Evidence map›Paper›PMID 36449130›Full record

ArticleJournal of racial and ethnic health disparities2023

Racism During Pregnancy and Birthing: Experiences from Asian and Pacific Islander, Black, Latina, and Middle Eastern Women.

Thu T Nguyen, Shaniece Criss, Melanie Kim, Monica M De La Cruz, Nhung Thai, Junaid S Merchant, Yulin Hswen, Amani M Allen, Gilbert C Gee, Quynh C Nguyen

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Intersectional Disparities in Severe Maternal Morbidity Across the Perinatal Continuum: A Population-Based Analysis.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2026
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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

10 authors.

Thu T NguyenDepartment of Epidemiology & Biostatistics, University of Maryland School of Public Health, College Park, MD, 20742, USA. ttxn@umd.edu.ORCID 0000-0003-1185-045X
Shaniece CrissDepartment of Health Sciences, Furman University, Greenville, SC, 29613, USA.
Melanie KimDepartment of Anthropology, Brown University, Providence, RI, 02912, USA.
Monica M De La CruzSchool of Social Welfare, University of California, Berkeley, CA, 94720, USA.
Nhung ThaiDepartment of Nutritional Sciences and Toxicology, University of California, Berkeley, CA, 94720, USA.
Junaid S MerchantDepartment of Epidemiology & Biostatistics, University of Maryland School of Public Health, College Park, MD, 20742, USA.
Yulin HswenDepartment of Epidemiology and Biostatistics, Bakar Computational Health Sciences Institute, University of California San Francisco, San Francisco, CA, USA.
Amani M AllenDivision of Epidemiology, University of California, Berkeley, CA, 94704, USA.
Gilbert C GeeDepartment of Community Health Sciences, University of California, Los Angeles, CA, 90095, USA.
Quynh C NguyenDepartment of Epidemiology & Biostatistics, University of Maryland School of Public Health, College Park, MD, 20742, USA.

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
Risk and strength: determining the impact of area-level sentiment and protective factors on birth outcomesR01MD015716 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI NGUYEN, THU · 2021 to 2025
$3.6M
Rosie the Chatbot: Leveraging Automated and Personalized Health Information Communication to Reduce Disparities in Maternal and Child HealthR01MD016037 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI NGUYEN, THU, NORELL, ELIZABETH MARIE · 2021 to 2025
$3.3M
Neighborhood Looking Glass: 360 Degree Automated Characterization of the Built Environment for Neighborhood Effects ResearchR01LM012849 · NLM · UNIV OF MARYLAND, COLLEGE PARK · PI NGUYEN, QUYNH · 2018 to 2021
$1.3M
Place-level discrimination and birth outcomesR00MD012615 · NIMHD · UNIV OF MARYLAND, COLLEGE PARK · PI NGUYEN, THU · 2020 to 2022
$720k
NICHD NIH HHS P2C HD041022NIMHD NIH HHS R00MD012615NIMHD NIH HHS R01MD015716NIMHD NIH HHS R01MD016037NLM NIH HHS R01 LM012849
6 · The paper itself

Abstract

backgroundDespite persistent racial disparities in maternal health in the USA, there is limited qualitative research on women's experiences of discrimination during pregnancy and childbirth that focuses on similarities and differences across multiple racial groups.

methodsEleven focus groups with Asian American and Pacific Islander (AAPI), Black, Latina, and Middle Eastern women (N = 52) in the USA were conducted to discuss the extent to which racism and discrimination impact pregnancy and birthing experiences.

resultsParticipants across groups talked about the role of unequal power dynamics, discrimination, and vulnerability in patient-provider relationships. Black participants noted the influence of prior mistreatment by providers in their healthcare decisions. Latinas expressed fears of differential care because of immigration status. Middle Eastern women stated that the Muslim ban bolstered stereotypes. Vietnamese participants discussed how the effect of racism on mothers' mental health could impact their children, while Black and Latina participants expressed constant racism-related stress for themselves and their children. Participants recalled better treatment with White partners and suggested a gradient of treatment based on skin complexion. Participants across groups expressed the value of racial diversity in healthcare providers and pregnancy/birthing-related support but warned that racial concordance alone may not prevent racism and emphasized the need to go beyond "band-aid solutions."

conclusionWomen's discussions of pregnancy and birthing revealed common and distinct experiences that varied by race, skin complexion, language, immigration status, and political context. These findings highlight the importance of qualitative research for informing maternal healthcare practices that reduce racial inequities.

Indexed as

ParturitionPregnancyRacismAsianBlack or African AmericanFemaleHispanic or LatinoHumansMiddle Eastern PeoplePacific Island PeopleUnited StatesBirthingDiscriminationFocus groupsMaternity carePregnancy

Identifiers

PMID36449130
PMCPMC9713108

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.