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Maternal and Child Health Journal. Objectives: As investigators increasingly identify racism as a risk factor for poor health outcomes with implications for adverse birth outcomes , research efforts must explore individual experiences with and responses to racism. In this study, our aim was to determine how African American college-educated women experience racism that is linked to their identities and roles as African American women gendered racism. Methods: Four hundred seventy-four African American women collaborated in an iterative research process that included focus groups, interviews, and the administration of a pilot stress instrument developed from the qualitative data.
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