ArticlePreventing chronic disease2023
Discrimination and Adverse Perinatal Health Outcomes: A Latent Class Analysis.
Article in Preventing chronic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Discrimination and risk of spontaneous abortion in a preconception cohort study.Social science & medicine (1982) · 2026Article
- Intersectional Racial, Gender, and Socioeconomic Discrimination and Youth Alcohol and Cannabis Use: A Latent Class Analysis Among Black and White Adolescents.Journal of racial and ethnic health disparities · 2026Article
- Sociocultural and Structural Determinants of Black Maternal Mental Health: A Scoping Review.Birth (Berkeley, Calif.) · 2026Article
- Maternity Care Experiences of Non-Hispanic Black Women in Southern US Maternity Care Settings.Journal of racial and ethnic health disparities · 2026Article
- Documentation of Stigmatizing Language in Electronic Health Records and Birth Outcomes.Health equity · 2025Article
- Associations Among Lifetime Discrimination Typologies and Psychological Health in Black and Hispanic Women After Birth.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025Article
- A qualitative study exploring the perinatal experiences of social stress among first- and second-generation immigrant parents in Quebec, Canada.BMC pregnancy and childbirth · 2024Article
- Stressful life events in electronic health records: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Stressful life events in electronic health records: a scoping review.Research square · 2023Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
introductionAn intersectionality framework recognizes individuals as simultaneously inhabiting multiple intersecting social identities embedded within systems of disadvantage and privilege. Previous research links perceived discrimination with worsened health outcomes yet is limited by a focus on racial discrimination in isolation. We applied an intersectional approach to the study of discrimination to examine the association with adverse perinatal health outcomes.
methodsWe analyzed data from a cohort of 2,286 pregnant participants (Black, n = 933; Hispanic, n = 471; White, n = 853; and Other, n = 29) from the Centering and Racial Disparities trial. Perceived discrimination was assessed via the Everyday Discrimination Scale (EDS) and perinatal health outcomes collected via electronic medical record review. Latent class analysis was used to identify subgroups of discrimination based on EDS item response and the rate of adverse perinatal health outcomes compared between subgroups using a Bolck, Croon and Hagenaars 3-step approach.
resultsFour discrimination subgroups were identified: no discrimination, general discrimination, discrimination attributed to one or several social identities, and discrimination attributed to most or all social identities. Experiencing general discrimination was associated with postpartum depression symptoms when compared with experiencing no discrimination among Black (9% vs 5%, P = .04) and White participants (18% vs 9%, P = .01). White participants experiencing general discrimination gave birth to low birthweight infants at a higher rate than those experiencing no discrimination (11% vs 6%, P = .04). No significant subgroup differences were observed among Hispanic participants.
conclusionPerceived discrimination may play an influential role in shaping perinatal health. More research applying an intersectional lens to the study of discrimination and perinatal health outcomes is needed.
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Registered trials
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