Factor Structure for Chronic Stress Before and During Pregnancy by Racial/Ethnic Group

Abstract

This study aimed to explore race/ethnicity-specific dimensionalities of chronic stress before and during pregnancy for non-Hispanic (N-H) White, N-H Black, Hispanic, and Asian women in the United States. This study analyzed the data among 6,850 women from the New York City and Washington State Pregnancy Risk Assessment Monitoring System (2004-2007) linked with birth certificates. Separate exploratory factor analysis was conducted by race/ethnicity using a maximum-likelihood extraction method with 26 chronic stress items before and during pregnancy. Correlations and internal consistency reliabilities among items and latent factors determined race/ethnicity-specific factor structures of chronic stress. Chronic stress was race/ethnicity-distinctive and multidimensional with low correlations among the factors (r = .07-.28, p < .05). Despite financial hardship, perceived isolation, and physical violence underlying chronic stress among the racial/ethnic groups, intergroup variations existed under each group’s cultural or sociopolitical contexts. This study could help develop targeted strategies to intervene with women’s chronic stressors before childbirth.

Keywords

chronic stress dimensionality racial/ethnic differences PRAMS

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References

Adames

S. B.

Campbell

(2005). Immigrant Latinas’ conceptualizations of intimate partner violence. Violence Against Women, 11, 1341-1364. doi:10.1177/1077801205280191

Almeida

Mulready-Ward

Bettegowda

V. R.

Ahluwalia

I. B.

(2014). Racial/ethnic and nativity differences in birth outcomes among mothers in New York City: The role of social ties and social support. Maternal and Child Health Journal, 18, 90-100.

Bauer

H. M.

Rodriguez

M. A.

Quiroga

S. S.

Flores-Ortiz

Y. G.

(2000). Barriers to health care for abused Latina and Asian immigrant women. Journal of Health Care for the Poor and Underserved, 11, 33-44.

Bermudez-Millan

Damio

Cruz

D’Angelo

Segura-Perez

Hromi-Fiedler

Perez-Escamilla

(2011). Stress and the social determinants of maternal health among Puerto Rican women: A CBPR approach. Journal of Health Care for the Poor and Underserved, 22, 1315-1330.

Borders

A. E.

Grobman

W. A.

Amsden

L. B.

Holl

J. L.

(2007). Chronic stress and low birth weight neonates in a low-income population of women. Obstetrics & Gynecology, 109(2, Pt. 1), 331-338.

Borders

A. E.

Wolfe

Qadir

Kim

K. Y.

Holl

Grobman

(2015). Racial/ethnic differences in self-reported and biologic measures of chronic stress in pregnancy. Journal of Perinatology, 35, 580-584.

Braveman

P. A.

Heck

Egerter

Marchi

K. S.

Dominguez

T. P.

Cubbin

. . . Curtis

(2015). The role of socioeconomic factors in Black-White disparities in preterm birth. American Journal of Public Health, 105, 694-702.

Breiding

M. J.

(2015). Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization—National Intimate Partner and Sexual Violence Survey, United States, 2011. American Journal of Public Health, 105(4), e11-e12.

Bromberger

J. T.

Matthews

K. A.

(1996). A “feminine” model of vulnerability to depressive symptoms: A longitudinal investigation of middle-aged women. Journal of Personality and Social Psychology, 70, 591-598.

10.

Centers for Disease Control and Prevention. (2012). PRAMS methodology. Retrieved from https://www.cdc.gov/prams/methodology.htm

11.

Centers for Disease Control and Prevention. (2015a). Are PRAMS data available to outside researchers? Years of data available. Retrieved from https://www.cdc.gov/prams/researchers.htm

12.

Centers for Disease Control and Prevention. (2015b). PRAMS Questionnaires. Retrieved from https://www.cdc.gov/prams/questionnaire.htm

13.

Centers for Disease Control and Prevention. (2016) PRAMS weighting process. Retrieved from https://www.cdc.gov/prams/methodology.htm

14.

Cha

Masho

S. W.

Heh

(2017). Partner violence victimization and unintended pregnancy in Latina and Asian American women: Analysis using structural equation modeling. Women & Health, 57, 430-445. doi:10.1080/03630242.2016.1170094

15.

Chang

D. F.

Shen

B.-J.

Takeuchi

D. T.

(2009). Prevalence and demographic correlates of intimate partner violence in Asian Americans. International Journal of Law and Psychiatry, 32, 167-175.

16.

Chu

S. Y.

Goodwin

M. M.

D’Angelo

D. V.

(2010). Physical violence against U.S. women around the time of pregnancy, 2004-2007. American Journal of Preventive Medicine, 38, 317-322.

