ArticleJournal of racial and ethnic health disparities2025
Measurement of Racial Microaggressions During Pregnancy and While Receiving Prenatal Care: a Validation Study of the Daily Life Experiences Scale Among Black Postpartum Women.
Article in Journal of racial and ethnic health disparities, 2025. 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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Who cites it
1 citing paper in PubMed.
- Racial microaggressions in prenatal care settings and perceived quality of prenatal care among Black/African American women.BMC public health · 2026Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe Daily Life Experiences scale measures the frequency of experiences of racial microaggressions (everyday actions or comments expressing prejudice). We assessed the factor structure, reliability, and validity of the DLE-F among Black postpartum women in two contexts: (1) daily life (DLE-F) and (2) while seeking or receiving prenatal care (DLE-PNC-F).
methodsData were from the LIFE-2 cohort of Black women delivering in Detroit, Michigan from 2023 to 2025. Questionnaires were completed during postpartum hospitalization. The 20-item DLE-F assessed past 3-month experiences of microaggressions; the adapted 17-item DLE-PNC-F referenced experiences in prenatal care. Confirmatory factor analysis (CFA) was used to evaluate structure. Internal consistency was assessed with Cronbach's alpha. Convergent validity was tested via correlations with major discrimination, racism-related stress, vigilance, depressive symptoms, and perceived stress. Discriminant validity was tested against self-esteem, self-kindness, and collective hope.
resultsAmong 514 postpartum women, both the DLE-F and DLE-PNC-F followed a unidimensional structure with modest fit and strong internal consistency (α = 0.97). The scales were moderately correlated (ρ = 0.51), suggesting they capture related, but distinct domains. The DLE-F showed convergent validity with major discrimination (ρ = 0.53) and racism-related stress (ρ = 0.46). Neither scale was convergent with depressive symptoms or perceived stress. Both scales demonstrated low correlations with self-esteem, self-kindness, and collective hope, supporting discriminant validity.
conclusionsWe validate the original DLE-F and a newly developed healthcare-specific version, the DLE-PNC-F among postpartum Black women. Results from this study provide evidence for the use of the DLE among Black postpartum women, while also highlighting the need to further develop a modified version with items specifically relevant to experiences during prenatal care.
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