title: Differences in the self-reported racism experiences of US-born and foreign-born Black pregnant women.
abstract: Differential exposure to minority status stressors may help explain differences in United States (US)-born and foreign-born Black women's birth outcomes. We explored self-reports of racism recorded in a survey of 185 US-born and 114 foreign-born Black pregnant women enrolled in Project Viva, a prospective cohort study of pregnant women in Boston, Massachusetts, USA. Self-reported prevalence of personal racism and group racism was significantly higher among US-born than foreign-born Black pregnant women, with US-born women having 4.1 and 7.8 times the odds, respectively, of childhood exposure. In multivariate analyses, US-born women's personal and group racism exposure also was more pervasive across the eight life domains we queried. Examined by immigrant subgroups, US-born women were more similar in their self-reports of racism to foreign-born women who moved to the US before age 18 than to women who immigrated after age 18. Moreover, US-born women more closely resembled foreign-born women from the Caribbean than those from Africa. Differential exposure to self-reported racism over the life course may be a critically important factor that distinguishes US-born Black women from their foreign-born counterparts.
authors.affiliation: School of Social Work, University of Southern California, 214 Montogomery Ross Fisher, Los Angeles, CA 90089-0411, USA. tyanpark@usc.edu
authors.forename: Tyan Parker
authors.initials: TP
authors.lastname: Dominguez
authors.forename: Emily Ficklin
authors.initials: EF
authors.lastname: Strong
authors.forename: Nancy
authors.initials: N
authors.lastname: Krieger
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Gillman
authors.forename: Janet W
authors.initials: JW
authors.lastname: Rich-Edwards
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D001900:Boston; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016017:Odds Ratio; D011247:Pregnancy; D011287:Prejudice; D011446:Prospective Studies; D055815:Young Adult