Discrimination and Adverse Perinatal Health Outcomes: A Latent Class Analysis
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Discrimination and Adverse Perinatal Health Outcomes: A Latent Class Analysis

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English
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  • Alternative Title:
    Prev Chronic Dis
  • Personal Author:
  • Description:
    Introduction

    An intersectionality framework recognizes individuals as simultaneously inhabiting multiple intersecting social identities embedded within systems of disadvantage and privilege. Previous research links perceived discrimination with worsened health outcomes yet is limited by a focus on racial discrimination in isolation. We applied an intersectional approach to the study of discrimination to examine the association with adverse perinatal health outcomes.

    Methods

    We analyzed data from a cohort of 2,286 pregnant participants (Black, n = 933; Hispanic, n = 471; White, n = 853; and Other, n = 29) from the Centering and Racial Disparities trial. Perceived discrimination was assessed via the Everyday Discrimination Scale (EDS) and perinatal health outcomes collected via electronic medical record review. Latent class analysis was used to identify subgroups of discrimination based on EDS item response and the rate of adverse perinatal health outcomes compared between subgroups using a Bolck, Croon and Hagenaars 3-step approach.

    Results

    Four discrimination subgroups were identified: no discrimination, general discrimination, discrimination attributed to one or several social identities, and discrimination attributed to most or all social identities. Experiencing general discrimination was associated with postpartum depression symptoms when compared with experiencing no discrimination among Black (9% vs 5%, P = .04) and White participants (18% vs 9%, P = .01). White participants experiencing general discrimination gave birth to low birthweight infants at a higher rate than those experiencing no discrimination (11% vs 6%, P = .04). No significant subgroup differences were observed among Hispanic participants.

    Conclusion

    Perceived discrimination may play an influential role in shaping perinatal health. More research applying an intersectional lens to the study of discrimination and perinatal health outcomes is needed.

  • Subjects:
  • Source:
    Prev Chronic Dis. 2023; 20
  • Pubmed ID:
    37917614
  • Pubmed Central ID:
    PMC10625434
  • Document Type:
    Journal Article
  • Funding:
    R01 HD082311/HD/NICHD NIH HHSUnited States/
  • Volume:
    20
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