Reducing Racial Disparities
addressing Extreme Prematurity
Eliminating Sleep-Related Deaths
Cuyahoga County has one of the highest rates of prenatal care in the state — yet, this area also has one of the worst infant mortality rates.
And racial disparities contribute to this alarming statistic. In fact, the county’s 2018 infant mortality rate was nearly four times higher for black, non-Hispanic infants (15.5) compared to white, non-Hispanic infants (3.8).
Many believe that racial disparities in infant mortality only affect women living in poverty, those with limited education and teenagers. However, these disparities are found through all socioeconomic statuses and age groups. In fact, in the past 10 years, only four percent of infants who died were born to teenage mothers.
In 2015, 70 percent of all premature deaths in Cuyahoga County were African American babies. Most of these infants’ mothers had significant interaction with medical providers, half of which were via private insurance and self-pay rather than Medicaid. According to Dr. Arthur James of the Kirwan Institute for the Study of Race and Ethnicity, one must go as far back as 1975 to find a white infant mortality rate comparable to the 2015 African American rate.
For years, researchers and doctors have been debating the topic of racial disparities in health care. They still struggle to find why African American women in America, no matter their age or socioeconomic status, are more likely to suffer an infant loss.
Most recently, there is a common agreement that the everyday stressors of being an African American woman contribute heavily to these heartbreaking outcomes. This excess stress comes from unavoidable daily occurrences such as implicit bias and structural racism.
Structural racism is deeply embedded into American society and is a potent factor that leads to inequities in the health care system. It goes hand in hand with implicit bias. Implicit bias is an attitude or a stereotype that affects your understanding, actions and decisions unconsciously. Everyone has implicit bias, whether they know it or not.
Unfortunately, implicit bias can affect the way that providers care for their patients — and this factor can contribute to many statistics previously listed.
African American babies accounted for 81 out of 120 infant deaths in 2018.
In 2018, the African American to white disparity rate was 4.1; this means for every white infant death, four African American babies experienced the same fate.
For African Americans, the leading cause of infant death is prematurity.
Racial disparities in health care affect African Americans of every socioeconomic level.
To ensure that you or a family member is not a victim of the possible effects of implicit bias on pregnancy and childbirth, consider taking the following steps:
Additionally, now that you know these important facts about African American infant mortality in Cuyahoga County, you can get involved.
One way to get involved is to be aware of your own implicit bias. Implicit biases don’t necessarily always align with our own beliefs or values — they are learned and out of our control. However, these biases are completely susceptible to change.
Project Implicit is a nonprofit organization whose goal is to educate people on their own implicit bias. They’ve created different tests for subjects like racial bias, gender bias, disability bias and many more. Take a few minutes out of your day and take a test to determine your biases. https://implicit.harvard.edu/implicit/selectatest.html
Don't stop there. After you take the test, find out what you can do to change those biases. Subscribe to the “Bias Cleanse,” created by MTV and the Kirwan Institute, which is an email subscription that provides you with fun daily tasks to help you begin to change your biased associations.
Last, but not least, speak up. Share posts like this with family and friends. Connect with organizations like First Year Cleveland and Moms First on social media! And discuss topics such as structural racism and implicit bias.
Racial disparities are all too relevant in the lives of pregnant women and their infants in our county — however, by taking steps and getting involved, we can make a difference.
Tuesday, November 20, 2018
Written by Kaylee Marie Kasapis
BACKGROUND If you’ve read about First Year Cleveland’s engagement and public policy efforts, you understand the impact that community residents can have on laws and the effect lawmakers can have on the success or failure of these vitally important collaboratives. Before it can positively impact lower infant deaths for the long...
As a student pursuing a dual master’s degree in public health and social administration, I went through my field placement at First Year Cleveland (FYC). I am excited to have been able to work for an organization that involves the entire community and collaborates with members of different fields and...
When I pursued an internship at First Year Cleveland (FYC), one of the first things that struck me about this initiative was its focus on collaboration. There are 11 action teams that work to execute the FYC mission. Approximately 400 individuals contribute to these action teams, many of whom represent 100...
1 of 22