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18 pages, 326 KiB  
Article
Why the Study of Religion Needs to Talk About Racism—Observations and Suggestions from Switzerland
by Lea Sara Maegli
Religions 2025, 16(8), 1018; https://doi.org/10.3390/rel16081018 - 6 Aug 2025
Abstract
This article explores strategies for integrating anti-racist approaches into university-level study of religion teaching on multiple levels, including curriculum design, selection of teaching materials, self-reflection practices, responses to concrete classroom situations and fostering environments that protect students of colour while encouraging “white” students [...] Read more.
This article explores strategies for integrating anti-racist approaches into university-level study of religion teaching on multiple levels, including curriculum design, selection of teaching materials, self-reflection practices, responses to concrete classroom situations and fostering environments that protect students of colour while encouraging “white” students to critically examine their own privileges. To contextualize this endeavour, the article first outlines the current situation and describes some challenges related to racism and anti-racism efforts within a Swiss university context, drawing on recent empirical studies. This is followed by an examination of the historical development of racial thought, culminating in contemporary discussions of neo-racism and its connection with the classification category religion. A working definition of racism suitable for academic teaching is then proposed. The article further investigates the relationship between racism and the study of religion, arguing that the discipline has a crucial role to play in addressing and combating racist ideologies. This argument is supported by some empirical data from the author’s doctoral research, as well as examples drawn from the author’s teaching experience at the University of Zurich. By combining historical analysis with practical teaching strategies, thearticle aims to provide a coherent framework for embedding anti-racist principles in higher education. Full article
12 pages, 225 KiB  
Article
Factors Associated with Perceived Racial Discrimination While Receiving Medical Care in the United States
by Elizabeth Ayangunna, Kingsley Kalu, Bushra Shah, Indira Karibayeva and Gulzar Shah
Healthcare 2025, 13(15), 1906; https://doi.org/10.3390/healthcare13151906 - 5 Aug 2025
Abstract
Background: Health equity can only be achieved when every individual has access to quality healthcare without fear of being discriminated against. This study analyzed the sociodemographic characteristics associated with self-reported racial discrimination when receiving medical care in the United States. Methods: This quantitative [...] Read more.
Background: Health equity can only be achieved when every individual has access to quality healthcare without fear of being discriminated against. This study analyzed the sociodemographic characteristics associated with self-reported racial discrimination when receiving medical care in the United States. Methods: This quantitative cross-sectional study utilized the 2022 National Trends Survey 6. We performed a logistic regression analysis using 6102 survey responses from study participants who answered the question about perceived discrimination. Results: Older adults aged 75 years and above had significantly lower odds of reporting perceived discrimination when receiving medical care compared to those aged 18–34 years (AOR = 0.24; 95% CI: 0.10–0.58). The odds of reporting perceived discrimination were significantly higher among non-Hispanic Blacks (AOR = 7.30; 95% CI: 4.48–11.88), Hispanics (AOR = 3.56; 95% CI: 2.45–5.17), non-Hispanic Asians (AOR = 5.95; 95% CI: 2.25–15.73), and individuals identifying as non-Hispanic Other (AOR = 10.91; 95% CI: 5.42–21.98), compared to non-Hispanic Whites. Compared to individuals from households earning less than USD 20,000, the odds of reporting perceived discrimination when receiving medical care were significantly lower among individuals from households earning between USD 50,000 and <USD 75,000 (AOR = 0.42; 95% CI: 0.23–0.78) and those earning USD 75,000 or more (AOR = 0.43; 95% CI: 0.22–0.83). Conclusions: Despite having a multicultural and ethnically diverse population, racial discrimination persists in the United States and has become a barrier to achieving health equity. Health organizations should implement policies that ensure health workers attend mandatory anti-racism training. Full article
27 pages, 1398 KiB  
Article
The Resonance of Anti-Black Violence in the Great Outdoors
by Tyeshia Redden
Land 2025, 14(6), 1252; https://doi.org/10.3390/land14061252 - 11 Jun 2025
Viewed by 2403
Abstract
The events of 2020 reached a fever pitch with the May 25th murder of George Floyd, but earlier on the same morning, a chance encounter between dogwalker Amy Cooper and birding enthusiast Christian Cooper also laid bare enduring social relations. As video footage [...] Read more.
