MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Racism in the form of micro aggressions and the risk of preterm birth among black women

Citation Type: Journal Article

Publication Year: 2016

ISSN: 10472797

DOI: 10.1016/j.annepidem.2015.10.005

PMCID: PMC4688115

PMID: 26549132

Abstract: PURPOSE This study sought to examine whether perceived interpersonal racism in the form of racial micro aggressions was associated with preterm birth (PTB) and whether the presence of depressive symptoms and perceived stress modified the association. METHODS Data stem from a cohort of 1410 black women residing in Metropolitan Detroit, Michigan, enrolled into the Life-course Influences on Fetal Environments (LIFE) study. The Daily Life Experiences of Racism and Bother (DLE-B) scale measured the frequency and perceived stressfulness of racial micro aggressions experienced during the past year. Severe past-week depressive symptomatology was measured by the Centers for Epidemiologic Studies-Depression scale (CES-D) dichotomized at ≥ 23. Restricted cubic splines were used to model nonlinearity between perceived racism and PTB. We used the Perceived Stress Scale to assess general stress perceptions. RESULTS Stratified spline regression analysis demonstrated that among those with severe depressive symptoms, perceived racism was not associated with PTB. However, perceived racism was significantly associated with PTB among women with mild to moderate (CES-D score ≤ 22) depressive symptoms. Perceived racism was not associated with PTB among women with or without high amounts of perceived stress. CONCLUSIONS Our findings suggest that racism, at least in the form of racial micro aggressions, may not further impact a group already at high risk for PTB (those with severe depressive symptoms), but may increase the risk of PTB for women at lower baseline risk.




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Authors: Slaughter-Acey, Jaime C.; Sealy-Jefferson, Shawnita; Helmkamp, Laura; Caldwell, Cleopatra Howard; Osypuk, Theresa L; Platt, Robert W.; Straughen, Jennifer K.; Dailey-Okezie, Rhonda K.; Abeysekara, Purni; Misra, Dawn P.

Periodical (Full): Annals of Epidemiology

Issue: 1

Volume: 26

Pages: 7-13.e1