Yale School of Public Health, New Haven, CT 06510, USA.
Ann Behav Med. 2013 Feb;45(1):13-23. doi: 10.1007/s12160-012-9404-3.
Racial/ethnic disparities in birth weight persist within the USA.
The purpose of this study is to examine the association between maternal everyday discrimination and infant birth weight among young, urban women of color as well as mediators (depressive symptoms, pregnancy distress, and pregnancy symptoms) and moderators (age, race/ethnicity, and attributions of discrimination) of this association.
A total of 420 women participated (14-21 years old; 62 % Latina, 38 % Black), completing measures of everyday discrimination and moderators during their second trimester of pregnancy and mediators during their third trimester. Birth weight was primarily recorded from medical record review.
Path analysis demonstrated that everyday discrimination was associated with lower birth weight. Depressive symptoms mediated this relationship, and no tested factors moderated this relationship.
Given the association between birth weight and health across the lifespan, it is critical to reduce discrimination directed at young, urban women of color so that all children can begin life with greater promise for health.
在美国，种族/民族之间的出生体重差异仍然存在。
本研究旨在探讨年轻的城市有色人种女性中母亲日常歧视与婴儿出生体重之间的关系，以及该关系的中介因素（抑郁症状、妊娠困扰和妊娠症状）和调节因素（年龄、种族/民族和歧视归因）。
共有 420 名女性参与（年龄 14-21 岁；62%拉丁裔，38%黑人），在妊娠中期完成日常歧视和调节因素的测量，在妊娠晚期完成中介因素的测量。出生体重主要通过医疗记录审查记录。
路径分析表明，日常歧视与较低的出生体重有关。抑郁症状中介了这种关系，没有测试到的因素调节了这种关系。
鉴于出生体重与整个生命周期的健康之间的关联，减少针对年轻的城市有色人种女性的歧视至关重要，这样所有的孩子都能在更健康的环境中开始生活。
