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RESEARCH AND PRACTICE |
At the time of the study, Nancy Dole, David A. Savitz, Anna Maria Siega-Riz, Irva Hertz-Picciotto, and Pierre Buekens were with the Carolina Population Center, University of North Carolina at Chapel Hill. Nancy Dole, David A. Savitz, and Irva Hertz-Picciotto also were with, and Michael J. McMahon was with, the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill. Anna Maria Siega-Riz and Pierre Buekens were also with the Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill. Anna Maria Siega-Riz also was with the Department of Nutrition, School of Public Health, University of North Carolina at Chapel Hill. Michael J. McMahon also was with the Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill.
Correspondence: Requests for reprints should be sent to Nancy Dole, PhD, Carolina Population Center, CB 8120, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-8120 (e-mail: nancy_dole{at}unc.edu).
Objectives. We assessed associations between psychosocial factors and preterm birth, stratified by race in a prospective cohort study.
Methods. We surveyed 1898 women who used university and public health prenatal clinics regarding various psychosocial factors.
Results. African Americans were at higher risk of preterm birth if they used distancing from problems as a coping mechanism or reported racial discrimination. Whites were at higher risk if they had high counts of negative life events or were not living with a partner. The association of pregnancy-related anxiety with preterm birth weakened when medical comorbidities were taken into account. No association with preterm birth was found for depression, general social support, or church attendance.
Conclusions. Some associations between psychosocial variables and preterm birth differed by race.
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