Stress during Pregnancy: The Role of Institutional Racism
Stress during Pregnancy: The Role of Institutional Racism
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DOI：
10.1002/smi.2462
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发表时间：
2013-10-01
影响因子：
4.1
通讯作者：
Culhane, Jennifer F.
中科院分区：
文献类型：
--
作者：
Mendez, Dara D.;Hogan, Vijaya K.;Culhane, Jennifer F.
制度性种族主义，又称结构性种族主义，可以定义为不同种族对资源和机会的不同获取，以及加剧种族不平等的政策、法律和实践。本研究考察了在一组不同的孕妇中，以居住红线（抵押贷款中邻里层面的种族不平等）和种族隔离（按种族划分群体的地理隔离）形式存在的制度性种族主义是如何与自我报告的压力相关的。制度性种族主义用住房抵押贷款披露法案数据的住宅红线指数和2000年美国人口普查数据的住宅隔离来衡量。这些红线和隔离指数与妊娠队列研究（n=4652）的数据有关，其中包括报告的压力的个人测量。我们运行多水平线性回归模型来检验红线、隔离和报告压力之间的关系。与所有其他女性相比，西班牙裔女性报告压力的可能性略高。在这个人群中，红线和压力之间没有明显的关系。然而，较高的邻里黑人比例与压力呈负相关。这项研究表明，某些形式的隔离可能与报告的压力有关。未来的研究应该考虑，划红线和隔离可能如何提供对制度性种族主义和邻里环境如何影响人口压力和健康的理解。版权所有：John Wiley & Sons， Ltd。
Institutional racism, also known as structural racism, can be defined as differential access to resources and opportunities by race as well as policies, laws, and practices that reinforce racial inequity. This study examines how institutional racism in the form of residential redlining (neighbourhood-level racial inequities in mortgage lending) and segregation (geographic separation of groups by race) is associated with self-reported stress among a diverse cohort of pregnant women. Institutional racism was measured by a residential redlining index using Home Mortgage Disclosure Act data and residential segregation using 2000 US Census data. These redlining and segregation indices were linked with data from a pregnancy cohort study (n=4652), which included individual measures of reported stress. We ran multilevel linear regression models to examine the association between redlining, segregation and reported stress. Hispanic women compared with all other women were slightly more likely to report stress. There was no significant relationship between redlining and stress among this population. However, higher neighbourhood percentage black was inversely associated with stress. This study suggests that some forms of segregation may be associated with reported stress. Future studies should consider how redlining and segregation may provide an understanding of how institutional racism and the neighbourhood context may influence stress and health of populations. Copyright (c) 2012 John Wiley & Sons, Ltd.