Evidence map›Paper›PMID 41918518›Full record

ReviewFrontiers in reproductive health2026

Self-reported experiences of interpersonal racial discrimination and maternal and neonatal health: a systematic review and meta-analysis.

Maryam Adesunkanmi, Shi Jie Angel Zhou, Huda F Al-Shamali, Sana Amjad, Tona M Pitt, Oluwabukola Salami, Jesus Serrano-Lomelin, Maria B Ospina

Abstract readReview
In one paragraph

Review in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Maryam AdesunkanmiDepartment of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Shi Jie Angel ZhouDepartment of Public Health Sciences, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
Huda F Al-ShamaliInterventional Psychiatry Program, St. Michael's Hospital, Toronto, ON, Canada.
Sana AmjadDepartment of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Tona M PittDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Oluwabukola SalamiDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Jesus Serrano-LomelinDepartment of Public Health Sciences, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
Maria B OspinaDepartment of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Racial discrimination contributes to maternal and neonatal health inequities. We synthesized evidence on associations between self-reported interpersonal racial discrimination and maternal and neonatal outcomes. Methods: We searched six major bibliographic databases from inception to September 2024, updated October 2025. We included observational epidemiological studies with comparison groups among pregnant or previously pregnant women. Outcomes included hypertensive disorders of pregnancy (HDP), gestational diabetes mellitus (GDM), mode of delivery, postpartum depression (PPD), fetal growth and gestational outcomes, infant mortality, and neonatal intensive care unit ( Results: From 20,361 records, 61 publications of 63 studies including 1,473,417 participants were included. No associations were reported for HDP or GDM. Evidence was strongest for PPD, with higher odds in cohort (pooled aOR 1·37, 95% CI 1·16-1·63) and cross-sectional studies (pooled aOR 1·82, 95% CI 1·35-2·47). Cohort studies showed no association with PTB, whereas cross-sectional studies indicated increased odds (pooled aOR 1·19, 95% CI 1·03-1·38). Higher odds were observed for low birth weight (LBW) (pooled aOR 2·21, 95% CI 1·46-3·35), and very LBW (pooled aOR 2·70, 95% CI 1·40-5·20). Evidence for other outcomes was inconsistent. No studies examined infant mortality or NICU admission. Most included studies were at moderate risk of bias. Conclusions: Interpersonal racial discrimination is associated with PPD and LBW. Racial discrimination should be considered a modifiable determinant of maternal and neonatal health and integrated into perinatal research and care to reduce inequities. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42022312529, identifier CRD42022312529.

Indexed as

infantmaternal healthmeta-analysispregnancypregnancy outcomeracismsocial discriminationsystematic review

Identifiers

PMID41918518
PMCPMC13033699

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.