17.

Cohen

(1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.

18.

Coker

A. L.

(2007). Does physical intimate partner violence affect sexual health? A systematic review. Trauma, Violence, & Abuse, 8, 149-177.

19.

Dominguez

T. P.

Schetter

C. D.

Mancuso

Rini

C. M.

Hobel

(2005). Stress in African American pregnancies: Testing the roles of various stress concepts in prediction of birth outcomes. Annals of Behavioral Medicine, 29, 12-21.

20.

Dunkel Schetter

. (2011). Psychological science on pregnancy: Stress processes, biopsychosocial models, and emerging research issues. Annual Review of Psychology, 62, 531-558.

21.

Dunkel Schetter

Dolbier

. (2011). Resilience in the context of chronic stress and health in adults. Social & Personality Psychology Compass, 5, 634-652.

22.

Dunkel Schetter

Schafer

Lanzi

R. G.

Clark-Kauffman

Raju

T. N.

Hillemeier

M. M

. (2013). Shedding light on the mechanisms underlying health disparities through community participatory methods: The stress pathway. Perspectives on Psychological Science, 8, 613-633.

23.

English

Lambert

S. F.

Evans

M. K.

Zonderman

A. B.

(2014). Neighborhood racial composition, racial discrimination, and depressive symptoms in African Americans. American Journal of Community Psychology, 54, 219-228.

24.

Flicker

S. M.

Cerulli

Zhao

Tang

Watts

Xia

Talbot

N. L.

(2011). Concomitant forms of abuse and help-seeking behavior among White, African American, and Latina women who experience intimate partner violence. Violence Against Women, 17, 1067-1085.

25.

Flores

Tschann

J. M.

VanOss Marin

Pantoja

(2004). Marital conflict and acculturation among Mexican American husbands and wives. Cultural Diversity & Ethnic Minority Psychology, 10, 39-52.

26.

Gallo

L. C.

Jiménez

J. A.

Shivpuri

De Los Monteros

K. E.

Mills

P. J.

(2011). Domains of chronic stress, lifestyle factors, and allostatic load in middle-aged Mexican-American women. Annals of Behavioral Medicine, 41, 21-31.

27.

Geronimus

A. T.

Pearson

J. A.

Linnenbringer

Schulz

A. J.

Reyes

A. G.

Epel

E. S.

. . . Blackburn

E. H.

(2015). Race-ethnicity, poverty, urban stressors, and telomere length in a Detroit community-based sample. Journal of Health and Social Behavior, 56, 199-224.

28.

Ghosh

J. K. C.

Wilhelm

M. H.

Dunkel-Schetter

Lombardi

C. A.

Ritz

B. R.

(2010). Paternal support and preterm birth, and the moderation of effects of chronic stress: A study in Los Angeles County mothers. Archives of Women’s Mental Health, 13, 327-338.

29.

Gupta

Acevedo-Garcia

Hemenway

Decker

M. R.

Raj

Silverman

J. G.

(2009). Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in Boston. American Journal of Public Health, 99, 462-469.

30.

Hawkley

L. C.

Cacioppo

J. T.

(2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40, 218-227. doi:10.1007/s12160-010-9210-8

31.

Hurwitz

E. J. H.

Gupta

Liu

Silverman

J. G.

Raj

(2006). Intimate partner violence associated with poor health outcomes in U.S. South Asian women. Journal of Immigrant and Minority Health, 8, 251-261.

32.

Hyman

Dussault

(2000). Negative consequences of acculturation on health behaviour, social support and stress among pregnant Southeast Asian immigrant women in Montreal: An exploratory study. Canadian Journal of Public Health, 91, 357-360.

33.

Jackson

C. L.

Ciciolla

Crnic

K. A.

Luecken

L. J.

Gonzales

N. A.

Coonrod

D. V.

(2015). Intimate partner violence before and during pregnancy: Related demographic and psychosocial factors and postpartum depressive symptoms among Mexican American women. Journal of Interpersonal Violence, 30, 659-679.

34.

Jackson

F. M.

Phillips

M. T.

Hogue

C. J.

Curry-Owens

T. Y.

(2001). Examining the burdens of gendered racism: Implications for pregnancy outcomes among college-educated African American women. Maternal and Child Health Journal, 5, 95-107.

35.

Jones

(2014, September 10). Why Black women struggle more with domestic violence. Time. Retrieved from http://time.com/3313343/ray-rice-black-women-domestic-violence/

36.

