Cited by 188Maternal Mental Health During Pregnancy and PostpartumPreterm Birth and ChorioamnionitisMaternal and Neonatal Healthcare

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Stress model for research into preterm delivery among black women

Hogue, Carol J. Rowland, Bremner, J. Douglas·2005·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2005.01.073

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Abstract

The disparity between black and white infant mortality rates increased over the last decade, despite overall improvement in infant survival. Because most black infant deaths are related to preterm delivery, the discovery of the cause of premature birth in general and excess premature birth for black infants in particular is of paramount importance for reproductive health research. Substantial theoretic support exists for maternal stress as a risk factor for preterm birth. Traumatic events early in life may sensitize the adult to contemporary stresses and increase her vulnerability to stress-induced neuroendocrine or infection/inflammatory pathways to early parturition. In addition, an individual may prematurely age as a result of cumulative stress or a major traumatic event. This "stress age," which is synonymous with the concept of weathering and similar to the concept of allostatic load, may affect parturition through chronic conditions (such as hypertension) and in poorly understood pathophysiologic mechanisms that are related to increased chronologic age. One potential measure of stress age is maternal serum dehydroepiandrosterone sulfate. Maternal stress is a potential explanatory factor for excess preterm delivery among black women because of their exposure to racism-associated stress. However, few studies have addressed this question, and results are mixed. Future etiologic research must take into account the complexities of the measurement of stress age and past and current exposures to stress, which includes internalized racism and interpersonal racism.

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Authors: Hogue, C. J. R., & Bremner, J. D.
Affiliations: Emory University (US)
Corresponding author: Hogue, Carol J. Rowland
ORCID: Hogue, Carol J. Rowland
Bremner, J. Douglas
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2005-05
Volume: 192
Issue: 5
Pages: S47-S55
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2005.01.073
OpenAlex: W2164218743
Cited by: 188
References: 85
Citations by year: 2026: 3 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 13 · 2021: 6 · 2020: 8 · 2019: 11 · 2018: 4 · 2017: 5 · 2016: 10 · 2015: 9 · 2014: 11 · 2013: 10 · 2012: 2
FWCI: 1.42
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Obstetrics and Gynecology › Preterm Birth and Chorioamnionitis
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords: preterm birth, Black women, maternal stress, weathering, allostatic load, dehydroepiandrosterone sulfate, internalized racism, interpersonal racism, childbirth, neuroendocrine pathways, inflammation
MeSH terms: Black or African American, Female, Humans, Infant Mortality, Infant, Newborn, Models, Theoretical, Pregnancy, Prejudice, Research, Stress, Psychological, United States, Black People, Premature Birth

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Stress model for research into preterm delivery among black women

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