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Changes in experiences with discrimination across pregnancy and postpartum: age differences and consequences for mental health.

Am J Public Health

April 2015

Lisa Rosenthal is with the Psychology Department, Pace University, New York, NY. Valerie A. Earnshaw, Jessica B. Lewis, and Jeannette R. Ickovics are with the Yale School of Public Health and the Yale Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT. Tené T. Lewis is with the Rollins School of Public Health, Emory University, Atlanta, GA. Allecia E. Reid is with the Psychology Department, Colby College, Waterville, ME. Emily C. Stasko is with the Department of Psychology, Drexel University, Philadelphia, PA. Jonathan N. Tobin is with the Clinical Directors Network, New York, NY.

Objectives: We aimed to contribute to growing research and theory suggesting the importance of examining patterns of change over time and critical life periods to fully understand the effects of discrimination on health, with a focus on the period of pregnancy and postpartum and mental health outcomes.

Methods: We used hierarchical linear modeling to examine changes across pregnancy and postpartum in everyday discrimination and the resulting consequences for mental health among predominantly Black and Latina, socioeconomically disadvantaged young women who were receiving prenatal care in New York City.

Results: Patterns of change in experiences with discrimination varied according to age.

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