Home > Review Articles > Ethnic discrimination predicts poor self-rated health and cortisol in pregnancy: Insights from New Zealand

Ethnic discrimination predicts poor self-rated health and cortisol in pregnancy: Insights from New Zealand

Making Education Easy

Authors:
Summary:

These researchers evaluated the relationship between perceived discrimination, self-rated health, and the stress hormone cortisol measured in late pregnancy among a diverse sample of 55 women living in Auckland, New Zealand. All were recruited from two antenatal care clinics in Auckland. Women were met in their homes between 34 and 36 weeks gestation, and were asked to complete a prenatal stress questionnaire and give saliva samples (morning and evening from two days). Offspring cortisol reactivity was assessed in 19 infants at the standard 6-week postnatal vaccination visit, in order to evaluate possible intergenerational impacts of maternal discrimination on stress reactivity. A total of 34% of women reported having experienced ethnic discrimination. Minority and immigrant women were more likely to report being angry or upset in response to discrimination experience compared with New Zealand-born women of European descent. Maternal discrimination experience was associated with worse self-rated health, higher evening cortisol in late pregnancy and higher cortisol reactivity in offspring, independently of ethnicity and material deprivation.

Comment:
I don’t think I could say it any better than the authors when they conclude that “these findings suggest that reducing exposure to ethnic discrimination experience may not only improve health outcomes among exposed individuals, but also in future generations”.
Reference: Soc Sci Med. 2015;128:36-42
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.