Pregnant African American Women's Perceptions of Neighborhood, Racial Discrimination, and Psychological Distress as Influences on Birth Outcomes.
Emily Dove-Medows, Amanda Deriemacker, Rhonda Dailey and 5 others
PMID 31651420WHAT IT FOUND
Pregnant African American women described racism, stress, and neighborhood concerns that did not always match their survey answers.
In seven interviews, questionnaires alone may have missed their concerns.
Key findings
01Among seven interviewed women, six reported racial discrimination on the survey or interview, including two of three who scored 0 on the discrimination questionnaire.
02Neighborhood disorder scores did not always match interviews: a woman scoring 32 reported no neighborhood concern, while a woman scoring 21 said she did not feel safe.
03Among seven interviewed women, three had CES-D scores of 16 or higher and one had PGWB score 72, while four described stress in interviews.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only seven of 38 enrolled women completed interviews, so the qualitative findings are based on a small subsample. Participants were recruited from one prenatal clinic in the Midwest, which may limit generalizability. Interview participation required reliable telephone access and time. Questionnaire and interview answers were compared for the same women, but the time between them varied, with a median of 35 days.
Declared interests
The authors report no conflicts of interest.
The easy way to misread this
Do not conclude that neighborhood disorder, racial discrimination, or psychological distress caused preterm birth in these women. The study described seven women's perceptions and did not test cause and effect.