1. Racial/Ethnic Disparities in Measures of Self-reported Psychosocial States and Traits during Pregnancy
- Author
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Grobman, William A, Parker, Corette, Wadhwa, Pathik D, Willinger, Marian, Simhan, Hyagriv, Silver, Bob, Wapner, Ron J, Parry, Samuel, Mercer, Brian, Haas, David, Peaceman, Alan M, Hunter, Shannon, Wing, Deborah, Caritis, Steve, Esplin, Sean, Hoffman, Matt, Ludmir, Jack, Iams, Jay, Long, Emily, Saade, George, and Reddy, Uma M
- Subjects
Midwifery ,Health Sciences ,Basic Behavioral and Social Science ,Mental Health ,Behavioral and Social Science ,Clinical Research ,Good Health and Well Being ,Adult ,Female ,Health Status Disparities ,Healthcare Disparities ,Humans ,Logistic Models ,Pregnancy ,Pregnancy Complications ,Prospective Studies ,Psychiatric Status Rating Scales ,Racial Groups ,Self Report ,Socioeconomic Factors ,Stress ,Psychological ,United States ,Young Adult ,psychosocial ,stress ,disparities ,pregnancy ,Eunice Kennedy Shriver National Institute of Child Health Human Development nuMoM2b Network ,Bethesda ,MD ,Clinical Sciences ,Paediatrics and Reproductive Medicine ,Obstetrics & Reproductive Medicine ,Paediatrics ,Reproductive medicine - 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 0.05) except on the Krieger racism survey and the Edinburgh depression survey, which were exacerbated among NHB women with higher income (interaction, p
- Published
- 2016