Kaiser Family Foundation. (2005). Poverty rate based on household income, 2005. Retrieved from https://web.archive.org/web/20071012012223/http://www.statehealthfacts.org/comparemaptable.jsp?ind=16&cat=1

37.

Kim

(2017). The role of chronic stress in age gradients of preterm birth among racial/ethnic groups (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No. AAI10604455)

38.

Lee

Y.-S.

Hadeed

(2009). Intimate partner violence among Asian immigrant communities health/mental health consequences, help-seeking behaviors, and service utilization. Trauma, Violence, & Abuse, 10, 143-170.

39.

M. C.

Chen

(2004). Racial and ethnic disparities in preterm birth: The role of stressful life events. American Journal of Obstetrics & Gynecology, 191, 691-699.

40.

McDonald

S. W.

Kingston

Bayrampour

Dolan

S. M.

Tough

S. C.

(2014). Cumulative psychosocial stress, coping resources, and preterm birth. Archives of Women’s Mental Health, 17, 559-568.

41.

Osborne

J. W.

(2015). What is rotating in exploratory factor analysis? Practical Assessment, Research & Evaluation, 20(2), 2, 1-7.

42.

Perry

B. L.

Harp

K. L.

Oser

C. B.

(2013). Racial and gender discrimination in the stress process: Implications for African American women’s health and well-being. Sociological Perspectives, 56, 25-48.

43.

Postmus

J. L.

(2015). Women from different ethnic groups and their experiences with victimization and seeking help. Violence Against Women, 21, 376-393.

44.

Rosenthal

Lobel

(2011). Explaining racial disparities in adverse birth outcomes: Unique sources of stress for Black American women. Social Science & Medicine, 72, 977-983.

45.

Shiu-Thornton

Senturia

Sullivan

(2005). Like a bird in a cage. Journal of Interpersonal Violence, 20, 959-976.

46.

Sodowsky

G. R.

Taffe

R. C.

Gutkin

T. B.

Wise

S. L.

(1994). Development of the Multicultural Counseling Inventory: A self-report measure of multicultural competencies. Journal of Counseling Psychology, 41, 137-148.

47.

Strutz

K. L.

Hogan

V. K.

Siega-Riz

A. M.

Suchindran

C. M.

Halpern

C. T.

Hussey

J. M.

(2014). Preconception stress, birth weight, and birth weight disparities among US women. American Journal of Public Health, 104(8), e125-e132.

48.

Suglia

S. F.

Staudenmayer

Cohen

Enlow

M. B.

Rich-Edwards

J. W.

Wright

R. J.

(2010). Cumulative stress and cortisol disruption among Black and Hispanic pregnant women in an urban cohort. Psychological Trauma: Theory, Research, Practice, and Policy, 2, 326-334.

49.

Troxel

W. M.

Matthews

K. A.

Bromberger

J. T.

Sutton-Tyrrell

(2003). Chronic stress burden, discrimination, and subclinical carotid artery disease in African American and Caucasian women. Health Psychology, 22, 300-309.

50.

Turner

R. J.

(2010). Understanding health disparities: The promise of the stress process model. In Avison

W. R.

Aneshensel

C. S.

Schieman

Wheaton

(Eds.), Advances in the conceptualization of the stress process (pp. 3-21). New York, NY: Springer.

51.

U.S. Census Bureau. (2010a). GINI index of income inequality. Retrieved from https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_10_1YR_B19083&prodType=table#none

52.

U.S. Census Bureau. (2010b). Race and Hispanic or Latino origin: 2010—2010 Census Summary File 1. Retrieved from https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml

53.

Wadhwa

P. D.

Entringer

Buss

M. C.

(2011). The contribution of maternal stress to preterm birth: Issues and considerations. Clinics in Perinatology, 38, 351-384.

54.

West

C. M.

(2004). Black women and intimate partner violence: New directions for research. Journal of Interpersonal Violence, 19, 1487-1493.

55.

Women of Color Network. (2006). Facts & stats collection. Retrieved from http://www.doj.state.or.us/victims/pdf/women_of_color_network_facts_domestic_violence_2006.pdf

56.

Woods-Giscombé

C. L.

(2010). Superwoman schema: African American women’s views on stress, strength, and health. Qualitative Health Research, 20, 668-683.

57.

Campbell

J. C.

Zhu

F.-C.

(2001). Intimate partner violence against Chinese women: The past, present, and future. Trauma, Violence, & Abuse, 2, 296-315.

58.

Yoshioka

M. R.

Dang

(2000). Asian family violence report: A study of the Chinese, Cambodian, Korean, South Asian and Vietnamese communities in Massachusetts. Boston, MA: Asian Task Force Against Domestic Violence.