Racial/ethnic differences in maternal resilience and associations with low birthweight

Diana Montoya-Williams*, Molly Passarella, William A. Grobman, Scott A. Lorch

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Evaluate racial/ethnic differences in maternal resilience and its associations with low birthweight (LBW). Study design: Retrospective cohort study of 3244 women surveyed in the Longitudinal Study of Adolescent to Adult Health. The Add Health Resilience Instrument assessed resilience. Logistic regression models explored associations between women’s resilience and risk of LBW. Result: Resilience scores were lowest in American Indian women. Women with the lowest resilience scores were more likely to deliver a LBW infant than highly resilient women, after adjusting for demographic and health-related factors (aOR 1.58 95% CI 1.05–2.38). The risk-adjusted rate of LBW among highly resilient Black women (15.6%) was significantly higher than the risk-adjusted rate of LBW among highly resilient white women (9.1%, p = 0.01) and highly resilient Hispanic women (8.6%, p = 0.04). Conclusion: Resilience scores differ significantly among women of different race and ethnicity but do not appear to entirely account for racial/ethnic disparities in LBW.

Original languageEnglish (US)
JournalJournal of Perinatology
DOIs
StateAccepted/In press - 2020

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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