Psychosocial factors and preterm birth among African American and white women in central North Carolina

Nancy Dole, David A. Savitz, Anna Maria Siega-Riz, Irva Hertz-Picciotto, Michael J. McMahon, Pierre Buekens

Research output: Contribution to journalArticle

150 Citations (Scopus)

Abstract

Objectives. We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study. Methods. We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors. Results. African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance. Conclusions. Some associations between psychosocial variables and preterm birth differed by race.

Original languageEnglish (US)
Pages (from-to)1358-1365
Number of pages8
JournalAmerican Journal of Public Health
Volume94
Issue number8
StatePublished - Aug 2004
Externally publishedYes

Fingerprint

Premature Birth
African Americans
Psychology
Racism
Social Support
Comorbidity
Cohort Studies
Anxiety
Public Health
Prospective Studies
Depression
Pregnancy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Psychosocial factors and preterm birth among African American and white women in central North Carolina. / Dole, Nancy; Savitz, David A.; Siega-Riz, Anna Maria; Hertz-Picciotto, Irva; McMahon, Michael J.; Buekens, Pierre.

In: American Journal of Public Health, Vol. 94, No. 8, 08.2004, p. 1358-1365.

Research output: Contribution to journalArticle

Dole, Nancy ; Savitz, David A. ; Siega-Riz, Anna Maria ; Hertz-Picciotto, Irva ; McMahon, Michael J. ; Buekens, Pierre. / Psychosocial factors and preterm birth among African American and white women in central North Carolina. In: American Journal of Public Health. 2004 ; Vol. 94, No. 8. pp. 1358-1365.
@article{b21860820c6444f1912c4a9c069db0a1,
title = "Psychosocial factors and preterm birth among African American and white women in central North Carolina",
abstract = "Objectives. We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study. Methods. We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors. Results. African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance. Conclusions. Some associations between psychosocial variables and preterm birth differed by race.",
author = "Nancy Dole and Savitz, {David A.} and Siega-Riz, {Anna Maria} and Irva Hertz-Picciotto and McMahon, {Michael J.} and Pierre Buekens",
year = "2004",
month = "8",
language = "English (US)",
volume = "94",
pages = "1358--1365",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "8",

}

TY - JOUR

T1 - Psychosocial factors and preterm birth among African American and white women in central North Carolina

AU - Dole, Nancy

AU - Savitz, David A.

AU - Siega-Riz, Anna Maria

AU - Hertz-Picciotto, Irva

AU - McMahon, Michael J.

AU - Buekens, Pierre

PY - 2004/8

Y1 - 2004/8

N2 - Objectives. We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study. Methods. We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors. Results. African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance. Conclusions. Some associations between psychosocial variables and preterm birth differed by race.

AB - Objectives. We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study. Methods. We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors. Results. African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance. Conclusions. Some associations between psychosocial variables and preterm birth differed by race.

UR - http://www.scopus.com/inward/record.url?scp=3442901064&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3442901064&partnerID=8YFLogxK

M3 - Article

C2 - 15284044

AN - SCOPUS:3442901064

VL - 94

SP - 1358

EP - 1365

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 8

ER -