ArticleJournal of racial and ethnic health disparities2025
Running Head: Dismissed and Ignored: Confronting the Trauma of Black Women Maternal Healthcare.
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.
- Intersectional Lives, and Ecological Risks: The Association between Criminal Legal System Exposures and Suicide Attempts among Black Youth.Journal of racial and ethnic health disparities · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlack women in the United States face maternal mortality rates three to four times higher than their White counterparts despite advancements in obstetric care. Structural racism, gendered stereotypes, psychosocial stressors, and intersecting oppressions amplify the risk of adverse maternal health outcomes. This is part of a broader " dual burden" or stigma of being both Black and a woman. To further explain this dual burden, this study introduces the concept of "Black Tears" as an analytical framework that synthesizes the intersecting crises shaping Black maternal health.
objectivesThis qualitative study examines how psychosocial stressors, and institutional inequities intersect to shape Black maternal experiences.
designThis study employed an interpretive (hermeneutic) phenomenological approach to explore the lived experiences of Black mothers.
methodsFive Black and one Black Hispanic woman (aged 18-32) who had given birth in Kansas or Missouri participated in in-depth semi-structured interviews. Guided by an integrated framework of Critical Race Theory (CRT), the SBW schema, and interpretive phenomenology, transcripts were analyzed to uncover the essential themes of their maternal healthcare encounters.
resultsThree interrelated themes emerged: [1] the invalidation of embodied knowledge: dismissal of pain and concerns [2], the performance of strength: suppressing vulnerability to be heard, and [3] the weight of systemic bias: navigating a hostile environment. These findings reveal the persistent "tears" of Black women's maternal health concerns and the normalization of their suffering within medical contexts.
conclusionBlack women's maternal experiences are shaped by historical inequities, racialized stereotypes, and institutional neglect. The endorsement of the SBW stereotype has been shown to lead to coping strategies like "identity shifting," where Black women alter their behaviors to mitigate discrimination. Culturally responsive care models, provider training, and policy reforms centered on Black maternal voices are urgently needed to disrupt systemic harms.
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