“It’s The Skin You’re In”: African-American Women Talk About Their Experiences of Racism. An Exploratory Study to Develop Measures of Racism for Birth Outcome Studies

Maternal and Child Health Journal - Tập 13 Số 1 - Trang 29-39 - 2009
Amani Nuru-Jeter1,2, Tyan Parker Dominguez3, Wizdom Powell Hammond4, Janxin Leu5, Marilyn M. Skaff6, Susan Egerter7, Camara Phyllis Jones8, Paula Braveman7
1Divisions of Community Health and Human Development
2Epidemiology, School of Public Health, University of California, 50 University Hall, Berkeley, CA, 94720-7360, USA
3School of Social Work, SWC 224, University of Southern California, Los Angeles, CA, 90089-0411, USA
4School of Public Health, University of North Carolina, Chapel Hill, NC, 27599-7440, USA
5Department of Psychology, University of Washington, P.O. Box 351525, Seattle, WA 98195-1525, USA
6Department of Family and Community Medicine, University of California, San Francisco, 3333 California Street, Suite 365, Box 0943, San Francisco, CA, 94118, USA
7Department of Family and Community Medicine and Center on Social Disparities in Health, University of California, San Francisco, 3333 California Street, Suite 365, Box 0943, San Francisco, CA, 94118, USA
8Social Determinants of Health, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mail Stop K-67, Atlanta, GA, 30341, USA

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Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F., & Munson, M. L. (2005). Births: Final data for 2003. National Vital Statistical Report, 54, 1–116.

Goldenberg, R. L., Cliver, S. P., Mulvihill, F. X., Hickey, C. A., Hoffman, H. J., Klerman, L. V., & Johnson, M. J. (1996). Medical, psychosocial, and behavioral risk factors do not explain the increased risk for low birth weight among black women. American Journal of Obstetrics and Gynecology, 175, 1317–1324. doi: 10.1016/S0002-9378(96)70048-0 .

Shiono, P. H., Rauh, V. A., Park, M., Lederman, S. A., & Zuskar, D. (1997). Ethnic differences in birthweight: The role of lifestyle and other factors. American Journal of Public Health, 87, 787–793.

Botting, N., Powls, A., Cooke, R. W., & Marlow, N. (1998). Cognitive and educational outcome of very-low-birthweight children in early adolescence. Developmental Medicine and Child Neurology, 40, 652–660.

Rich-Edwards, J. W., Colditz, G. A., Stampfer, M. J., Willett, W. C., Gillman, M. W., Hennekens, C. H., Speizer, F. E., & Manson, J. E. (1999). Birthweight and the risk for type 2 diabetes mellitus in adult women. Annals of Internal Medicine, 130, 278–284.

Rich-Edwards, J. W., Stampfer, M. J., Manson, J. E., Rosner, B., Hankinson, S. E., Colditz, G. A., Willett, W. C., & Hennekens, C. H. (1997). Birth weight and risk of cardiovascular disease in a cohort of women followed up since 1976. BMJ, 315, 396–400.

Fiscella, K. (2004). Racial disparity in infant and maternal mortality: Confluence of infection, and microvascular dysfunction. Maternal and Child Health Journal, 8, 45–54. doi: 10.1023/B:MACI.0000025726.53515.65 .

Institute of Medicine. (2006). Committee on understanding premature birth and assuring healthy outcomes, and board on health sciences policy. Preterm birth: Causes, consequences, and prevention. Washington, DC: The National Academies Press.

Cabral, H., Fried, L. E., Levenson, S., Amaro, H., & Zuckerman, B. (1990). Foreign-born and US-born black women: Differences in health behaviors and birth outcomes. American Journal of Public Health, 80, 70–72.

Pallotto, E. K., Collins, J. W. Jr., & David, R. J. (2000). Enigma of maternal race and infant birth weight: A population-based study of US-born Black and Caribbean-born Black women. American Journal of Epidemiology, 151, 1080–1085.

Hogan, V. K., & Ferre, C. D. (2001). The social context of pregnancy for African American women: Implications for the study and prevention of adverse perinatal outcomes. Maternal and Child Health Journal, 5, 67–69. doi: 10.1023/A:1011360813893 .

Collins, J. W. Jr., David, R. J., Handler, A., Wall, S., & Andes, S. (2004). Very low birthweight in African American infants: The role of maternal exposure to interpersonal racial discrimination. American Journal of Public Health, 94, 2132–2138.