The events of 2020 reached a fever pitch with the May 25th murder of George Floyd, but earlier on the same morning, a chance encounter between dogwalker Amy Cooper and birding enthusiast Christian Cooper also laid bare enduring social relations. As video footage of the encounter spread across social media, it sparked both public outrage and discourse regarding Black nature enthusiasts. Employing a historical-interpretive method informed by conversation analysis and guided by “whiteness as property,” I assemble news articles, social media posts, and video footage to analyze the events in Central Park and their aftermath. To unsettle existing paradigms regarding who we imagine are entitled to the great outdoors, I identify potential collaborative partners across scales who can further the goals of education, recruitment, and visibility for Black nature enthusiasts and professionals. I demonstrate how expanding environmental justice to include anti-Black racial violence allows us to recognize that the specter of lynching defies geographic boundaries, diffusing across space and time, occasionally coalescing to defend white privilege and historic racial orders. Full article
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17 pages, 1070 KiB  
Article
Ecological Impacts of Structural Racism on Health Disparity Through Its Determinants and Mediating Factors: A Case Study on Low Birthweight in Three Race/Ethnicity Groups in the United States
by Drona P. Rasali, Leanne L. Lefler, Chandra L. Ford, William D. Osei and Katharine T. Schaffzin
Int. J. Environ. Res. Public Health 2025, 22(5), 715; https://doi.org/10.3390/ijerph22050715 - 1 May 2025
Viewed by 2288
Abstract
Health disparities among populations across geographic regions, demographic and socio-economic groups are well documented; however, ecological studies which visually demonstrate health disparities associated with structural racism among racialized populations are limited. The purpose of this study was to examine low birthweight (LBW) as [...] Read more.
Health disparities among populations across geographic regions, demographic and socio-economic groups are well documented; however, ecological studies which visually demonstrate health disparities associated with structural racism among racialized populations are limited. The purpose of this study was to examine low birthweight (LBW) as a measurable indicator of disproportionate health impacts across three race/ethnicity groups—non-Hispanic Black, Hispanic and non-Hispanic White–in the United States (US) for visualizing ecological manifestation of this disparity attributed to structural racism. We begin by providing the contextual background of structural racism through a literature review, and then more specifically, we examine LBW as a selected health indicator characterized with a socio-biological pathway of structural racism via socio-economic and politico–legal determinants and associated mediating factors to health disparities, from which we synthesized a visualization model with the indicators of structural racism reported in the literature reviewed. To further visualize these impacts, publicly available US County Health Ranking data for LBW, at the county level in two US states, Tennessee and Ohio, were analyzed to uncover area-based ecological health outcome—LBW. Significant correlation and scatter plots provided evidence of LBW as a racially sensitive health indicator associated with impacts of structural racism. These findings were further notable through examination of socio-economic determinants (e.g., race/ethnicity, income, education, and employment) and environmental factors such as housing issues as well as other underlying health conditions. Our case study has opened a window for visualizing disparity across non-Hispanic Black, Hispanic, non-Hispanic White populations as demonstrated by the prevalence of LBW disparity through its determinants and mediating factors at the county level. Potentially important policy implications for reparative change are drawn through our study findings that are salutary and/or reductive for addressing impacts of structural racism. Further studies are needed to fully understand the comprehensive web of area-based ecological factors impacting various health outcomes through the impacts of structural racism. Full article
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21 pages, 334 KiB  
Article
Perceived Homonegativity and Psychological Distress in Gay Men in Brazil: Does Skin Color Matter?
by Felipe Alckmin-Carvalho, Renata Della Torre, Iara Teixeira, Jóni Ledo, António Oliveira, Lúcia Yasuko Izumi Nichiata and Henrique Pereira
Healthcare 2025, 13(9), 1030; https://doi.org/10.3390/healthcare13091030 - 30 Apr 2025
Viewed by 642
Abstract
Homonegativity is associated with several adverse physical and mental health outcomes in gay men. However, the intersection between homonegativity and racism remains little investigated in Brazil. The aim of this study was to assess, in a sample of cisgender Brazilian gay men, associations [...] Read more.
