Observational studyObstetrics and gynecology2018
Racial Disparities in Adverse Pregnancy Outcomes and Psychosocial Stress.
Observational study in Obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 161 papers, 11 of them syntheses that pooled 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.
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.
Who cites it
161 citing papers in PubMed, 11 syntheses or guidelines pooled it, 253 citations in OpenAlex.
- Exposure to Racism and Adverse Pregnancy Outcomes for Black Women: A Systematic Review and Meta-Analysis.Journal of immigrant and minority health · 2025Pooled it
- SAGES guidelines for the use of laparoscopy during pregnancy.Surgical endoscopy · 2024Guideline
- Society of American Gastrointestinal and Endoscopic Surgeons guidelines development: health equity update to standard operating procedure.Surgical endoscopy · 2024Guideline
- Air Pollution and Racial Disparities in Pregnancy Outcomes in the United States: A Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Pooled it
- Measures of Racism and Discrimination in Preterm Birth Studies.Obstetrics and gynecology · 2023Pooled it
- Racial discrimination and adverse pregnancy outcomes: a systematic review and meta-analysis.BMJ global health · 2022Pooled it
- The Association between Maternal Experiences of Interpersonal Discrimination and Adverse Birth Outcomes: A Systematic Review of the Evidence.International journal of environmental research and public health · 2021Pooled it
- Adverse Childhood Experiences and Blood Pressure in Women in the United States: A Systematic Review.Journal of midwifery & women's health · 2021Pooled 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
- Prenatal Mindfulness Training and Interoceptive Awareness in Pregnant People at Risk for Hypertensive Disorders.Journal of integrative and complementary medicine · 2024Trial
- Disparities in low-dose aspirin prescription among patients at risk for preeclampsia.Pregnancy (Hoboken, N.J.) · 2026Article
- Racial Differences in Adverse Pregnancy Outcomes and Incident Hypertension: A Mediation Analysis.Journal of the American Heart Association · 2026Article
- Experiences of Racism and Risk of Preeclampsia in the Black Women's Health Study.Hypertension (Dallas, Tex. : 1979) · 2026Article
- Preeclampsia and Eclampsia: A Complex Interplay Between Prepregnancy Obesity, Race, and Ethnicity.Journal of the American Heart Association · 2026Article
- The Role of Maternal Depression in Racial Disparities and Birth Weight.Journal of racial and ethnic health disparities · 2026Article
- Experiences of discrimination, paternal support, and hypertensive disorders of pregnancy (HDP) in the MIEHR study, Houston, Texas.International journal for equity in health · 2026Article
- Superwoman Schema Endorsement and its Association to Perceived Stress During Pregnancy and Birth Outcomes among Non-Hispanic Black American Women.Journal of racial and ethnic health disparities · 2026Article
- Racial and Ethnic Disparities in Adverse Pregnancy Outcomes Among Women with Early Onset Cancer in the United States.Cancers · 2026Article
101 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess the relationships between self-reported psychosocial stress and preterm birth, hypertensive disease of pregnancy, and small-for-gestational-age (SGA) birth and to assess the extent to which these relationships account for racial and ethnic disparities in these adverse outcomes.
methodsSelf-reported measures of psychosocial stress (perceived stress, depression, racism, anxiety, resilience, and social support) were collected during pregnancy among a racially and ethnically diverse cohort of women enrolled in a prospective observational study of nulliparous women with singleton pregnancies, from eight clinical sites across the United States, between October 2010 and May 2014. The associations of preterm birth, hypertensive disease of pregnancy, and SGA birth with the self-reported measures of psychosocial stress as well as with race and ethnicity were evaluated.
resultsThe study included 9,470 women (60.4% non-Hispanic white, 13.8% non-Hispanic black, 16.7% Hispanic, 4.0% Asian, and 5.0% other). Non-Hispanic black women were significantly more likely to experience any preterm birth, hypertensive disease of pregnancy, and SGA birth than were non-Hispanic white women (12.2% vs 8.0%, 16.7% vs 13.4%, and 17.2% vs 8.6%, respectively; P<.05 for all). After adjusting for potentially confounding factors, including the six different psychosocial factors singly and in combination, non-Hispanic black women continued to be at greater risk of any preterm birth and SGA birth compared with non-Hispanic white women.
conclusionAmong a large and geographically diverse cohort of nulliparous women with singleton gestations, non-Hispanic black women are most likely to experience preterm birth, hypertensive disease of pregnancy, and SGA birth. These disparities were not materially altered for preterm birth or SGA birth by adjustment for demographic differences and did not appear to be explained by differences in self-reported psychosocial factors.
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Registered trials
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.