Emily Dove-Medows1, Dawn P Misra2, Lindsey McCracken2, Carmen Giurgescu3. 1. Center For Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor, Michigan. 2. Department of Epidemiology and Biostatistics, Michigan State University College of Human Medicine, East Lansing, Michigan. 3. Chatlos Foundation Endowed Chair in Nursing, College of Nursing, University of Central Florida, Orlando, Florida.
Abstract
OBJECTIVE: To compare and contrast pregnant, Black women's voices with quantitative measures of racial residential segregation, neighborhood disorder, and racial discrimination. DESIGN AND SAMPLE: Using a convergent design for the parent study, surveys and qualitative interviews were completed by Black pregnant women (n = 27). MEASURES: Content analysis was conducted and data were analyzed to assess for congruency or divergence for each concept related to structural racism (racial residential segregation, neighborhood disorder, and discrimination). RESULTS: No single concept had 100% agreement across qualitative and quantitative approaches. Participants disclosed experiences during some interviews that were not captured by the surveys. The qualitative interviews offered a more detailed description of the concepts which along with the quantitative measures, provided insights about how participants perceived these mechanisms. DISCUSSION: While important relationships about the mechanisms of structural racism and preterm birth can be examined using a single approach, using mixed methods can offer more insights about how those most impacted by preterm birth relate to these mechanisms. Future work will best add to the understanding of structural racism and preterm birth when study measures accurately reflect the experiences of the people who experience racism.
OBJECTIVE: To compare and contrast pregnant, Black women's voices with quantitative measures of racial residential segregation, neighborhood disorder, and racial discrimination. DESIGN AND SAMPLE: Using a convergent design for the parent study, surveys and qualitative interviews were completed by Black pregnant women (n = 27). MEASURES: Content analysis was conducted and data were analyzed to assess for congruency or divergence for each concept related to structural racism (racial residential segregation, neighborhood disorder, and discrimination). RESULTS: No single concept had 100% agreement across qualitative and quantitative approaches. Participants disclosed experiences during some interviews that were not captured by the surveys. The qualitative interviews offered a more detailed description of the concepts which along with the quantitative measures, provided insights about how participants perceived these mechanisms. DISCUSSION: While important relationships about the mechanisms of structural racism and preterm birth can be examined using a single approach, using mixed methods can offer more insights about how those most impacted by preterm birth relate to these mechanisms. Future work will best add to the understanding of structural racism and preterm birth when study measures accurately reflect the experiences of the people who experience racism.
Authors: Carmen Giurgescu; Shannon N Zenk; Thomas N Templin; Christopher G Engeland; Barbara L Dancy; Chang Gi Park; Karen Kavanaugh; William Dieber; Dawn P Misra Journal: Womens Health Issues Date: 2015-03-31
Authors: Carmen Giurgescu; Shannon N Zenk; Barbara L Dancy; Chang G Park; William Dieber; Richard Block Journal: J Obstet Gynecol Neonatal Nurs Date: 2012-10-02
Authors: Carmen Giurgescu; Karen Kavanaugh; Kathleen F Norr; Barbara L Dancy; Naomi Twigg; Barbara L McFarlin; Christopher G Engeland; Mary Dawn Hennessy; Rosemary C White-Traut Journal: J Perinat Neonatal Nurs Date: 2013 Jan-Mar Impact factor: 1.638