Homonegativity is associated with several adverse physical and mental health outcomes in gay men. However, the intersection between homonegativity and racism remains little investigated in Brazil. The aim of this study was to assess, in a sample of cisgender Brazilian gay men, associations between skin color, homonegativity, psychological distress, and socioeconomic variables. Method: A cohort of 229 Brazilian gay men, 151 (66%) white and 78 (34%) black or brown were assessed. Participants completed the Internalized Homophobia Scale, the Beck Depression Inventory-II, and the State–Trait Anxiety Inventory. Results: In the general sample, high levels of homonegativity, symptoms of depression, and trait and state anxiety were found, particularly among young and low-income individuals. Black and brown participants reported significantly higher levels of trait and state anxiety, but not depression or homonegativity. Black and brown skin color were a predictor of trait and state anxiety, but not of homonegativity or depression. Conclusions: The high levels of psychological distress and homonegativity found in the general sample indicate the importance of developing preventive interventions of racial discrimination and sexual prejudice for the general community and psychoeducational and therapeutic interventions for Brazilian gay men, regardless of skin color. They also suggest the relevance of customizing these interventions to meet the specificities of black/brown Brazilian gay men, a population doubly exposed to the burden of stigma, considering the intersection between racial and sexual stigma in the Brazilian sociocultural reality. Full article
(This article belongs to the Special Issue Gender, Sexuality and Mental Health)
14 pages, 548 KiB  
Article
The Influence of Poverty and Rurality on Colorectal Cancer Survival by Race/Ethnicity: An Analysis of SEER Data with a Census Tract-Level Measure of Persistent Poverty
by Steven S. Coughlin, Meng-Han Tsai, Jorge Cortes, Malcolm Bevel and Marlo Vernon
Curr. Oncol. 2025, 32(5), 248; https://doi.org/10.3390/curroncol32050248 - 23 Apr 2025
Viewed by 639
Abstract
Purpose: Because of shared mechanisms such as decreased access to health care, rurality and poverty may act synergistically to decrease colorectal cancer (CRC) survival. Methods: We conducted a retrospective cohort analysis of SEER data (22 registries) with census tract-level measures of poverty/rurality for [...] Read more.
Purpose: Because of shared mechanisms such as decreased access to health care, rurality and poverty may act synergistically to decrease colorectal cancer (CRC) survival. Methods: We conducted a retrospective cohort analysis of SEER data (22 registries) with census tract-level measures of poverty/rurality for the period 2006–2015. Multivariable Cox proportional hazard regressions were applied to examine the independent and intersectional associations of persistent poverty and rurality on 5-year cause-specific CRC survival across five racial/ethnic groups. Results: Among 532,868 CRC patients, non-Hispanic Blacks (NHB) demonstrated lower 5-year survival probability (64.2% vs. 68.3% in non-Hispanic Whites [NHW], 66.5% in American Indian/Alaska Natives [AI/AN], 72.1% in Asian/Pacific Islanders, and 68.7% in Hispanic groups) (p-value < 0.001). In adjusted analysis, CRC patients living in rural areas with poverty were at a 1.2–1.6-fold increased risk of CRC death than those who did not live in these areas in five racial/ethnic groups. In particular, AI/AN patients living in rural areas with poverty were 66% more likely to die from CRC (95% CI, 1.32, 2.08). Conclusions: CRC patients who live in rural or poverty areas in SEER areas in the U.S. have a poorer survival compared with those who do not live in such areas regardless of race/ethnicity. Significantly greater risk of CRC death was observed in AI/ANs. Impact: Patient navigators, community education or screening, and other health care system interventions may be helpful to address these disparities by socioeconomic status, race, and geographic residence. Multi-level interventions aimed at institutional racism and medical mistrust may also be helpful. Full article
(This article belongs to the Section Gastrointestinal Oncology)
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19 pages, 254 KiB  
Article
The Ecopolitical Spirituality of Miya Poetry: Resistance Against Environmental Racism of the Majoritarian State in Assam, India
by Bhargabi Das
Religions 2025, 16(4), 437; https://doi.org/10.3390/rel16040437 - 28 Mar 2025
Viewed by 1233
Abstract
Emerging from the Bengali Muslim char-dwellers in the riverine environments of the Brahmaputra and its tributaries, the Miya Poetry movement is a unique environmentalism of the marginalized in contemporary Assam, India. Writing as a native scholar of Assam, I look at how the [...] Read more.
