ArticleJournal of perinatology : official journal of the California Perinatal Association2015
Racial/ethnic differences in self-reported and biologic measures of chronic stress in pregnancy.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
50 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Optimizing Outcomes: A Systematic Review of Psychosocial Risk Factors Affecting Perinatal Black/African-American Women with Substance Use Disorder in the United States.Maternal and child health journal · 2022Pooled it
- Household food insecurity associated with gestacional and neonatal outcomes: a systematic review.BMC pregnancy and childbirth · 2020Pooled it
- Systematic Review of Chronic Discrimination and Changes in Biology During Pregnancy Among African American Women.Journal of racial and ethnic health disparities · 2019Pooled it
- Perceived racism or racial discrimination and the risk of adverse obstetric outcomes: a systematic review.Sao Paulo medical journal = Revista paulista de medicinaPooled it
- Inflammatory markers in serum and placenta in a randomized controlled trial of group prenatal care.American journal of obstetrics & gynecology MFM · 2023Trial
- Associations between chronic placental inflammation, fetal brain development and later autism traits.Brain, behavior, & immunity - health · 2026Article
- Glaring Gaps: a Research Agenda Focused on the Intersection of Black Maternal Health and Toxic Stress.Journal of racial and ethnic health disparities · 2026Article
- Examining the Influence of Food Insecurity on Perinatal Health Outcomes Among Black Birthing Individuals in the U.S.: A Systematic Scoping Review.Journal of racial and ethnic health disparities · 2026Article
- Exploring the Lived Experience of Healthcare Discrimination and Resilience among Postpartum African American Women: A Qualitative Study.Journal of racial and ethnic health disparities · 2026Article
- Clinical risk factors and adverse perinatal outcomes among U.S. and African-born Black women in California.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Gestational PFAS concentrations in association with maternal depression and perceived stress during pregnancy and postpartum in the ECHO cohort.Environmental research · 2025Article
- Race-Related Stress as a Driver of Postpartum Depression Among a Sample of Black Mothers.Behavioral sciences (Basel, Switzerland) · 2025Article
- Does caregiver stress get under the skin? Associations with care recipient inflammation.The Gerontologist · 2025Article
- Stress-induced developmental plasticity and spontaneous preterm birth: A justice-oriented eco-evo-devo review.European journal of obstetrics & gynecology and reproductive biology: X · 2025Review
- Neighborhood Social Vulnerability and Racial Disparities in Schizophrenia Spectrum Disorder Prevalence.The American journal of psychiatry · 2025Article
- Prenatal chronic inflammation and children's executive function development.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2025Article
- Perceived racial discrimination and tobacco and cannabis use in pregnant Black Americans: The mediating role of depressive symptoms.Drug and alcohol dependence · 2025Article
- Exploring causal mechanisms of psychosis risk.Neuroscience and biobehavioral reviews · 2024Review
- Prenatal Cannabis Use and Offspring Autism-Related Behaviors: Examining Maternal Stress as a Moderator in a Black American Cohort.Journal of autism and developmental disorders · 2024Article
- Neighborhood racial composition and experiences of racial discrimination: Associations with cytokines during pregnancy among African American women.Brain, behavior, & immunity - health · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveRacial differences in chronic maternal stress may contribute to disparities in pregnancy outcomes. The objective is to identify racial and ethnic differences in self-reported and biologic measures of stress between non-Hispanic black (NHB) and non-Hispanic white (NHW) pregnant women. STUDY
designNHB and NHW pregnant women were enrolled before 23 weeks of gestation in this prospective cohort study. Equal numbers of women were recruited with public vs private insurance in each racial group. Self-reported stress was measured and blood samples collected in the second and third trimesters were analyzed for serum Epstein-Barr virus antibody, C-reactive protein (CRP), corticotropin-releasing hormone (CRH) and adenocorticotropic hormone (ACTH).
resultsOne hundred and twelve women were enrolled. NHW women reported more buffers against stress (P=0.04) and neighborhood satisfaction (P=0.02). NHB women reported more discrimination (P<0.001), food insecurity (P=0.04) and had significantly higher mean CRP levels and mean ACTH levels in the second and third trimesters.
conclusionSignificant differences in self-reported and biologic measures of chronic stress were identified between NHB and NHW pregnant women with similar economic characteristics. Future studies should investigate mechanisms underlying these differences and their relationship to pregnancy outcomes.
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