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

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

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

<bold>Purpose: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
Original languageEnglish (US)
Pages (from-to)7-13.e1
Number of pages1
JournalAnnals of Epidemiology
Volume26
Issue number1
DOIs
StatePublished - 2016

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Racism
Premature Birth
Aggression
Depression
Epidemiologic Studies
Life Change Events
Regression Analysis

Keywords

  • MICHIGAN
  • RACISM
  • RISK factors in premature labor
  • CRIMES against black women
  • SOCIAL conditions of black women
  • MICROAGGRESSIONS
  • INTERPERSONAL relations
  • AGGRESSION (Psychology)
  • MENTAL depression
  • PREMATURE infants
  • REGRESSION analysis
  • STRESS (Psychology)
  • PSYCHOLOGY of black people
  • RETROSPECTIVE studies
  • Depression
  • Premature birth
  • Psychological
  • Racism
  • Stress

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

Cite this

Racism in the form of micro aggressions and the risk of preterm birth among black women. / Slaughter-Acey, Jaime C.; Sealy-Jefferson, Shawnita; Helmkamp, Laura; Caldwell, Cleopatra H.; Osypuk, Theresa L.; Platt, Robert W.; Straughen, Jennifer K.; Dailey-Okezie, Rhonda K.; Abeysekara, Purni; Misra, Dawn P.

In: Annals of Epidemiology, Vol. 26, No. 1, 2016, p. 7-13.e1.

Research output: Contribution to journalArticle

Slaughter-Acey, JC, Sealy-Jefferson, S, Helmkamp, L, Caldwell, CH, Osypuk, TL, Platt, RW, Straughen, JK, Dailey-Okezie, RK, Abeysekara, P & Misra, DP 2016, 'Racism in the form of micro aggressions and the risk of preterm birth among black women', Annals of Epidemiology, vol. 26, no. 1, pp. 7-13.e1. https://doi.org/10.1016/j.annepidem.2015.10.005
Slaughter-Acey, Jaime C. ; Sealy-Jefferson, Shawnita ; Helmkamp, Laura ; Caldwell, Cleopatra H. ; Osypuk, Theresa L. ; Platt, Robert W. ; Straughen, Jennifer K. ; Dailey-Okezie, Rhonda K. ; Abeysekara, Purni ; Misra, Dawn P. / Racism in the form of micro aggressions and the risk of preterm birth among black women. In: Annals of Epidemiology. 2016 ; Vol. 26, No. 1. pp. 7-13.e1.
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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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T1 - Racism in the form of micro aggressions and the risk of preterm birth among black women

AU - Slaughter-Acey, Jaime C.

AU - Sealy-Jefferson, Shawnita

AU - Helmkamp, Laura

AU - Caldwell, Cleopatra H.

AU - Osypuk, Theresa L.

AU - Platt, Robert W.

AU - Straughen, Jennifer K.

AU - Dailey-Okezie, Rhonda K.

AU - Abeysekara, Purni

AU - Misra, Dawn P.

PY - 2016

Y1 - 2016

N2 - 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.

AB - 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.

KW - MICHIGAN

KW - RACISM

KW - RISK factors in premature labor

KW - CRIMES against black women

KW - SOCIAL conditions of black women

KW - MICROAGGRESSIONS

KW - INTERPERSONAL relations

KW - AGGRESSION (Psychology)

KW - MENTAL depression

KW - PREMATURE infants

KW - REGRESSION analysis

KW - STRESS (Psychology)

KW - PSYCHOLOGY of black people

KW - RETROSPECTIVE studies

KW - Depression

KW - Premature birth

KW - Psychological

KW - Racism

KW - Stress

U2 - 10.1016/j.annepidem.2015.10.005

DO - 10.1016/j.annepidem.2015.10.005

M3 - Article

C2 - 26549132

VL - 26

SP - 7-13.e1

JO - Annals of Epidemiology

JF - Annals of Epidemiology

SN - 1047-2797

IS - 1

ER -