Emerging from the Bengali Muslim char-dwellers in the riverine environments of the Brahmaputra and its tributaries, the Miya Poetry movement is a unique environmentalism of the marginalized in contemporary Assam, India. Writing as a native scholar of Assam, I look at how the poetry movement displays the ethos of an ecopolitical spirituality that embodies the riverine ecology, environmental politics, and sacrality and how it challenges the majoritarian state’s narrative of the Bengali Muslim char-dwellers being denigrated as the “environmental waste producers”. My concept of “ecopolitical spirituality” is in tandem with Carol White’s ‘African American religious naturalism’, which elucidates the remembrance and evocation of traditional environmental relationships of and by the marginalized communities with the purpose of healing and rehumanizing themselves. I begin with a short history of the Miya Poetry movement among the Bengali Muslim char-dwellers in Assam. It narrates how the leading Miya poets adopt the local “Miya” dialect to express the traditional and continued relationships of Bengali Muslim char-dwellers who find themselves entangled with and nurtured by the land, rivers, plants, and animals. I then examine how Bengali Muslims have been framed by the majoritarian state and Assamese society as “environmental waste producers”. With climate change-induced destructive floods, along with post-colonial state’s rampant building of embankments leading to violent floods and erosion, Bengali Muslim char-dwellers are forced to migrate to nearby government grazing reserves or national parks. There, the majoritarian state projects them to be damaging the environment and issues violent evictions. In state reports too, the Bengali Muslim char-dwellers have been equated with “rats”, “crows”, and “vultures”. I use the concept of “environmental racism” to show how this state-led denigration justifies the allegation of the Muslim char-dwellers as “environmental waste producers” and how the Miya Poetry movement counters the racist allegation with new metaphors by highlighting the traditional relationships of the marginalized community with the riverine environment. In the final section, I look in detail at the characteristics and reasons that make the poetry movement ecopolitically spiritual in nature. I thus lay out an argument that the ecopolitical spirituality of the Miya Poetry movement resists the statist dehumanization and devaluation of Miya Muslims by not mocking, violating, or degrading the majoritarian Assamese but by rehumanizing themselves and their relationship with the environment. Full article
21 pages, 331 KiB  
Article
“They’re Only a Quarter”: A Duoethnographic Exploration of Multiracial Fatherhood
by Jacob P. Wong-Campbell and Brendon M. Soltis
Genealogy 2025, 9(2), 31; https://doi.org/10.3390/genealogy9020031 - 23 Mar 2025
Cited by 3 | Viewed by 769
Abstract
In this duoethnography, we examine our own experiences of multiracial fatherhood to disrupt metanarratives about race, multiraciality, and privilege. By synthesizing critical multiracial theory and critical race parenting, we advance three propositions of critical multiracial parenting to attend to the permanence of (mono)racism, [...] Read more.
