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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• 作者：Valerie A. Earnshaw Ph.D. (1)
  Lisa Rosenthal Ph.D. (1)
  Jessica B. Lewis LMFT (1)
  Emily C. Stasko MPH (1)
  Jonathan N. Tobin Ph.D. (2)
  Tené T. Lewis Ph.D. (1)
  Allecia E. Reid Ph.D. (1)
  Jeannette R. Ickovics Ph.D. (1)
  
• 关键词：Everyday discrimination ; Birth weight ; Depressive symptoms ; Pregnancy distress ; Adolescents ; Pregnancy
• 刊名：Annals of Behavioral Medicine
• 出版年：2013
• 出版时间：February 2013
• 年：2013
• 卷：45
• 期：1
• 页码：13-23
• 全文大小：254KB
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• 作者单位：Valerie A. Earnshaw Ph.D. (1)
  Lisa Rosenthal Ph.D. (1)
  Jessica B. Lewis LMFT (1)
  Emily C. Stasko MPH (1)
  Jonathan N. Tobin Ph.D. (2)
  Tené T. Lewis Ph.D. (1)
  Allecia E. Reid Ph.D. (1)
  Jeannette R. Ickovics Ph.D. (1)
  
  1. Yale School of Public Health and the Yale Center for Interdisciplinary Research on AIDS, 135 College Street, Suite 200, New Haven, CT, 06510, USA
  2. Clinical Directors-Network, New York, NY, USA
  

文摘

Background Racial/ethnic disparities in birth weight persist within the USA. Purpose 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. Methods A total of 420 women participated (14-1?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. Results Path analysis demonstrated that everyday discrimination was associated with lower birth weight. Depressive symptoms mediated this relationship, and no tested factors moderated this relationship. Conclusions 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.