scholarly journals Social determinants of infant mortality amongst births to non-Hispanic Black women

2022 ◽  
Vol 226 (1) ◽  
pp. S706
Author(s):  
Matthew Orischak ◽  
Diane N. Fru ◽  
Elizabeth Kelly ◽  
Emily A. DeFranco
Keyword(s):  
Black Women ◽  
Infant Mortality ◽  
Social Determinants

scholarly journals Benefits of Understanding Systemic Racism in Forming Clinician-Patient Relationships to Reduce Black Infant Mortality

2020 ◽  
Vol 3 (3) ◽  
pp. 11-15
Author(s):  
Michelle A. Gotto ◽  
Laura Morello ◽  
Marsha Michie
Keyword(s):  
Black Women ◽  
Infant Mortality ◽  
Ecological Model ◽  
The United States ◽  
Patient Communication ◽  
Infant Mortality Rate ◽  
Systemic Racism ◽  
Doctor Patient Communication ◽  
Public Health Researcher ◽  
The Impact

Background: The United States lags far behind other developed nations in our overall infant mortality rate. Public health researcher Arline Geronimus has described a "weathering" effect of chronic racial stress among Black women that contributes to high rates of preterm birth, the leading cause of infant death. Trusting relationships between clinicians and patients may play a role in reducing infant mortality for Black mothers. Based on a social-ecological model of health care communication around infant mortality, we focus here on doctor-patient communication and correlations between clinicians' understandings of systemic racism and their communication with Black pregnant patients.Methods: This paper reports the findings from interviews with 5 maternal health clinicians (prior to recruitment being temporarily paused due to COVID-19) practicing at Cuyahoga County hospitals that serve large populations of Black women. Qualitative coding methods based in grounded theory were used to draw out themes from interview transcripts.Results: Doctor-patient communication was an emergent theme in these interviews. Results suggest an association between clinicians' understanding of the impact of systemic racism and their ability to communicate successfully and form positive bonds with pregnant mothers who are at higher risk of infant mortality.Conclusion: Acknowledging systemic racism as the cause of poor social determinants of health, which in turn contribute to higher rates of infant mortality, may provide clinicians a pathway to more positive communication and higher levels of trust with their patients, which in turn may play a role in reducing infant mortality in the Black community. Further research should investigate these associations.

Abstract MP66: Social Determinants And Co-morbid Conditions In Women Of Child-bearing Age With Hypertension From 2001-2018

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Lara C Kovell ◽  
Claire Meyerovitz ◽  
Didem Ayturk ◽  
Stephen P Juraschek ◽  
Tiffany A Moore Simas ◽  
...  
Keyword(s):  
Black Women ◽  
Social Determinants ◽  
White Women ◽  
Hispanic Women ◽  
Private Insurance ◽  
Anthropometric Measures ◽  
Mortality And Morbidity ◽  
Child Bearing ◽  
Race Ethnicity ◽  
Morbid Conditions

Introduction: Hypertension (HTN) is the most important modifiable risk factor of serious maternal mortality and morbidity. Social determinants, including economic stability and access to healthcare, influence HTN outcomes and are critical to understanding and addressing racial and ethnic differences in HTN control. Objective: To assess social determinants and co-morbidities in US women of child-bearing age with HTN by race/ethnicity Methods: We studied women (age 20-50) with HTN in the National Health and Nutrition Examination Surveys 2001-2018. Social determinants and co-morbid conditions were examined in groups categorized by race/ethnicity - Non-Hispanic White (White), Non-Hispanic Black (Black), and Hispanic. Demographics, anthropometric measures, and co-morbid conditions were compared with White women as reference. Results: In all women with HTN, the mean (SE) age was 36.0 (0.3) years and 63% were on BP medication. Compared to white women, Black and Hispanic women had lower food security, poverty income ratio, smoking use, and private insurance (all p<0.0001, Table ). Black women had higher BP medication use, BMI, and BP compared to White women (all p<0.0001). Hispanic women had higher rates of diabetes (p=0.009) and no place to go for healthcare (p=0.005) compared to White women. Food insecurity was present in 34% of Hispanic women. Conclusions: Despite effective diagnostics and therapy, health inequity is common in women of child-bearing age with HTN, with differences by race/ethnicity in social determinants and co-morbid conditions. Each racial/ethnic group with HTN brings social determinants and comorbid conditions important for providers to recognize.

scholarly journals Stillbirth, newborn and infant mortality: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

2019 ◽  
Vol 48 (Supplement_1) ◽  
pp. i54-i62 ◽  
Author(s):  
Ana M B Menezes ◽  
Fernando C Barros ◽  
Bernardo L Horta ◽  
Alicia Matijasevich ◽  
Andréa Dâmaso Bertoldi ◽  
...  
Keyword(s):  
Black Women ◽  
Infant Mortality ◽  
Low Income ◽  
Causes Of Death ◽  
Mortality Rates ◽  
Population Based ◽  
Birth Cohorts ◽  
Mortality Trends ◽  
Death Rates ◽  
Economic Inequalities