In this duoethnography, we examine our own experiences of multiracial fatherhood to disrupt metanarratives about race, multiraciality, and privilege. By synthesizing critical multiracial theory and critical race parenting, we advance three propositions of critical multiracial parenting to attend to the permanence of (mono)racism, the shifting salience of multiraciality across time and space, and the possibilities of expansive pedagogical approaches to challenge racial rigidity. We weave together and disrupt each other’s narratives by presenting two scenes of multiracial fatherhood, complicating our understanding and assumptions of White privilege, multiracial identity, and generational proximity to an interracial union. Our hope is that our duoethnography is not a beginning nor an end; rather, we call on readers to continually add their voices to disrupt and complicate how whiteness works in family systems and multiraciality discourses. Full article
8 pages, 210 KiB  
Hypothesis
Culturally Equitable Approaches to Physical Activity Programming for Black American Adolescent Girls
by Tara B. Blackshear
Youth 2025, 5(1), 26; https://doi.org/10.3390/youth5010026 - 4 Mar 2025
Viewed by 846
Abstract
Physical activity interventions and programming for Black American girls often overlook racism and sexism as a fundamental cause of the differences in engagement between their white and male peers. Deficit framing is a standard where Black girls are often compared to the health, [...] Read more.
Physical activity interventions and programming for Black American girls often overlook racism and sexism as a fundamental cause of the differences in engagement between their white and male peers. Deficit framing is a standard where Black girls are often compared to the health, physical activity, and beauty standards driven by white feminine or masculine norms, suggesting there is only one way to be fit and healthy. Approaches that lack cultural and historical relevance, including the effects of systemic racism and sexism, are seldom considered before aiming to increase physical activity engagement and favorable health outcomes for Black teenage girls. Aim: This paper presents a brief overview of physical activity programming for Black adolescent girls and young women (aged 14–18) and proposes theoretical frameworks and approaches to consider before implementing physical activity interventions and programs. Concluding Remarks: Voice, intersectionality, misogynoir, representation, and gendered racism as a root cause should inform physical activity programming designed for Black adolescent girls. Culturally equitable approaches for real and sustainable change are required to increase physical activity engagement. Full article
(This article belongs to the Special Issue Social Justice Youth Development through Sport and Physical Activity)
20 pages, 294 KiB  
Article
“My Dad Is Racist as Hell:” Navigating Racism, Monoracism, and White Privilege by Proxy in Multiracial Families
by Chandra D. L. Waring
Genealogy 2025, 9(1), 20; https://doi.org/10.3390/genealogy9010020 - 19 Feb 2025
Cited by 2 | Viewed by 1857
Abstract
While the dominant narrative of multiracial families in society is that they are atypical, the implicit narrative is that they are racially progressive. In this article, I show how multiracial people with different backgrounds, although all have white ancestry, experience family life in [...] Read more.
While the dominant narrative of multiracial families in society is that they are atypical, the implicit narrative is that they are racially progressive. In this article, I show how multiracial people with different backgrounds, although all have white ancestry, experience family life in nuanced ways that include racial discrimination and unearned privileges. While research has documented racism and monoracism in multiracial families, scholars have yet to analyze how inequality interacts with the unearned privileges that accompany a white parent. This study explores how 30 multiracial people experience racism, monoracism, and white privilege by proxy in their family lives. First, I center my respondents’ experiences with racism and monoracism, and how these experiences are shaped by the role of the family member (i.e., parent, grandparent, etc.). Second, I explain how white privilege by proxy is influenced by the intersectional identities of my participants’ white parent. Lastly, I outline how and under what conditions this form of privilege can be restricted or revoked. These findings present a new narrative of multiracial family life that more accurately reflects the intersectional and complex realities of multiracial people. Full article
25 pages, 1014 KiB  
Article
“Kill ‘em with Kindness”: Midwest Nice as a Mechanism of Whiteness
by Emilie Homan
Educ. Sci. 2025, 15(2), 145; https://doi.org/10.3390/educsci15020145 - 24 Jan 2025
Cited by 1 | Viewed by 1346
Abstract
“Midwest Nice” is a phrase used to capture the Nice, friendly, and courteous demeanor often associated with people who live or were raised in the Midwest region of the United States. Though Midwest Nice is often presented as a beneficial and benevolent practice [...] Read more.
