Stress and Resilience: The Social Context of Reproduction in Central Harlem Book

1	Reproductive Health, Harlem, and Research	1
	The Setting	2
	Methodology	8
	Community Participation	15
	Stress and Reproduction	17
2	Where People Live: The Environmental Context of Reproduction	21
	Environment as a Potential Source of Stress and Chronic Strain	21
	Community Assets	32
	Housing Conditions	43
	Fighting Back: Coping with Housing-Induced Stress	53
	Access To Social Services	64
3	Where People Work: The Economic Context of Reproduction	73
	Work Site Descriptions	75
	Work Site-Related Stressors	77
	Current Sources Of Employment and Income Insecurity	95
	Consequences of Employment and Income Insecurity	97
	Race, Discrimination, and Work as Sources of Interrelated Stress	104
4	Social Support and Reproductive Health	107
	Support Systems and Reproductive Health	113
	Family, Marriage, and Female-Male Relationships	123
	Pregnancy, Motherhood, and the Social Importance of Reproduction	130
5	Health Care Delivery and Reproductive Health	137
	Pregnancy Intendedness and Recognition	138
	Doctors, Patients, and Different Perceptions	150
	Between Engagement and Distrust	153
	Explanations for Pregnancy Loss	156
6	Race, Class, Gender, and Health	161
	Implications for Reproductive Health	162
	The Sojourner Syndrome	163
App	Community Profile Charts	167
	References	197
	Index	203