Racial/Ethnic Disparities in Measures of Self-reported Psychosocial States and Traits during Pregnancy

William A. Grobman; Corette Parker; Pathik D. Wadhwa; Marian Willinger; Hyagriv Simhan; Bob Silver; Ron J. Wapner; Samuel Parry; Brian Mercer; David Haas; Alan M. Peaceman; Shannon Hunter; Deborah Wing; Steve Caritis; Sean Esplin; Matt Hoffman; Jack Ludmir; Jay Iams; Emily Long; George Saade; Uma M. Reddy; for the Eunice Kennedy Shriver National Institute of Child Health Human Development nuMoM2b Network, Bethesda, MD

doi:10.1055/s-0036-1586510

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 2016; 33(14): 1426-1432
DOI: 10.1055/s-0036-1586510

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Racial/Ethnic Disparities in Measures of Self-reported Psychosocial States and Traits during Pregnancy

William A. Grobman

¹Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois

,

Corette Parker

²Division of Biostatistics and Epidemiology, RTI International, Research Triangle Park, North Carolina

,

Pathik D. Wadhwa

³Department of Obstetrics and Gynecology, University of California at Irvine, Irvine, California

,

Marian Willinger

⁴Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland

,

Hyagriv Simhan

⁵Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, Pennsylvania

,

Bob Silver

⁶Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, Utah

,

Ron J. Wapner

⁷Department of Obstetrics and Gynecology, Columbia University, New York, New York

,

Samuel Parry

⁸Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania

,

Brian Mercer

⁹Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio

,

David Haas

¹⁰Department of Obstetrics and Gynecology, Indiana University, Indianapolis, Indiana

,

Alan M. Peaceman

¹Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois

,

Shannon Hunter

²Division of Biostatistics and Epidemiology, RTI International, Research Triangle Park, North Carolina

,

Deborah Wing

³Department of Obstetrics and Gynecology, University of California at Irvine, Irvine, California

,

Steve Caritis

⁵Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, Pennsylvania

,

Sean Esplin

⁶Department of Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, Utah

,

Matt Hoffman

¹¹Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, Delaware

,

Jack Ludmir

⁸Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania

,

Jay Iams

¹²Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio

,

Emily Long

¹⁰Department of Obstetrics and Gynecology, Indiana University, Indianapolis, Indiana

,

George Saade

¹³Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas

,

Uma M. Reddy

⁴Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland

,

for the Eunice Kennedy Shriver National Institute of Child Health Human Development nuMoM2b Network, Bethesda, MD

› Institutsangaben

Abstract

Background The aim of this study was to determine whether racial/ethnic differences in psychosocial measures, independent of economic status, exist among a large population of pregnant nulliparas.

Methods Between October 2010 and September 2013, nulliparous women at eight U.S. medical centers were followed longitudinally during pregnancy and completed validated instruments to quantify several psychosocial domains: Cohen Perceived Stress Scale, trait subscale of the Spielberger Anxiety Inventory, Connor–Davidson Resilience Scale, Multidimensional Scale of Perceived Social Support, Krieger Racism Scale, Edinburgh Postnatal Depression Scale, and the Pregnancy Experience Scale. Scores were stratified and compared by self-reported race, ethnicity, and income.

Results Complete data were available for 8,128 of the 10,038 women enrolled in the study. For all measures, race and ethnicity were significantly associated (p < 0.001) with survey scores. Non-Hispanic black (NHB) women were most likely to score in the most unfavorable category for all measures, with the exception of the Pregnancy Experience Scale. The magnitude of these differences did not differ by income status (interaction, p > 0.05) except on the Krieger racism survey and the Edinburgh depression survey, which were exacerbated among NHB women with higher income (interaction, p < 0.001).

Conclusion Significant racial/ethnic disparities, independent of income status, exist in psychosocial measures during pregnancy.

Keywords

psychosocial - stress - disparities - pregnancy

Volltext

Referenzen

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