Evidence map›Paper›PMID 40739427›Full record

ArticleJournal of racial and ethnic health disparities2026

The Association Between Experiencing Racial Discrimination and Delivery Method Among Women in the United States, PRAMS 2016-2021.

Chelse Spinner, Lorenzo N Hopper, Sharon Watson, Janaka B Lewis, Michael Dulin

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Chelse SpinnerDepartment of Pediatrics, Stanford University School of Medicine, 1701 Page Mill Rd, Palo Alto, CA, 94304, USA. cspinner@stanford.edu.ORCID 0000-0002-1912-4033
Lorenzo N HopperDepartment of Epidemiology & Community Health, University of North Carolina at Charlotte, Charlotte, NC, USA.
Sharon WatsonDepartment of Anthropology, University of North Carolina at Charlotte, Charlotte, NC, USA.
Janaka B LewisUniversity of North Carolina at Charlotte Department of English, Charlotte, NC, USA.
Michael DulinDepartment of Epidemiology & Community Health, University of North Carolina at Charlotte, Charlotte, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRacial and ethnic disparities in cesarean birth persist, resulting in increased risk of complications. However, the efforts to explain these phenomena have not considered the influence of structural factors. The purpose of this study was to examine the association between experiencing racial discrimination and delivery method, as well as to observe women's experiences with racial discrimination.

methodsData from the 2016-2021 Pregnancy Risk Assessment Monitoring System was used for this secondary data analysis of nulliparous and primiparous women of reproductive age (N = 27, 994). The exposure variable was measured using two questions on racial discrimination, and information on the outcome variable was obtained from the birth certificate data. Logistic regression was used to model the association between experiencing racial discrimination and delivery method.

resultsWithin the population, minority women (non-Hispanic Black, Hispanic, and non-Hispanic Other women) experienced significantly increased odds of experiencing racial discrimination in comparison to non-Hispanic White women. Racial discrimination was significantly associated with primary cesarean birth in the bivariate analysis (OR, 1.19; 95% CI, 1,03-1.38); however, this relationship became marginally significant after adjustment for confounders (OR, 1.09; 95% CI, 0.94-1.28). DISCUSSION: Although the association between racial discrimination and delivery method was not statistically significant, even after stratification by race/ethnicity, future research should focus on expanding current measures of racial discrimination in population-based datasets. There is a missed opportunity to understand and explore the experiences of racial discrimination and delivery method, especially during labor/delivery. A comprehensive view of the mechanisms by which racial disparities in cesarean birth continue to operate is critical to reducing health inequities.

Indexed as

Cesarean SectionDelivery, ObstetricRacismAdultBlack or African AmericanFemaleHispanic or LatinoHumansPregnancyUnited StatesWhiteYoung AdultCesarean birthPRAMSRacial discrimination

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