ArticleSSM - population health2016
Explaining racial and ethnic inequalities in postpartum allostatic load: Results from a multisite study of low to middle income woment.
Article in SSM - population health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Allostatic Load, Neighborhood Disadvantage, and Birth Outcomes.Journal of racial and ethnic health disparities · 2026Article
- Community-Led Solutions to Build Safer, More Equitable Places to Birth: The Baltimore Patients as Partners Project.Maternal and child health journal · 2026Article
- Development and Preliminary Validation of a Screening Tool for Race-Related Psychological Stress in Black Pregnant Women.Journal of racial and ethnic health disparities · 2025Article
- The Protective Role of Culture: Familism, Depressive Symptoms, and Stress Among U.S. and Foreign-born Latina Mothers.Journal of latinx psychology · 2025Article
- Social relationships and cardiometabolic risk in low-income mothers following birth.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Neighborhood disorder and social cohesion: A longitudinal investigation of links with maternal cardiometabolic risk one year postpartum.Journal of psychosomatic research · 2025Article
- Examination of Social Determinants of Health Characteristics Influencing Maternal Postpartum Symptom Experiences.Journal of racial and ethnic health disparities · 2025Article
- What predicts interdependence with family? The relative contributions of ethnicity/race and social class.Cultural diversity & ethnic minority psychology · 2025Article
- Examination of Maternal Allostatic Load Among Postpartum Women With Distinct Postpartum Symptom Typologies.Biological research for nursing · 2024Article
- Preconception maternal posttraumatic stress and child negative affectivity: Prospectively evaluating the intergenerational impact of trauma.Development and psychopathology · 2023Article
- Listen to the Whispers before They Become Screams: Addressing Black Maternal Morbidity and Mortality in the United States.Healthcare (Basel, Switzerland) · 2023Article
- Subjective social status and allostatic load in mothers 1 year after birth.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
- Elucidating posttraumatic stress symptom dimensions and health correlates among postpartum women.Journal of affective disorders · 2021Article
- Resilience resources in low-income Black, Latino, and White fathers.Social science & medicine (1982) · 2021Article
- The association between maternal and paternal race and preterm birth.American journal of obstetrics & gynecology MFM · 2021Article
- Temporal changes in allostatic load patterns by age, race/ethnicity, and gender among the US adult population; 1988-2018.Preventive medicine · 2021Article
- Allostatic score and its associations with demographics, healthy behaviors, tumor characteristics, and mitochondrial DNA among breast cancer patients.Breast cancer research and treatment · 2021Article
- Biopsychosocial correlates of psychological distress in Latina mothers.Journal of affective disorders · 2021Article
- Prenatal maternal stress and child hair cortisol four years later: Evidence from a low-income sample.Psychoneuroendocrinology · 2020Article
- Neighbourhood-level deprivation indices and postpartum women's health: results from the Community Child Health Network (CCHN) multi-site study.Health and quality of life outcomes · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundRacial and ethnic inequalities in women's health are widely documented, but not for the postpartum period, and few studies examine whether neighborhood, psychosocial, and biological factors explain these gaps in women's health.
methodsUsing prospective longitudinal data collected from 1766 low to middle income women between 2008 and 2012 by the Community Child Health Network (CCHN), we tested the extent to which adjustment for neighborhood, economic, psychological, and medical conditions following a birth explained differences between African American, Latina, and White women in an indicator of physiological dysregulation allostatic load (AL), at one year postpartum as measured by 10 biomarkers: Body Mass Index, Waist Hip Ratio, systolic and diastolic blood pressure, high sensitivity C-reactive protein, Hemoglobin A1c, high-density lipoprotein and cholesterol ratio, and diurnal cortisol.
resultsMean postpartum AL scores were 4.65 for African American, 4.57 for Latina and 3.86 for White women. Unadjusted regression estimates for high AL for African American women (with White as the reference) were 0.80 (SD = 0.11) and 0.53 (SD = 0.15) for Latina women. Adjustment for household poverty, neighborhood, stress, and resilience variables resulted in a reduction of 36% of the excess risk in high AL for African Americans versus Whites and 42% of the excess risk for Latinas compared to Whites.
conclusionsRacial and ethnic inequalities in AL were accounted for largely by household poverty with additional contributions by psychological, economic, neighbourhood and medical variables. There remained a significant inequality between African American, and Latina women as compared to Whites even after adjustment for this set of variables. Future research into health inequalities among women should include a fuller consideration of the social determinants of health including employment, housing and prepregnancy medical conditions.
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