Racial Discrimination and Psychological Wellbeing of Pregnant Women.
Carmen Giurgescu, Shannon N Zenk, Christopher G Engeland and 2 others
PMID 27749288WHAT IT FOUND
Social support did not buffer the link between racial discrimination and psychological wellbeing in pregnant African American women.
More discrimination and lower support were each associated with lower wellbeing. Nurses should assess prenatal stress and discrimination.
Key findings
01Social support did not moderate the relationship between racial discrimination and psychological wellbeing.
02More experiences of racial discrimination were related to lower psychological wellbeing, and higher social support was related to higher psychological wellbeing.
036% of women reported experiencing racial discrimination while getting medical care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample came from one urban university-based nurse midwifery practice, so results may not apply to other settings. Women were surveyed once during the second trimester, so the study cannot show change across pregnancy or cause. The sample size was relatively small and most women reported high social support, so social support had limited variability. Six questionnaires were not completed or lost and one woman declined after consent. The analysed sample was 107 women. All main variables were self-reported questionnaires.
Declared interests
There is no conflict of interest.
The easy way to misread this
Do not conclude that general social support protects pregnant African American women from the harmful association between racial discrimination and psychological wellbeing. The interaction between racial discrimination and social support was not associated with psychological wellbeing.