Evidence map›Paper›PMID 27737504›Full record

SynthesisJournal of midwifery & women's health2016

Racial Discrimination and Adverse Birth Outcomes: An Integrative Review.

Jeanne L Alhusen, Kelly M Bower, Elizabeth Epstein, Phyllis Sharps

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of midwifery & women's health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 190 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

190 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Racial Discrimination and Multiple Health Outcomes: An Umbrella Review of Systematic Reviews and Meta-Analyses.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2025
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  6. A Systematic Review of Black People Coping With Racism: Approaches, Analysis, and Empowerment.Perspectives on psychological science : a journal of the Association for Psychological Science · 2023
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  19. Allostatic Load, Neighborhood Disadvantage, and Birth Outcomes.Journal of racial and ethnic health disparities · 2026
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130 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jeanne L Alhusen
Kelly M Bower
Elizabeth Epstein
Phyllis Sharps

Funding

Biological Underpinnings of Maternal Attachment in High Risk PopulationsK23NR015810 · NINR · UNIVERSITY OF VIRGINIA · PI ALHUSEN, JEANNE L · 2015 to 2017
$392k
NINR NIH HHS K23 NR015810
6 · The paper itself

Abstract

introductionThis article presents an integrative review of the literature examining the relationship between racial discrimination and adverse birth outcomes.

methodsSearches for research studies published from 2009 to 2015 were conducted using PubMed, CINAHL, Scopus, PsycINFO, Web of Science, and Embase. Articles were assessed for potential inclusion using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) 2009 framework.

resultsFifteen studies met criteria for review. The majority of the studies found a significant relationship between racial discrimination and low birth weight, preterm birth, and small for gestational age. Each of the studies that examined more proximal variables related to birth outcomes such as entry into prenatal care, employment opportunities, neighborhood characteristics, or inflammatory markers found significant associations between the specific variables examined and racial discrimination. Participants in qualitative studies discussed experiences of institutional racism with regard to several components of prenatal care including access and quality of care. DISCUSSION: Racial discrimination is a significant risk factor for adverse birth outcomes. To best understand the mechanisms by which racial discrimination impacts birth outcomes, and to inform the development of effective interventions that eliminate its harmful effects on health, longitudinal research that incorporates comprehensive measures of racial discrimination is needed. Health care providers must fully acknowledge and address the psychosocial factors that impact health outcomes in minority racial/ethnic women.

Indexed as

Birth WeightHealthcare DisparitiesInfant, Low Birth WeightInfant, PrematurePregnancy OutcomePremature BirthRacismFemaleHealth Services AccessibilityHumansPregnancyPrenatal Carehealth care disparitieslow birth weightminority healthpregnancypremature birthracial discriminationracismreviewsmall for gestational age

Identifiers

PMID27737504
PMCPMC5206968

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.