ArticleJournal of racial and ethnic health disparities2021
Hair Cortisol Concentration and Perceived Chronic Stress in Low-Income Urban Pregnant and Postpartum Black Women.
Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- "And in some cases, we're the best option:" A qualitative study of community-based doula support for black perinatal mental health.American journal of community psychology · 2026Article
- A Community-Engaged Approach for Assessment of Cortisol Dynamic Range and Multilevel Chronic Stress in African Americans: FAITH! Heart Health+ Ancillary Study.Journal of participatory medicine · 2025Article
- A Pilot Study Exploring the Feasibility of Virtual Written Exposure Therapy with Underserved Black Perinatal Women.Journal of racial and ethnic health disparities · 2025Article
- Computer adaptive testing strategies for the Edinburgh Postnatal Depression Scale (EPDS).Archives of women's mental health · 2025Article
- Neighborhood violence, hair cortisol, and perceived stress among Black men living in a large urban city.Psychoneuroendocrinology · 2025Article
- Associations between individual and structural level discrimination and psychological and physiological stress indicators during pregnancy.npj women's health · 2025Article
- Evaluating Bias-Mitigated Predictive Models of Perinatal Mood and Anxiety Disorders.JAMA network open · 2024Article
- Chronic stress and hair cortisol concentration in mothers: A two-study investigation.Stress and health : journal of the International Society for the Investigation of Stress · 2024Article
- Age and Hair Cortisol Levels as Predictors of SARS-CoV-2 Infection.International journal of environmental research and public health · 2024Article
- Association of Increasing the Minimum Wage in the US With Experiences of Maternal Stressful Life Events.JAMA network open · 2023Article
- Maternal stress and hair cortisol among pregnant women following hurricane Florence.American journal of human biology : the official journal of the Human Biology Council · 2023Article
- Father involvement in infancy predicts behavior and response to chronic stress in middle childhood in a low-income Latinx sample.Developmental psychobiology · 2021Article
- COVID-19 and Systemic Racism Pandemics Impact Daily Life for Immigrant/Refugees, Minneapolis, USA.Annals of global health · 2021Article
- An evaluation of the feasibility and acceptability of sister circles as an anxiety intervention for pregnant Black women.Women's health (London, England)Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Black women are more likely to experience short- or long-term health consequences from their labor and delivery and die from pregnancy-related causes than White women. Similarly, infants born to Black women also have heightened health risks. Developing research suggests that a contributing factor to Black health disparities may be maternal chronic stress. A widely used biomarker for chronic stress is hair cortisol concentration (HCC). Few prior studies have explored the HCC of pregnant Black women or comprehensively examined perceived chronic stress in this population. Using a mixed-methods focus group framework, we assessed HCC and perceived chronic stress among low-income pregnant and postpartum Black women. Four focus groups were conducted (N = 24). The mean HCC for our pregnant Black participants was greater than pregnant White women in reviewed published studies. The high levels of stress evidenced at all pregnancy stages indicate that many of these women are experiencing chronic stress, which can contribute to higher Black maternal morbidity and mortality rates, and possibly infant mortality rates. From the open coding of the focus group transcripts, 4 themes emerged: chronic stress, experiences of racism, experiences of trauma, and negative thinking. Selective coding based on these themes revealed cumulative experiences of chronic stress, various traumatic experiences, and frequent encounters with racism. Negative thinking styles were observed across the 4 focus groups. More studies of HCC and perceived stress among pregnant Black women are encouraged. Findings suggest the need for tailored multi-level interventions given the layers of stressors present in this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.