Direct and Vicarious Racial Discrimination at Three Life Stages and Preterm Labor: Results from the African American Wom

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Direct and Vicarious Racial Discrimination at Three Life Stages and Preterm Labor: Results from the African American Women’s Heart & Health Study Katie P. Daniels1   · Zulema Valdez2 · David H. Chae3 · Amani M. Allen4

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Introduction  Health disparities research has demonstrated a negative relationship between racial discrimination and African American women’s maternal health outcomes. Yet, the relationship between racial discrimination and preterm labor, a key measure of maternal health, remains understudied. This study sought to examine the associations between preterm labor and direct and vicarious racial discrimination among African American women at three life stages: childhood, adolescence, and adulthood. Methods  Logistic regression methods were used to analyze cross-sectional data from the African American Women’s Heart & Health Study (AAWHHS; N = 173). The AAWHHS includes detailed maternal health information on a community sample of African American women residing in the San Francisco Bay Area. Results  Findings indicated each unit increase in adolescent direct racial discrimination was associated with a 48% increase in the odds of preterm labor (OR: 1.480, 95% CI 1.002–2.187, p