Collins, J. W. Jr., David, R. J., Symons, R., Handler, A., Wall, S. N., & Dwyer, L. (2000). Low-income African-American mothers’ perception of exposure to racial discrimination and infant birth weight. Epidemiology, 11, 337–339. doi: 10.1097/00001648-200005000-00019 .

Dole, N., Savitz, D. A., Hertz-Picciotto, I., Siega-Riz, A. M., McMahon, M. J., & Buekens, P. (2003). Maternal stress and preterm birth. American Journal Epidemiology, 157, 14–24. doi: 10.1093/aje/kwf176 .

Dole, N., Savitz, D. A., Siega-Riz, A. M., Hertz-Picciotto, I., McMahon, M. J., & Buekens, P. (2004). Psychosocial factors and preterm birth among African American and White women in central North Carolina. American Journal of Public Health, 94, 1358–1365.

Jackson, F. M., Phillips, M. T., Hogue, C. J., & Curry-Owens, T. Y. (2001). Examining the burdens of gendered racism: Implications for pregnancy outcomes among college-educated African American women. Maternal and Child Health Journal, 5, 95–107. doi: 10.1023/A:1011349115711 .

Lespinasse, A. A., David, R. J., Collins, J. W., Handler, A. S., & Wall, S. N. (2004). Maternal support in the delivery room and birthweight among African-American women. Journal of the National Medical Association, 96, 187–195.

Murrell, N. L. (1996). Stress, self-esteem, and racism: Relationships with low birth weight and preterm delivery in African American women. Journal of National Black Nurses’ Association, 8, 45–53.

Mustillo, S., Krieger, N., Gunderson, E. P., Sidney, S., McCreath, H., & Kiefe, C. I. (2004). Self-reported experiences of racial discrimination and Black-White differences in preterm and low-birthweight deliveries: The CARDIA Study. American Journal of Public Health, 94, 2125–2131.

Rosenberg, L., Palmer, J. R., Wise, L. A., Horton, N. J., & Corwin, M. J. (2002). Perceptions of racial discrimination and the risk of preterm birth. Epidemiology, 13, 646–652. doi: 10.1097/00001648-200211000-00008 .

Stancil, T. R., Hertz-Picciotto, I., Schramm, M., & Watt-Morse, M. (2000). Stress and pregnancy among African-American women. Paediatric and Perinatal Epidemiology, 14, 127–135. doi: 10.1046/j.1365-3016.2000.00257.x .

Rich-Edwards, J., Krieger, N., Majzoub, J., Zierler, S., Lieberman, E., & Gillman, M. (2001). Maternal experiences of racism and violence as predictors of preterm birth: Rationale and study design. Paediatric and Perinatal Epidemiology, 15(Suppl 2), 124–135. doi: 10.1046/j.1365-3016.2001.00013.x .

Bhopal, R. (2001). Racism in medicine. BMJ, 322, 1503–1504. doi: 10.1136/bmj.322.7301.1503 .

Clark, R., Anderson, N. B., Clark, V. R., & Williams, D. R. (1999). Racism as a stressor for African Americans. A biopsychosocial model. American Psychology, 54, 805–816. doi: 10.1037/0003-066X.54.10.805 .

Jones, C. P. (2000). Levels of racism: A theoretic framework and a gardener’s tale. American Journal of Public Health, 90, 1212–1215.

Krieger, N., Rowley, D. L., Herman, A. A., Avery, B., & Phillips, M. T. (1993). Racism, sexism, and social class: Implications for studies of health, disease, and well-being. American Journal of Preventive Medicine, 9, 82–122.

Landrine, H., & Klonoff, E. A. (1996). The schedule of racist events: A measure of racial discrimination and a study of its negative physical and mental health consequences. Journal of Black Psychology, 22, 144–168. doi: 10.1177/00957984960222002 .

Giscombe, C. L., & Lobel, M. (2005). Explaining disproportionately high rates of adverse birth outcomes among African Americans: The impact of stress, racism, and related factors in pregnancy. Psychological Bulletin, 131, 662–683. doi: 10.1037/0033-2909.131.5.662 .

Parker Dominguez, T., Dunkel Schetter, C., Glynn, L., Hobel, C., & Sandman, C. (2008). Racial differences in birth outcomes: The role of general, pregnancy, and racism stress. Health Psychology, 27(2), 194–203.

Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93, 200–208.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

McEwen, B. S. (1998). Stress, adaptation, and disease. Allostasis and allostatic load. Annals of New York Academy of Sciences, 840, 33–44. doi: 10.1111/j.1749-6632.1998.tb09546.x .