“Midwest Nice” is a phrase used to capture the Nice, friendly, and courteous demeanor often associated with people who live or were raised in the Midwest region of the United States. Though Midwest Nice is often presented as a beneficial and benevolent practice with positive connotations, the implementation and experience of Midwest Nice practices can also be characterized as problematic, engendering unhealthy and harmful behavior. Drawing upon autoethnographic methods, this study critically examines personal practices and experiences of Midwest Nice across spaces. Through this examination, this paper illuminates the ways in which Midwest Nice is a function of Whiteness that thwarts critical anti-racist dialogue, (un)learning, and action. Full article
(This article belongs to the Special Issue Niceness, Leadership and Educational Equity)
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19 pages, 259 KiB  
Article
“Kuwentos as Resistance”: Revealing White Emotionalities in the Social Justice Leadership of Asian American Educators
by Jessica Wei Huang and Cheryl E. Matias
Educ. Sci. 2025, 15(2), 136; https://doi.org/10.3390/educsci15020136 - 23 Jan 2025
Viewed by 4015
Abstract
Asian American school leaders in K-20 schools and universities remain underrepresented in the field. As such, it is imperative that we study the experience of Asian American women (AAW) leaders to understand the racialized experiences of this specific group, particularly when they enact [...] Read more.
Asian American school leaders in K-20 schools and universities remain underrepresented in the field. As such, it is imperative that we study the experience of Asian American women (AAW) leaders to understand the racialized experiences of this specific group, particularly when they enact innovative leadership. We, the authors, argue that behind these racialized experiences are white emotionalities that are imposed upon AAW in uniquely raced and gendered ways. This conceptual paper addresses the following question: “how do white emotionalities thwart the innovative social justice efforts of female Asian American leaders in K-20 education?” To answer, we drew on the “kuwentos” of two AAW school leaders: one from K-12 administration and one from higher education administration. Kuwentos is derived from the Pinay concept of storytelling; thus, it is a befitting methodology to explicate these two women’s particular racial experiences. To critically interpret invisible operations of whiteness, we employed critical race hermeneutics (CRH) to reveal what is often left to the unconscious when examining the impact of whiteness on people of Color. To reveal how these seemingly natural presumptions are not so natural, CRH must be used. In drawing attention to how white emotionalities impact the innovative leadership of AAWs, the authors first use kuwentos to tell our own stories of experiencing white emotionalities. We then analyze these kuwentos through a CRH lens and end with implications and recommendations to positively impact AAW educational leaders. Full article
(This article belongs to the Special Issue Reimagining K-20 Educational Leadership in the 21st Century)
15 pages, 204 KiB  
Article
What Is Courageous About Courageous Conversations? Inter-Group Dialogue and the White Problem
by Thunder Storm Heter
Philosophies 2025, 10(1), 10; https://doi.org/10.3390/philosophies10010010 - 17 Jan 2025
Viewed by 975
Abstract
This essay examines how university inter-group dialogue programs function, arguing that a common dynamic in dialogues about race is that members from privileged, majority groups (e.g., white, cis-het males) turn to members of so-called “minority” groups to disclose personal experiences. This paper examines [...] Read more.
This essay examines how university inter-group dialogue programs function, arguing that a common dynamic in dialogues about race is that members from privileged, majority groups (e.g., white, cis-het males) turn to members of so-called “minority” groups to disclose personal experiences. This paper examines four dialogue models and describes preliminary data from the Diversity Dialogue Project, a unique social justice dialogue program at a state university in Pennsylvania. Creating all-White groups where participants can probe the White problem may prevent burdening people of color with the role of educator. Campus dialogue programs that emphasize the need to be courageous when talking about race may unintentionally entrench White power. Full article
(This article belongs to the Special Issue Communicative Philosophy)
25 pages, 340 KiB  
Article
‘Why Are the White Kids Clean and the Brown Kids Still Dirty?’: Parental Encounters with Racial Discrimination in Early Childhood Services
by Cherie Suzanne Lamb
Soc. Sci. 2025, 14(1), 18; https://doi.org/10.3390/socsci14010018 - 3 Jan 2025
Viewed by 1255
Abstract
In Australia, the Early Years Learning Framework sets out a vision for all children to experience belonging, wellbeing, confidence, and a sense of identity. This article forefronts the voices of parents with refugee experience, through focus groups and interviews, to explore why they [...] Read more.
