Adverse Childhood Experiences, Interpersonal Violence, and Racial Disparities in Early Prenatal Care in North Dakota (ND PRAMS 2017–2019)

Schmidt, Lexie; Kanichy, MichaeLynn; Njau, Grace; Schmidt, Matthew; Stepanov, Anastasia; Anderson, RaeAnn; Stiffarm, Amy; Williams, Andrew

doi:10.1177/08862605231195802

Cited by 2 publications

(1 citation statement)

References 47 publications

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“…It will be important for future work to address impacts of ACEs on obstetric risk in minoritized populations. Prior work finds, for example, that increased ACEs among American Indian women are associated with decreased prenatal care relative to white women, which may be an important factor in peripartum disease diagnosis and treatment disparities in this population [ 61 ]. Future work should incorporate SES, employment status, and other socioeconomic stressors, as well as more diverse samples into our measures of obstetric disease outcomes.…”

Section: Discussionmentioning

confidence: 99%

A role for adverse childhood experiences and depression in preeclampsia

Myers,

Gumusoglu,

Brandt

et al. 2024

J. Clin. Trans. Sci.

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Introduction: Adverse childhood experiences (ACEs) are a measure of childhood adversity and are associated with life-long morbidity. The impacts of ACEs on peripartum health including preeclampsia, a common and dangerous hypertensive disorder of pregnancy, remain unclear, however. Therefore, we aimed to determine ACE association with peripartum psychiatric health and prevalence of preeclampsia using a case-control design. Methods: Clinical data were aggregated and validated using a large, intergenerational knowledgebase developed at our institution. Depression symptoms were measured by standard clinical screeners: the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS). ACEs were assessed via survey. Scores were compared between participants with (N = 32) and without (N = 46) prior preeclampsia. Results: Participants with ACE scores ≥4 had significantly greater odds of preeclampsia than those with scores ≤ 3 (adjusted odds ratio = 6.71, 95% confidence interval:1.13-40.00; p = 0.037). Subsequent speculative analyses revealed that increased odds of preeclampsia may be driven by increased childhood abuse and neglect dimensions of the ACE score. PHQ-9 scores (3.73 vs. 1.86, p = 0.03), EPDS scores (6.38 vs. 3.71, p = 0.01), and the incidence of depression (37.5% vs. 23.9%, p = 0.05) were significantly higher in participants with a history of preeclampsia versus controls. Conclusions: Childhood sets the stage for lifelong health. Our findings suggest that ACEs may be a risk factor for preeclampsia and depression, uniting the developmental origins of psychiatric and obstetric risk.

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Section: Discussionmentioning

confidence: 99%

A role for adverse childhood experiences and depression in preeclampsia

Myers,

Gumusoglu,

Brandt

et al. 2024

J. Clin. Trans. Sci.

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Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

Ross,

MacPherson,

Baker

et al. 2024

J. Racial and Ethnic Health Disparities

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Objective Exclusive breastfeeding is recommended for the first 6 months of life, but there are racial/ethnic disparities in meeting this recommendation. Methods 2017–2020 North Dakota Pregnancy Risk Assessment Monitoring System (weighted N = 11,754) data were used to examine racial/ethnic differences in the association between self-reported breastfeeding barriers and breastfeeding duration. Breastfeeding duration was self-reported breastfeeding at 2 and 4 months, and number of weeks until breastfeeding cessation. Self-reported breastfeeding barriers were yes/no responses to 13 barriers (e.g., “difficulty latching,” “household duties”). Logistic regression estimated odds ratios and 95% confidence intervals to determine if barriers accounted for breastfeeding disparities by race/ethnicity. Cox proportional hazard models estimated hazard ratios for stopping breastfeeding for American Indian and other race/ethnicity individuals, compared to White individuals. Models were adjusted for birthing parents’ demographic and medical factors. Results Logistic regression results suggest American Indian birthing parents had similar odds for breastfeeding duration (2-month duration: OR 0.94 (95%CI 0.50, 1.77); 4-month duration: OR 1.24 (95%CI 0.43, 3.62)) compared to White birthing parents, after accounting for breastfeeding barriers. Cox proportional hazard models suggest American Indian birthing parents had a lower hazard of stopping breastfeeding (HR 0.76 (95%CI 0.57, 0.99)) than White parents, after accounting for breastfeeding barriers. Conclusions Accounting for breastfeeding barriers eliminated observed disparities in breastfeeding outcomes between American Indian and White birthing parents. Targeted and culturally safe efforts to reduce barriers to breastfeeding are warranted to reduce racial/ethnic disparities in breastfeeding.

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Adverse Childhood Experiences, Interpersonal Violence, and Racial Disparities in Early Prenatal Care in North Dakota (ND PRAMS 2017–2019)

Cited by 2 publications

References 47 publications

A role for adverse childhood experiences and depression in preeclampsia

A role for adverse childhood experiences and depression in preeclampsia

Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

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