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  • Title: Psychosocial factors and preterm birth among African American and White women in central North Carolina.
    Author: Dole N, Savitz DA, Siega-Riz AM, Hertz-Picciotto I, McMahon MJ, Buekens P.
    Journal: Am J Public Health; 2004 Aug; 94(8):1358-65. PubMed ID: 15284044.
    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.
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