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dc.contributor.authorKhubchandani, Jasmine A.
dc.contributor.authorSoni, Apurv
dc.contributor.authorFahey, Nisha
dc.contributor.authorRaithatha, Nitin
dc.contributor.authorPrabhakaran, Anusha
dc.contributor.authorByatt, Nancy
dc.contributor.authorMoore Simas, Tiffany A.
dc.contributor.authorPhatak, Ajay
dc.contributor.authorRosal, Milagros C
dc.contributor.authorNimbalkar, Somashekhar
dc.contributor.authorAllison, Jeroan J.
dc.date2022-08-11T08:08:22.000
dc.date.accessioned2022-08-23T15:52:32Z
dc.date.available2022-08-23T15:52:32Z
dc.date.issued2018-04-01
dc.date.submitted2017-11-20
dc.identifier.citation<p>Arch Womens Ment Health. 2018 Apr;21(2):163-170. doi: 10.1007/s00737-017-0790-1. Epub 2017 Oct 15. <a href="https://doi.org/10.1007/s00737-017-0790-1">Link to article on publisher's site</a></p>
dc.identifier.issn1434-1816 (Linking)
dc.identifier.doi10.1007/s00737-017-0790-1
dc.identifier.pmid29034410
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29160
dc.description<p>First author Jasmine A. Khubchandani is a medical student at UMass Medical School.</p>
dc.description.abstractThe aim of this study is to examine the relationship of caste and class with perceived discrimination among pregnant women from rural western India. A cross-sectional survey was administered to 170 pregnant women in rural Gujarat, India, who were enrolled in a longitudinal cohort study. The Everyday Discrimination Scale and the Experiences of Discrimination questionnaires were used to assess perceived discrimination and response to discrimination. Based on self-report caste, women were classified into three categories with increasing historical disadvantage: General, Other Backward Castes (OBC), and Scheduled Caste or Tribes (SC/ST). Socioeconomic class was determined using the standardized Kuppuswamy scale. Regression models for count and binomial data were used to examine association of caste and class with experience of discrimination and response to discrimination. Sixty-eight percent of women experienced discrimination. After adjusting for confounders, there was a consistent trend and association of discrimination with caste but not class. In comparison to General Caste, lower caste (OBC, SC/ST) women were more likely to (1) experience discrimination (OBC OR: 2.2, SC/ST: 4.1; p trend: 0.01); (2) have a greater perceived discrimination score (OBC IRR: 1.3, SC/ST: 1.5; p trend: 0.07); (3) accept discrimination (OBC OR: 6.4, SC/ST: 7.6; p trend: < 0.01); and (4) keep to herself about discrimination (OBC OR: 2.7, SC/ST: 3.6; p trend: 0.04). The differential experience of discrimination by lower caste pregnant women in comparison to upper caste pregnant women and their response to such experiences highlight the importance of studying discrimination to understand the root causes of existing caste-based disparities.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29034410&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1007/s00737-017-0790-1
dc.subjectUMCCTS funding
dc.subjectCaste
dc.subjectIndia
dc.subjectPerceived discrimination
dc.subjectRural
dc.subjectSocial justice
dc.subjectSocioeconomic status
dc.subjectHealth Services Administration
dc.subjectInequality and Stratification
dc.subjectInternational Public Health
dc.subjectWomen's Health
dc.titleCaste matters: perceived discrimination among women in rural India
dc.typeJournal Article
dc.source.journaltitleArchives of women's mental health
dc.source.volume21
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1387
dc.identifier.contextkey11091875
html.description.abstract<p>The aim of this study is to examine the relationship of caste and class with perceived discrimination among pregnant women from rural western India. A cross-sectional survey was administered to 170 pregnant women in rural Gujarat, India, who were enrolled in a longitudinal cohort study. The Everyday Discrimination Scale and the Experiences of Discrimination questionnaires were used to assess perceived discrimination and response to discrimination. Based on self-report caste, women were classified into three categories with increasing historical disadvantage: General, Other Backward Castes (OBC), and Scheduled Caste or Tribes (SC/ST). Socioeconomic class was determined using the standardized Kuppuswamy scale. Regression models for count and binomial data were used to examine association of caste and class with experience of discrimination and response to discrimination. Sixty-eight percent of women experienced discrimination. After adjusting for confounders, there was a consistent trend and association of discrimination with caste but not class. In comparison to General Caste, lower caste (OBC, SC/ST) women were more likely to (1) experience discrimination (OBC OR: 2.2, SC/ST: 4.1; p trend: 0.01); (2) have a greater perceived discrimination score (OBC IRR: 1.3, SC/ST: 1.5; p trend: 0.07); (3) accept discrimination (OBC OR: 6.4, SC/ST: 7.6; p trend: < 0.01); and (4) keep to herself about discrimination (OBC OR: 2.7, SC/ST: 3.6; p trend: 0.04). The differential experience of discrimination by lower caste pregnant women in comparison to upper caste pregnant women and their response to such experiences highlight the importance of studying discrimination to understand the root causes of existing caste-based disparities.</p>
dc.identifier.submissionpathfaculty_pubs/1387
dc.contributor.departmentPrevention Research Center
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.contributor.departmentDepartment of Obstetrics and Gynecology
dc.contributor.departmentSystems and Psychosocial Advances Research Center
dc.contributor.departmentDepartment of Psychiatry
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentSchool of Medicine
dc.source.pages163-170


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