ArticleJournal of urban health : bulletin of the New York Academy of Medicine2019
Personal Versus Group Experiences of Racism and Risk of Delivering a Small-for-Gestational Age Infant in African American Women: a Life Course Perspective.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 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
- 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
- Black Father's Influence on Adverse Pregnancy Outcomes in the United States: A Narrative Synthesis of Literature.American journal of men's healthPooled it
- Discrimination and risk of spontaneous abortion in a preconception cohort study.Social science & medicine (1982) · 2026Article
- Maternal Depressive Symptomology and Small-for-Gestational-Age: Do Coping Efforts Moderate the Relationship?Journal of racial and ethnic health disparities · 2026Article
- Self-reported experiences of interpersonal racial discrimination and maternal and neonatal health: a systematic review and meta-analysis.Frontiers in reproductive health · 2026Review
- Personal- vs. Group-Level Discrimination and Physical and Mental Health Outcomes Among Black Adolescents.Journal of racial and ethnic health disparities · 2024Article
- Is racism a barrier to HIV care continuum engagement among Black People in the United States? A scoping review to assess the state of the science and inform a research agenda.Epidemiologic reviews · 2024Article
- Addressing and Dismantling the Legacy of Race and Racism in Academic Medicine: A Socioecological Framework.Journal of the American Board of Family Medicine : JABFM · 2022Article
- Racial residential segregation, neighborhood disorder, and racial discrimination among black pregnant women.Public health nursing (Boston, Mass.) · 2022Article
- Assessing Perception of Prenatal Care Quality Among Black Women in the United States.Journal of midwifery & women's health · 2022Article
- Making the "C-ACE" for a Culturally-Informed Adverse Childhood Experiences Framework to Understand the Pervasive Mental Health Impact of Racism on Black Youth.Journal of child & adolescent trauma · 2021Article
- Maternal region of origin and Small for gestational age: a cross-sectional analysis of Victorian perinatal data.BMC pregnancy and childbirth · 2021Article
- Acknowledging and Addressing Allostatic Load in Pregnancy Care.Journal of racial and ethnic health disparities · 2021Review
- Biological Embedding of Chronic Stress Across Two Generations Within Marginalized Communities.Child development perspectives · 2020Article
- Prenatal cigarette smoking as a mediator between racism and depressive symptoms: The Biosocial Impact on Black Births Study.Public health nursing (Boston, Mass.) · 2020Article
- Vicarious Racism Stress and Disease Activity: the Black Women's Experiences Living with Lupus (BeWELL) Study.Journal of racial and ethnic health disparities · 2019Article
- Prenatal and Postpartum Care Experiences Among Black Birthing People in the United States: An Integrative Review.Journal of midwifery & women's healthReview
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
The majority of studies investigating the relationship between racism/racial discrimination and birth outcomes have focused on perceived experiences of racism/racial discrimination directed at oneself (personal racism). However, evidence suggests individuals report with greater frequency racism/racial discrimination directed at friends, family members, or other members of their racial/ethnic group (group racism). We examined how much African American (AA) women report lifetime experiences of perceived racism or racial discrimination, both personal and group, varied by maternal age. We also investigated whether reports of personal and group racism/racial discrimination were associated with the risk of delivering a small-for-gestational age (SGA) infant and how much maternal age in relation to developmental life stages (adolescence [≤ 18 years], emerging adulthood [19-24 years], and adulthood [≥ 25 years]) moderated the relationship. Data stem from the Baltimore Preterm Birth Study, a hybrid prospective/retrospective cohort study that enrolled 872 women between March 2000 and July 2004 (analyzed in 2016-2017). Spline regression analyses demonstrated a statistically significant (p value for overall association < 0.001) and non-linear (p value = 0.044) relationship between maternal age and the overall racism index. Stratified analysis showed experiences of racism overall was associated with a higher odds ratio of delivering an SGA infant among AA women aged ≥ 25 years (OR = 1.45, 95% CI 1.02-2.08). The overall racism index was not associated with the SGA infant odds ratio for emerging adults (OR = 0.86, 95% CI 0.69-1.06) or adolescents (OR = 0.92, 95% CI 0.66-1.28). Multiple aspects of racism and the intersection between racism and other contextual factors need to be considered.
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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.