ArticleEthnicity & health2025
The impact of cumulative trauma on health service utilization practices of Black immigrant women.
Article in Ethnicity & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundFactors that influence health service utilization among Black immigrant women with experiences of trauma are not well understood. An improved understanding of the impact of cumulative trauma on Black immigrant women's health care utilization is critical to increase access to health services for this population.
methodsUsing baseline data of 147 Black immigrant women from an existing NICHD-funded study, hierarchical multiple linear regression was used to assess the impact of length of stay in the US, education, cumulative trauma frequency, everyday discrimination, and the interaction of discrimination and cumulative trauma on health service utilization. A model-building approach was used to determine covariates to include in the final model.
resultsCumulative trauma frequency was positively associated with health service usage (
conclusionCumulative trauma experiences were positively correlated with health service utilization, and discrimination strengthened this relationship. Future work must examine long-term data for patterns of seeking health services over time, explore specific types of health services associated with cumulative trauma experiences, and study associations between health service usage and health outcomes.
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