Résumé :
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[BDSP. Notice produite par INIST-CNRS YlR0xcUs. Diffusion soumise à autorisation]. Objectives : We examined the effects of self-reported experiences of racial discrimination on Black-White differences in preterm (less than 37 weeks gestation) and low-birthweight (less than 2500 g) deliveries. Methods : Using logistic regression models, we analyzed data on 352 births among women enrolled in the Coronary Artery Risk Development in Young Adults Study. Results : Among Black women, 50% of those with preterm deliveries and 61% of those with low-birthweight infants reported having experienced racial discrimination in at least 3 situations ; among White women, the corresponding percentages were 5% and 0%. The unadjusted odds ratio for preterm delivery among Black versus White women was 2.54 (95% confidence interval [CI]=1.33,4.85), but this value decreased to 1.88 (95% CI=0.85,4.12) after adjustment for experiences of racial discrimination and to 1.11 (95% CI=0.51,2.41) after additional adjustment for alcohol and tobacco use, depression, education, and income. The corresponding odds ratios for low birthweight were 4.24 (95% CI=1.31,13.67), 2.11 (95% CI=0.75,5.93), and 2.43 (95% CI=0.79,7.42). Conclusions : Self-reported experiences of racial discrimination were associated with preterm and low-birthweight deliveries, and such experiences may contribute to Black-White disparities in perinatal outcomes.
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