, et al. Births: Final data for 2009. National Vital Statistics Report. Hyattsville: National Center for Health; 2011.Google Scholar
- 3.Matthews TJ, Menacker F, MacDorman MF. Infant mortality statistics from the 2002 period linked birth/infant death data set. National Vital Statistics Report. Hyattsville, MD: National Center for Health; 2005;53.Google Scholar
- 20.Stigma GE. Notes on the Management of Spoiled Identity. 1st ed. New York: Simon & Schuster; 1963.Google Scholar
- 21.Dovidio J, Gaertner S. Aversive racism. In: Zanna MP, ed. Advances in Experimental Social Psychology, vol. 36. San Diego: Elsevier; 2004:1-52.Google Scholar
- 34.Essed P. Understanding Everyday Racism: An Interdisciplinary Theory. Thousand Oaks: Sage; 1991.Google Scholar
- 36.Dunkel Schetter C, Lobel M. Pregnancy and birth outcomes: A multi-level analysis of prenatal maternal stress and birth weight. In: Baum A, Revenson TA, Singer J, eds. Handbook of Health Psychology. 2nd ed. New York: Psychology Press; 2011.Google Scholar
- 55.Kline RB. Principles and Practice of Structural Equation Modeling. 2nd ed. New York: The Guilford Press; 2005.Google Scholar
- 65.Berger MT. Workable Sisterhood: The Political Journey of Stigmatized Women with HIV/AIDS. Princeton: Princeton University Press; 2004.Google Scholar