Addressing Racial Disparities in Maternal and Child Health
Session Objectives
Health Disparities in Boston
Infant Mortality in Boston by Race and Ethnicity
Boston Fetal and Infant Mortality 1992-96 (Data and analysis: Boston Public Health Commission)
Excess Fetal and Infant Mortality Rate 1992-96
LBW in Boston,1991-1999
PPT Slide
What accounts for racial and ethnic disparities?
What accounts for racial disparities?
Definitions of Race
Definition of Ethnicity
Biology: Genetics not the answer
Social Factors
Racism’s impact on health status
Personal Beliefs
Provider Behavior
Institutional Policies and Procedures
Contributions to Health Outcomes
Factors Influencing Health Status
Challenges in Identifying and Using Race and Ethnicity Data for Maternal and Child Health Assessment
Public Health Perspective
Underlying Assumptions
Challenges
Selected Data Sources:
Census Data
Birth Certificate Data
Death Certificate Data
Patient Record Data
Recommendation for Federal Action
Local Response
Current Projects to Reduce Racial Disparities in Health Outcomes
Boston’s Women’s Health Demonstration Project
Health of Women and Infants Working Group (HWIWG)
Boston Women’s Health Demonstration Project - Rationale
Boston Infant Mortality Review: 1990-93 (McCloskey L, et.al. Public Health Reports 1999;114:165)
Recommendations from IMR
Boston Women’s Health Demonstration Project - Goals
Boston Women’s Health Demonstration Project
Boston Women’s Health Demonstration Project: Evaluation
Home Page: http://www.uic.edu/sph/cade/amchp2001
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