Racial and socioeconomic disparities in the association between adverse childhood experience and preterm delivery

Citation

Zamani-Hank, Yasamean; Brincks, Ahnalee; Talge, Nicole; & Margerison, Claire (2022). Racial and socioeconomic disparities in the association between adverse childhood experience and preterm delivery. Society for Pediatric and Perinatal Epidemiologic Research (SPER) Annual Conference. Chicago, IL.

Abstract

Life stressors, including adverse childhood experiences (ACEs), may contribute to persistent racial and socioeconomic disparities in preterm delivery (PTD). Few studies have assessed the influence of ACEs on PTD within race & socioeconomic status (SES) subgroups in diverse, national samples. We examined impacts of ACEs on PTD within race & SES subgroups among 2,929 women in The National Longitudinal Study of Adolescent to Adult Health (1994-2018). Data on 11 ACEs (sexual, physical, and emotional abuse; family member suicide attempt or death, neglect, household substance abuse risk, foster care placement, foster care abuse, maternal or paternal death, and maternal incarceration), PTD, and race was collected via self-report. A composite childhood SES construct included parental occupation and education, family income, and public assistance receipt. We utilized 1) chi-square tests to assess differences in ACE levels (low, moderate, high) by race (White, Black, Hispanic, Asian, Pacific Islander, American Indian/Alaska Native, Other) & SES (low, middle, high) and 2) logistic regression to assess relations between all 11 ACEs & PTD overall and within race & SES subgroups. We found no differences in ACEs by race (X2=14.2, F=1.2, p=0.3) or SES (X2=5.2, F=1.3, p =0.3). Among Black women, sexual abuse (Odds Ratio OR 3.9, 95% CI 1.2,12.3) and physical abuse (OR 2.4, 95% CI 1.1,5.6) were associated with higher odds of PTD. However, emotional abuse (OR 0.4, 95% CI 0.2,0.8) and family member suicide attempt or death (OR 0.1, 95% CI 0.0,0.5) were associated with lower odds of PTD among Black women. Among women with low SES, household substance abuse risk was associated with higher odds of PTD (OR 2.5, 95% CI 1.1,5.8), while physical abuse was associated with higher odds of PTD among women with middle SES (OR 2.3, 95% CI 1.3,4.1). Our findings suggest the relationship between ACEs and PTD operates
differently within race and SES subgroups rather than equally for all women.

URL

https://sper.org/wp-content/uploads/2022/06/Abstract-Book-2022.pdf

Reference Type

Conference proceeding

Book Title

Society for Pediatric and Perinatal Epidemiologic Research (SPER) Annual Conference

Author(s)

Zamani-Hank, Yasamean
Brincks, Ahnalee
Talge, Nicole
Margerison, Claire

Year Published

2022

City of Publication

Chicago, IL

Reference ID

10279