Geronimus, A. T., Bound, J., & Waidmann, T. A. (1999). Health inequality and population variation in fertility-timing. Social Science and Medicine, 49, 1623–1636. doi: 10.1016/S0277-9536(99)00246-4 .

Hogue, C. J., & Bremner, J. D. (2005). Stress model for research into preterm delivery among black women. American Journal of Obstetrics and Gynecology, 192, S47–S55. doi: 10.1016/j.ajog.2005.01.073 .

Rich-Edwards, J. W., Buka, S. L., Brennan, R. T., & Earls, F. (2003). Diverging associations of maternal age with low birthweight for black and white mothers. International Journal of Epidemiology, 32, 83–90. doi: 10.1093/ije/dyg008 .

Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). “Weathering” and age patterns of allostatic load scores among blacks and whites in the United States. American Journal of Public Health, 96(5), 826–833. doi: 10.2105/AJPH.2004.060749 .

Harrell, J. P., Hall, S., & Taliaferro, J. (2003). Physiological responses to racism and discrimination: An assessment of the evidence. American Journal of Public Health, 93, 243–248.

McCubbin, J. A., Lawson, E. J., Cox, S., Sherman, J. J., Norton, J. A., & Read, J. A. (1996). Prenatal maternal blood pressure response to stress predicts birth weight and gestational age: A preliminary study. American Journal of Obstetrics and Gynecology, 175, 706–712. doi: 10.1053/ob.1996.v175.a74286 .

Samadi, A. R., & Mayberry, R. M. (1998). Maternal hypertension and spontaneous preterm births among black women. Obstetrics and Gynecology, 91, 899–904. doi: 10.1016/S0029-7844(98)00087-8 .

Goldenberg, R. L., Klebanoff, M. A., Nugent, R., Krohn, M. A., Hillier, S., & Andrews, W. W. (1996). Bacterial colonization of the vagina during pregnancy in four ethnic groups. Vaginal infections and prematurity study group. American Journal of Obstetrics and Gynecology, 174, 1618–1621. doi: 10.1016/S0002-9378(96)70617-8 .

Romero, R., Gomez, R., Ghezzi, F., Yoon, B. H., Mazor, M., Edwin, S. S., & Berry, S. M. (1998). A fetal systemic inflammatory response is followed by the spontaneous onset of preterm parturition. American Journal of Obstetrics and Gynecology, 179, 186–193. doi: 10.1016/S0002-9378(98)70271-6 .

Culhane, J. F., Rauh, V., McCollum, K. F., Hogan, V. K., Agnew, K., & Wadhwa, P. D. (2001). Maternal stress is associated with bacterial vaginosis in human pregnancy. Maternal and Child Health Journal, 5, 127–134. doi: 10.1023/A:1011305300690 .

Landrine, H., & Klonoff, E. A. (2000). Racial discrimination and cigarette smoking among Blacks: Findings from two studies. Ethnicity & Disease, 10, 195–202.

Yen, I. H., Ragland, D. R., Grenier, B.A., & Fisher, J. M. (1999). Workplace discrimination and alcohol consumption: Findings from the San Francisco Muni Health and Safety Study. Ethnicity & Disease, 9, 70–80.

McNeilly, M. D., Anderson, N. B., Armstead, C. A., Clark, R., Corbett, M., Robinson, E. L., Pieper, C. F., & Lepisto, E. M. (1996). The perceived racism scale: A multidimensional assessment of the experience of white racism among African Americans. Ethnicity & Disease, 6, 154–166.

Meyer, I. H. (2003). Prejudice as stress: Conceptual and measurement problems. American Journal of Public Health, 93, 262–265.

Anderson, L. M., Shinn, C., Fullilove, M. T., Scrimshaw, S. C., Fielding, J. E., Normand, J., & Carande-Kulis, V. G. (2003). The effectiveness of early childhood development programs. A systematic review. American Journal of Preventive Medicne, 24, 32–46. doi: 10.1016/S0749-3797(02)00655-4 .

Berlin, L. J., Brooks-Gunn, J., McCarton, C., & McCormick, M. C. (1998). The effectiveness of early intervention: Examining risk factors and pathways to enhanced development. Preventive Medicien, 27, 238–245. doi: 10.1006/pmed.1998.0282 .

Blane, D., Hart, C. L., Smith, G. D., Gillis, C. R., Hole, D. J., & Hawthorne, V. M. (1996). Association of cardiovascular disease risk factors with socioeconomic position during childhood and during adulthood. BMJ, 313, 1434–1438.

