ArticleWomen's health (London, England)
The unique contribution of gendered racial stress to depressive symptoms among pregnant Black women.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Sociocultural and Structural Determinants of Black Maternal Mental Health: A Scoping Review.Birth (Berkeley, Calif.) · 2026Article
- Prenatal depression increases the odds of preterm birth in a prospective cohort study in Hangzhou.Scientific reports · 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
- "And in some cases, we're the best option:" A qualitative study of community-based doula support for black perinatal mental health.American journal of community psychology · 2026Article
- Self-reported experiences of interpersonal racial discrimination and maternal and neonatal health: a systematic review and meta-analysis.Frontiers in reproductive health · 2026Review
- Life events and postpartum depressive symptoms among Black and Latina mothers: The role of protective factors.The American journal of orthopsychiatry · 2026Article
- Exploring Peripartum Cannabis Use Among Young Sexual Minority People: A Qualitative Study.Substance use & addiction journal · 2025Article
- Identifying and Taking Action on the Protective and Risk Factors of Black Maternal Mental Health: Protocol for Community-Based Participatory Study.JMIR research protocols · 2025Article
- Promoting Maternal Health in the Postpartum Period to Advance Birth Equity.International journal of environmental research and public health · 2024Article
- Intersectionality in nursing research: A scoping review.International journal of nursing studies advances · 2023Article
- Social determinants of health in pregnant individuals from underrepresented, understudied, and underreported populations in the United States.International journal for equity in health · 2023Article
- Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review.International journal of environmental research and public health · 2022Article
- Number of significant life events and perinatal depression in a diverse rural population: A brief report of a cross-sectional study.Women's health (London, England)Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionPregnant Black women are at disproportionate risk for adverse birth outcomes, in part associated with higher prevalence of stress. Stress increases risk of depression, a known risk factor for preterm birth. In addition, multiple dimensions of stress, including perceived stress and stressful life events, are associated with adverse birth outcomes, independent of their association with prenatal depression. We use an intersectional and contextualized measure of gendered racial stress to assess whether gendered racial stress constitutes an additional dimension to prenatal depression, independent of stressful life events and perceived stress.
methodsIn this cross-sectional study of 428 Black women, we assessed gendered racial stress (using the 39-item Jackson Hogue Phillips Reduced Common Contextualized Stress Measure), perceived stress (using the Perceived Stress Scale), and stressful life events (using a Stressful Life Event Index) as psychosocial predictors of depressive symptoms (measured by the Edinburgh Depression Scale). We used bivariate analyses and multivariable regression to assess the association between the measures of stress and prenatal depression.
resultsResults revealed significant bivariate associations between participant scores on the full Jackson Hogue Phillips Reduced Common Contextualized Stress Measure and its 5 subscales, and the Edinburgh Depression Scale. In multivariable models that included participant Perceived Stress Scale and/or Stressful Life Event Index scores, the Jackson Hogue Phillips Reduced Common Contextualized Stress Measure contributed uniquely and significantly to Edinburgh Depression Scale score, with the burden subscale being the strongest contributor among all variables. No sociodemographic characteristics were found to be significant in multivariable models.
conclusionFor Black women in early pregnancy, gendered racial stress is a distinct dimension of stress associated with increased depressive symptoms. Intersectional stress measures may best uncover nuances within Black women's complex social environment.
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