In Australia, the Early Years Learning Framework sets out a vision for all children to experience belonging, wellbeing, confidence, and a sense of identity. This article forefronts the voices of parents with refugee experience, through focus groups and interviews, to explore why they removed their children from early childhood education and care (ECEC) services. Supplemented by interviews with early childhood practitioners and researcher experience, constructivist grounded theory overlaid with critical race theory provided a lens through which to scrutinize the way racism implicitly impacts structural practices within ECEC environments. The overarching message was that everything is framed within the parameters of the dominant culture, which was taken for granted by educators, who are predominantly White and middle class. Parents withdrew their children because they perceived care to be culturally unsafe and unsuitable and because cultural and linguistic support was rarely available. Of concern were the smothering effects of assimilation and the imposition of a foreign culture which unsettled family life. Compromised identity and the nullification of cultural and linguistic heritage left children with little or no sense of belonging. Full article
(This article belongs to the Special Issue Family Involvement in Early Childhood Education)
15 pages, 321 KiB  
Communication
The Camden Study—A Pregnancy Cohort Study of Pregnancy Complications and Birth Outcomes in Camden, New Jersey, USA
by Stephanie Shiau, Xinhua Chen, Ayana April-Sanders, Ellen C. Francis, Shristi Rawal, Megan Hansel, Kehinde Adeyemi, Zorimar Rivera-Núñez and Emily S. Barrett
Nutrients 2024, 16(24), 4372; https://doi.org/10.3390/nu16244372 - 19 Dec 2024
Viewed by 1651
Abstract
Background: Pregnancy is a unique stage of the life course characterized by trade-offs between the nutritional, immune, and metabolic needs of the mother and fetus. The Camden Study was originally initiated to examine nutritional status, growth, and birth outcomes in adolescent pregnancies and [...] Read more.
Background: Pregnancy is a unique stage of the life course characterized by trade-offs between the nutritional, immune, and metabolic needs of the mother and fetus. The Camden Study was originally initiated to examine nutritional status, growth, and birth outcomes in adolescent pregnancies and expanded to study dietary and molecular predictors of pregnancy complications and birth outcomes in young women. Methods: From 1985–2006, 4765 pregnant participants aged 12 years and older were recruited from Camden, NJ, one of the poorest cities in the US. The cohort reflects a population under-represented in perinatal cohort studies (45% Hispanic, 38% non-Hispanic Black, 17% White participants; 98% using Medicaid in pregnancy). Study visits, including questionnaires, dietary assessments, and biospecimen collection, occurred in early and late pregnancy as well as at delivery. Medical records were abstracted, and a subset of mothers and infants participated in a six-week postpartum visit. Results: Findings from the Camden Study have added to the understanding of adolescent and young adult maternal health and perinatal outcomes. These include associations of adolescent linear growth while pregnant with smaller neonatal birth size, low dietary zinc intake in early pregnancy with increased risk of delivery <33 gestational weeks, and higher circulating fatty acid levels with greater insulin resistance. More recent analyses have begun to unpack the biochemical pathways in pregnancy that may be shaped by race as an indicator of systemic racism. Conclusions: The Camden Study data and biorepositories are well-positioned to support future research aimed at better understanding perinatal health in under-represented women and infants. Linkages to subsequent health and administrative records and the potential for recontacting participants over 18–39 years after initial participation may provide key insights into the trajectories of maternal and child health across the life course. Full article
(This article belongs to the Special Issue Nutritional Effects on Women’s Reproductive Health and Disease)
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