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Examining the Burdens of Gendered Racism: Implications for Pregnancy Outcomes Among College-Educated African American Women
Abstract
Objectives As investigators increasingly identify racism as a risk factor for poor health outcomes (with implications for adverse birth outcomes), research efforts must explore individual experiences with and responses to racism. In this study, our aim was to determine how African American college-educated women experience racism that is linked to their identities and roles as African American women (gendered racism). Methods Four hundred seventy-four (474) African American women collaborated in an iterative research process that included focus groups, interviews, and the administration of a pilot stress instrument developed from the qualitative data. Analysis of the qualitative and quantitative data from the responses of a subsample of 167 college-educated women was conducted to determine how the women experienced racism as a stressor. Results The responses of the women and the results from correlational analysis revealed that a felt sense of obligations for protecting children from racism and the racism that African American women encountered in the workplace were significant stressors. Strong associations were found between pilot scale items where the women acknowledged concerns for their abilities to provide for their children's needs and to the women's specific experiences with racism in the workplace (r = 0.408, p Conclusions We hypothesize that the stressors of gendered racism that precede and accompany pregnancy may be risk factors for adverse birth outcomes.
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This unique intersectional stress resulting from gendered racism has been associated with deleterious outcomes for African American women such as cardiovascular disease, hypertension, preterm birth, and low birth weight.
“This unique intersectional stress resulting from gendered racism has been associated with deleterious outcomes for African American women such as cardiovascular disease, hypertension, preterm birth, and low birth weight (Guyll et al., 2001;Jackson et al., 2001;Krieger, 1990).”
From Superwoman Schema and John Henryism among African American women: An intersectional perspective on coping with racism (2023) · cites this paper as Jackson et al., 2001
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Metadata
- Authors
- Jackson, F. M., Phillips, M. T., Hogue, C. J. R., & Curry-Owens, T. Y.
- Affiliations
- Emory University (US)
- Spelman College (US)
- Corresponding author
- Jackson, Fleda Mask
- Venue
- Maternal and Child Health Journal
- Published
- 2001-06
- Volume
- 5
- Issue
- 2
- Pages
- 95-107
- ISSN
- 1092-7875 (ISSN-L)
- 1573-6628
- OpenAlex
- W1958807533
- Cited by
- 125
- References
- 30
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 9 · 2023: 8 · 2022: 9 · 2021: 8 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 8 · 2016: 3 · 2015: 5 · 2014: 7 · 2013: 5 · 2012: 3
- FWCI
- 11.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Maternal and Child Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- gendered racism, African American women, college-educated women, pregnancy outcomes, workplace racism, adverse birth outcomes, stress measurement instrument, racial discrimination in employment
- MeSH terms
- Black or African American, Educational Status, Female, Humans, Pregnancy, Pregnancy Outcome, Prejudice, Research, Risk Factors, United States
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