Abstract Background Infant-mortality rates have been declining in many low- and middle-income countries, including Brazil. Information on causes of death and on socio-economic inequalities is scarce. Methods Four birth cohorts were carried out in the city of Pelotas in 1982, 1993, 2004 and 2015, each including all hospital births in the calendar year. Surveillance in hospitals and vital registries, accompanied by interviews with doctors and families, detected fetal and infant deaths and ascertained their causes. Late-fetal (stillbirth)-, neonatal- and post-neonatal-death rates were calculated. Results All-cause and cause-specific death rates were reduced. During the study period, stillbirths fell by 47.8% (from 16.1 to 8.4 per 1000), neonatal mortality by 57.0% (from 20.1 to 8.7) and infant mortality by 62.0% (from 36.4 to 13.8). Perinatal causes were the leading causes of death in the four cohorts; deaths due to infectious diseases showed the largest reductions, with diarrhoea causing 25 deaths in 1982 and none in 2015. Late-fetal-, neonatal- and infant-mortality rates were higher for children born to Brown or Black women and to low-income women. Absolute socio-economic inequalities based on income—expressed in deaths per 1000 births—were reduced over time but relative inequalities—expressed as ratios of mortality rates—tended to remain stable. Conclusion The observed improvements are likely due to progress in social determinants of health and expansion of health care. In spite of progress, current levels remain substantially greater than those observed in high-income countries, and social and ethnic inequalities persist.

Social determinants of HIV infection among Black women in DC

2010 ◽  
Author(s):  
Leigh A. Willis ◽  
Jenevieve Opoku ◽  
Madeline Y. Sutton
Keyword(s):  
Black Women ◽  
Hiv Infection ◽  
Social Determinants

scholarly journals Symptom Experience, Management, and Outcomes According to Race and Social Determinants Including Genomics, Epigenomics, and Metabolomics (SEMOARS + GEM): an Explanatory Model for Breast Cancer Treatment Disparity

2019 ◽  
Vol 35 (3) ◽  
pp. 428-440 ◽  
Author(s):  
Maura K. McCall ◽  
Mary Connolly ◽  
Bethany Nugent ◽  
Yvette P. Conley ◽  
Catherine M. Bender ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Treatment ◽  
Social Determinants ◽  
Racial Disparity ◽  
White Women ◽  
Dose Intensity ◽  
Explanatory Model ◽  
Symptom Experience ◽  
Early Therapy

Abstract Even after controlling for stage, comorbidity, age, and insurance status, black women with breast cancer (BC) in the USA have the lowest 5-year survival as compared with all other races for stage-matched disease. One potential cause of this survival difference is the disparity in cancer treatment, evident in many population clinical trials. Specifically, during BC chemotherapy, black women receive less relative dose intensity with more dose reductions and early chemotherapy cessation compared with white women. Symptom incidence, cancer-related distress, and ineffective communication, including the disparity in patient-centeredness of care surrounding patient symptom reporting and clinician assessment, are important factors contributing to racial disparity in dose reduction and early therapy termination. We present an evidence-based overview and an explanatory model for racial disparity in the symptom experience during BC chemotherapy that may lead to a reduction in dose intensity and a subsequent disparity in outcomes. This explanatory model, the Symptom Experience, Management, Outcomes and Adherence according to Race and Social determinants + Genomics Epigenomics and Metabolomics (SEMOARS + GEM), considers essential factors such as social determinants of health, clinician communication, symptoms and symptom management, genomics, epigenomics, and pharmacologic metabolism as contributory factors.

scholarly journals THE INTERSECT OF SOCIAL DETERMINANTS, MOTIVATION, AND BLACK WOMEN TRIATHLETES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S591-S591
Author(s):  
Candace Brown
Keyword(s):  
Social Support ◽  
Black Women ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Sedentary Lifestyle ◽  
Integration Theory ◽  
The Novel ◽  
Interview Guide ◽  
Negative Impacts ◽  
Sedentary Women

Abstract Social determinants of health are often adjacent to negative impacts on physical health due to the association of a sedentary lifestyle. Yet, knowledge is limited regarding how motivation to exercise, through sport, may relate to social determinants. This study aimed to understand the intersect of social determinants of Black women who exercise, by participating in triathlons, using the novel Motivations for Triathletes Interview Guide (MOTIG). The Organismic Integration Theory guided an assessment of social determinants among (N = 12) Black women from nine scales within the MOTIG. The subtheme ‘physical awareness’ supported Health Orientation while ‘social support’, ‘camaraderie’ and ‘family’, all supported the Affiliation scale. Results indicate that Black women who exercise through triathlon are motivated because certain social determinants are positively addressed. Future interventions directed toward sedentary women should consider how to positively reinforce individual and social determinants to increase motivation to exercise.

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