Reproductive Health, Harlem, and Research

Mullings, Leith; Wali, Alaka

doi:10.1007/978-1-4615-1369-8_1

Cited by 11 publications

(19 citation statements)

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“…6 This has crucial importance for African American mothers who are also disproportionately more likely to have poor perinatal health outcomes 37,38 ; suffer from chronic illness, 39,40 stress, 41,42 depression, 43 or posttraumatic stress disorder 44 ; and return to work sooner than their counterparts, all of which are known risks associated with lower breastfeeding rates. 45 …”

Section: Discussionmentioning

confidence: 99%

Overcoming Workplace Barriers

2015

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Background Persistent racial disparities in breastfeeding show that African American women breastfeed at the lowest rates. Return to work is a critical breastfeeding barrier for African American women who return to work sooner than other ethnic groups and more often encounter unsupportive work environments. They also face psychosocial burdens that make breastfeeding at work uniquely challenging. Participants share personal struggles with combining paid employment and breastfeeding and suggest workplace and personal support strategies that they believe will help continue breastfeeding after a return to work. Objective To explore current perspectives on ways to support African American mothers' workplace breastfeeding behavior. Methods Pregnant African American women (n = 8), African American mothers of infants (n = 21), and lactation support providers (n = 9) participated in 1 of 6 focus groups in the Greater Detroit area. Each focus group audiotape was transcribed verbatim. Thematic analysis was used to inductively analyze focus group transcripts and field notes. Focus groups explored thoughts, perceptions, and behavior on interventions to support African American women's breastfeeding. Results Participants indicate that they generally believed breastfeeding was a healthy option for the baby; however, paid employment is a critical barrier to successful breastfeeding for which mothers receive little help. Participants felt breastfeeding interventions that support working African American mothers should include education and training for health care professionals, regulation and enforcement of workplace breastfeeding support policies, and support from peers who act as breastfeeding role models. Conclusion Culturally appropriate interventions are needed to support breastfeeding among working African American women.

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Section: Discussionmentioning

confidence: 99%

Overcoming Workplace Barriers

2015

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“…For example, consider the case of urban black residents of high-poverty neighborhoods. In their urban ethnographic study on welfare, children, and families, Burton and Whitfield 43 found that most of the primary caregivers in their study led “highly challenging” lives and “could never get a break.” Mullings and Wali 44 documented in their ethnographic study of Harlem mothers the ubiquity of unsafe housing -- more than 70% reported roaches in their residences; more than 50% reported mice; and about 30% reported rats. More than 60% of the mothers lived in apartments in need of major repairs, exemplified by lack of heating and cooling, broken windows and doors, or holes in the walls through which rodents entered.…”

Section: Generalizing From Animal Experimentsmentioning

confidence: 99%

“…More than 60% of the mothers lived in apartments in need of major repairs, exemplified by lack of heating and cooling, broken windows and doors, or holes in the walls through which rodents entered. These women’s housing problems “affected many of the other aspects of their lives,” 44(p47) including, for half of the women, having to engage protracted and stressful efforts to resolve these conditions.…”

Section: Generalizing From Animal Experimentsmentioning

confidence: 99%

Deep Integration: Letting the Epigenome Out of the Bottle Without Losing Sight of the Structural Origins of Population Health

Geronimus

2013

Am J Public Health

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Investigators are applying advances in stress physiology and molecular dynamics to illuminate US population health inequalities. As examples, the “weathering” hypothesis posits that socially structured, repeated stress process activation across the life course increases disease vulnerability and accelerates aging in marginalized groups. The developmental origins of health and disease (DOHaD) hypothesis posits that a limiting uterine environment programs the fetus for later life disease via responsive, durable epigenetic modifications. Weathering and DOHaD are biopsychosocial models with overlapping features; yet, their emphases and implications vary, placing public health at a crossroads regarding where science and policy might best proceed to eliminate health inequality. We argue that the evidence for the primacy of early life experiences over those in young through middle adulthood for explaining population health inequality is weak. By considering weathering and DOHaD together, we call for molecular and biomedical researchers to be more cautious in their claims when applying their science to the social world and for a broader range of theoretically and methodologically sophisticated social researchers – including qualitative ones – to collaborate with them.

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“…And there is a long history of urban ethnography on how men navigate day-to-day living in poor, violent, urban communities (Anderson, 2000; Bourgois, 1995). Less work has been devoted to the ways in which women navigate everyday non-interpersonal forms of violence, including forms of structural violence (Dominguez & Menjivar, 2014; Mullings, 2001). …”

Section: Discussionmentioning

confidence: 99%

Navigating Social Networks, Resources, and Neighborhoods: Facilitators of Sexual and Reproductive Health Care Use among Women Released From Jail

Ramaswamy

Unruh

Comfort

2018

Women's Reproductive Health

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Our objective was to understand factors that support or undermine sexual and reproductive health care use among women released from jail. We conducted semistructured interviews with 28 women (ages 20–53) on average 6 months after their release from a city jail. Social support networks were the most common factor that supported women’s sexual and reproductive health care use; having a medical home, reliable transportation, financial resources, and neighborhood dynamics were other factors mentioned by health care users. Community-based public health efforts should address the social context in which women on the margins of society perceive sexual health risk and use sexual and reproductive health care services.

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Reproductive Health, Harlem, and Research

Cited by 11 publications

References 0 publications

Overcoming Workplace Barriers

Overcoming Workplace Barriers

Deep Integration: Letting the Epigenome Out of the Bottle Without Losing Sight of the Structural Origins of Population Health

Navigating Social Networks, Resources, and Neighborhoods: Facilitators of Sexual and Reproductive Health Care Use among Women Released From Jail

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