The psychosocial context of Black women's health.

Researchers have demonstrated that Black women exhibit a disproportionate risk of ill health. We examined the relationship between psychosocial factors, including economic status, race-based social inequality, gender-based violence, and the health status of 323 Black women between the ages of 18 and 65. Black women from a community sample completed a health survey with open-ended responses. Results indicated that women in lower economic groups are more likely to be treated for allergies (p = < .05) and pelvic inflammatory disease (PID; p = < .01). Women who experienced increased incidents of race-based social inequality received more medical treatments for yeast infections, pregnancy-related problems, allergies, and PID. Those with histories of physical, psychological, and early sexual abuse are more likely to be treated for depression, allergies, yeast infections, and hypertension. In addition, qualitative data examined the process in which economic, race-based social inequality, and gender-based violence contributed to the ill health of Black women. The implications of these findings suggest that understanding the psychosocial context is essential for appropriate clinical practice. Additionally, future research should conceptualize health as a complex interaction of psychosocial risks that have a profound effect on the health status of Black women.

A narrative analysis: a black woman's perceptions of breast cancer risks and early breast cancer detection.

The oncology nurse's role in breast cancer management is enhanced by knowledge of the patient's perceptions of risks. This case study elucidates the process by which perceived risks of breast cancer are embedded in sequences of biographic experiences including childhood sexual abuse, childhood injuries, and an abusive marriage. The case study shows that risk perceptions and subsequent delayed breast cancer detection is related to (a) a belief that breast cancer results from "bad luck, or fate"; (b) lack of cancer-related symptoms; (c) belief that a higher power determines ill health; (d) reluctance to turn to others for help while in an abusive marriage; (e) family history of cancer invulnerability since generations of family members died of diabetes, heart disease, and pregnancy-related illnesses; and (f) fear of gynecologic exams resulting from childhood sexual abuse. Furthermore, nonapplicability of traditional breast cancer risk factors such as heredity, age older than 30 years at first full-term pregnancy, early menarche, and late menopause prohibit an accurate assessment of self-risk. This case study suggests that breast cancer risk perception often differs from that of biomedical factors, and that an understanding of risk judgments is essential for appropriate therapeutic responses.

Prenatal maternal blood pressure response to stress predicts birth weight and gestational age: a preliminary study.

OBJECTIVE: The objective was to test the prospective association between prenatal maternal circulatory responses to a standardized psychologic challenge and birth outcome. STUDY DESIGN: We examined the relationship between blood pressure responses to a cognitive arithmetic stressor and birth outcome in 40 healthy primigravid women. Pregnant women between 18 and 37 years old were recruited from the University of Kentucky Prenatal Service Clinic for participation. All women performed an interactive arithmetic task while maternal heart rate and blood pressures were determined. Subsequent birth outcome parameters of birth weight and gestational age were obtained for prospective analyses. RESULTS: Results indicated that maternal systolic and diastolic blood pressures and heart rates were significantly increased during the arithmetic task (p < or = 0.01). Regression analyses suggested that women with larger diastolic blood pressure responses during stress had infants with lower birth weights (p < 0.01) and decreased gestational age (p < 0.05). CONCLUSIONS: This effect was specific to psychologic stress reactivity and was not related to maternal age, maternal race, baseline blood pressures, the trimester of stress testing, nor expired carbon monoxide. The relationship between maternal blood pressure response and birth outcome may reflect the transplacental impact of individual differences in systemic stress responsivity.

Use of Ac as an insertional mutagen in Arabidopsis.

A pilot-scale transposon mutagenesis experiment using a modified autonomous Activator (Ac) element, Ac delta Nael, was carried out in Arabidopsis thaliana. Four different transformants carrying Ac elements in different and defined genomic locations were used to generate 1000 plants carrying approximately 500 independent germinal transposition events. These plants were then selfed and the 1000 families screened in tissue culture and soil for phenotypic mutants. Fifty different families segregated mutations in their progeny. Preliminary Southern blot analysis of 29 families which segregated mutant progeny, showed that 28 had a transposed Ac. Six of the families were further tested for linkage between the transposed Ac and the mutant phenotype, and instability of the putatively tagged locus. Two of the mutants were shown to be tagged as they were tightly linked to a transposed Ac, and somatic and germinal reversion was associated with loss of Ac. One other mutant locus was shown to be closely linked to a transposed Ac, and therefore was likely to be tagged. The remaining three mutations were not tagged as they were not linked to a transposed Ac. In two of the tagged mutants Ac had transposed to closely linked sites, while in a third mutant the co-segregating Ac had transposed to a site which was not tightly linked to the donor T-DNA. Multiple insertions into the DIF1 locus were found, due to the preferential transposition of Ac to a linked site.

Shoot development in plants: time for a change.

The shoot system in plants progresses through several discrete phases during its development. Changes in the timing of these phases have important consequences for the morphogenesis of the shoot and are likely to be important in plant evolution. Genetic analysis of phase change in herbaceous plants, such as maize and Arabidopsis, has defined some of the genes involved in this phenomenon and has suggested a model for the regulation of this key feature of plant development.

Modification of the 5' untranslated leader region of the maize Activator element leads to increased activity in Arabidopsis.

In contrast to its behavior in tobacco and tomato, the maize transposable element Ac is relatively inactive in Arabidopsis. We show here that removal of 537 bp within a CpG-rich region of the Ac 5' untranslated leader region significantly increases the excision frequency of the element in Arabidopsis. This increase did not appear to be correlated with the removal of sequences that are methylated in inactive Ac elements in maize, as these sites were not methylated in Ac elements in Arabidopsis transformants. The deletion within the 5' untranslated leader did not increase Ac activity by increasing levels of steady-state transposase mRNA, as assayed by RNase protection experiments. Moreover, there was no correlation between the levels of steady-state transposase mRNA and Ac element activity. This suggests that post-transcriptional regulation of Ac activity occurs in Arabidopsis.

The role of smoking in the lives of low-income pregnant adolescents: a field study.

This study examined the role of cigarette smoking in the lives of low-income, pregnant adolescents. Based on in-depth interviews, subjects' beliefs and attitudes toward smoking are described. The findings indicate that this population smoked to cope with increased weight gain; to deliver smaller infants which in turn would decrease the duration of labor and reduce the pain of delivery; to counteract anxiety arising from feelings of abandonment; and to establish an identity separate from their parents' and peers' drug abuse. These results suggest that low-income, pregnant adolescents perceive immediate benefits from cigarette smoking that outweigh long-term health consequences. It is argued that smoking-prevention programs based on an inaccurate understanding of the social context in which smoking occurs can reinforce the use of tobacco among high-risk, pregnant adolescents. Suggestions are offered to improve prevention programs targeted at low-income, pregnant teenagers.