Cohen, S., Doyle, W. J., Turner, R. B., Alper, C. M., & Skoner, D. P. (2004). Childhood socioeconomic status and host resistance to infectious illness in adulthood. Psychosomatic Medicine, 66, 553–558. doi: 10.1097/01.psy.0000126200.05189.d3 .

Davey-Smith, G., Hart, C., Blane, D., & Hole, D. (1998). Adverse socioeconomic conditions in childhood and cause specific adult mortality: Prospective observational study. BMJ, 316, 1631–1635.

Evans, G. W., & English, K. (2002). The environment of poverty: Multiple stressor exposure, psychophysiological stress, and socioemotional adjustment. Child Development, 73, 1238–1248. doi: 10.1111/1467-8624.00469 .

Hillis, S. D., Anda, R. F., Dube, S. R., Felitti, V. J., Marchbanks, P. A., & Marks, J. S. (2004). The association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial consequences, and fetal death. Pediatrics, 113, 320–327. doi: 10.1542/peds.113.2.320 .

Miller, J. E., & Korenman, S. (1994). Poverty and children’s nutritional status in the United States. American Journal of Epidemiology, 140, 233–243.

Sepa, A., Frodi, A., & Ludvigsson, J. (2005). Mothers’ experiences of serious life events increase the risk of diabetes-related autoimmunity in their children. Diabetes Care, 28, 2394–2399. doi: 10.2337/diacare.28.10.2394 .

Wickrama, K. A., Conger, R. D., & Abraham, W. T. (2005). Early adversity and later health: The intergenerational transmission of adversity through mental disorder and physical illness. The Journal of Gerontology. Series B, Psychological Sciecnes and Social Sciences, 60(Spec No 2), 125–129.

Charmaz, K. (2003). Grounded theory. In J. Smith (Ed.), Qualitative psychology: A practical guide to research methods. London: Sage.

Strauss, A., & Corbin, J. (1997). Grounded theory in practice. Thousand Oaks: Sage.

Steward, D., & Shamdasani, P. (1994). Focus groups: Theory and practice. Newbury Park: Sage.

Morgan, D. L., & Krueger, R. A. (1993). When to use focus groups and why. In D. L. Morgan (Ed.), Successful focus groups: Advancing the state of the art. Newbury Park, CA: Sage Publications.

Crosby, F. J. (1984). The denial of personal discrimination. American Behavioral Scientist, 27, 371–386. doi: 10.1177/000276484027003008 .

Hughes, D., & Dumont, K. (1993). Using focus groups to facilitate culturally anchored research. American Journal of Community Psychology, 21, 775–806. doi: 10.1007/BF00942247 .

Kodel, J. (1993). The design and analysis of focus group studies: A practical approach. In D. L. Morgan (Ed.), Successful focus groups: Advancing the state of the art. Newbury Park, CA: Sage Publications.

Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research. Newbury Park: Sage.

Patton, M. (1990). Qualitative evaluation and research methods. Newbury Park: Sage.

ATLAS.ti Scientific Software 5.0.

Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: Family social environments and the mental and physical health of offspring. Psychological Bulletin, 128, 330–366. doi: 10.1037/0033-2909.128.2.330 .

Sellers, R. M., Caldwell, C. H., Schmeelk-Cone, K. H., & Zimmerman, M. A. (2003). Racial identity, racial discrimination, perceived stress, and psychological distress among African American young adults. Journal of Health and Social Behaviour, 44, 302–317. doi: 10.2307/1519781 .

Cohen, S., Kessler, R. C., & Gordon, L. U. (Eds.) (1995). Measuring stress: A guide for health and social scientists. New York, NY: Oxford University Press, Inc.

Geronimus, A. T. (1992). The weathering hypothesis and the health of African-American women and infants: Evidence and speculations. Ethnicity & Disease, 2, 207–221.

McLeod, J. D., & Kessler, R. C. (1990). Socioeconomic status differences in vulnerability to undesirable life events. Journal of Health and Social Behavior, 31, 162–172. doi: 10.2307/2137170 .

Ruggiero, K. M., & Taylor, D. M. (1995). Coping with discrimination: How disadvantaged group members perceived the discrimination that confronts them. Journal of Personality and Personal Psychology, 68, 826–838. doi: 10.1037/0022-3514.68.5.826 .

Crocker, J., Voelkl, K., Testa, M., & Major, B. (1991). Social stigma: The affective consequences of attributional ambiguity. Journal of Personality and Social Psychology, 60, 218–228. doi: 10.1037/0022-3514.60.2.218 .